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Title: Mild Cognitive Impairment and Caregiver Burden: A 3-Year-Longitudinal Study.
Austin Authors: Connors, Michael H;Seeher, Katrin;Teixeira-Pinto, Armando;Woodward, Michael M ;Ames, David;Brodaty, Henry
Affiliation: School of Public Health, University of Sydney, Sydney, Australia
National Ageing Research Institute, Melbourne, Australia
Austin Health, Heidelberg, Victoria, Australia
Dementia Centre for Research Collaboration, School of Psychiatry, UNSW Sydney, Sydney, Australia
University of Melbourne Academic Unit for Psychiatry of Old Age, Melbourne, Australia
Centre for Healthy Brain Ageing, School of Psychiatry, UNSW Sydney, Sydney, Australia
Issue Date: Nov-2019 2019-05-17
Publication information: The American Journal of Geriatric Psychiatry 2019; 27(11): 1206-1215
Abstract: Mild cognitive impairment (MCI) is common, affecting 10%-35% of people over 65, and poses unique challenges for patients and their caregivers. Comparatively little research has examined caregiver burden in this population, with longitudinal research, in particular, lacking. We examined caregiver burden in a sample of people with MCI over 3 years. Three-year observational study. Nine memory clinics in Australia. One-hundred-and-eighty-five people with MCI and their caregivers. Measures of caregiver burden, cognition, function, neuropsychiatric symptoms, driving status, and medication use were completed with patients and their caregivers at regular intervals over a 3-year period. Between 21.1% and 29.5% of caregivers reported a clinically significant level of burden over the study. Patients' higher levels of neuropsychiatric symptoms, lower functional ability, and lack of driving ability, and caregivers' employment were associated with greater caregiver burden over time. Caregiver burden did not increase over time when controlling for patient and caregiver characteristics. High levels of caregiver burden are present in a significant proportion of caregivers of people with MCI. Clinical characteristics of patients - including severity of neuropsychiatric symptoms and functional impairment - and the employment status of caregivers predict burden. Such characteristics may help identify caregivers at greater risk of burden to target for intervention.
DOI: 10.1016/j.jagp.2019.05.012
PubMed URL: 31230914
Type: Journal Article
Subjects: Carer burden
caregiver burden
mild cognitive impairment
Appears in Collections:Journal articles

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