Patient and Caregiver Perspectives of Quality of Life in Dementia
Hurt C.a · Bhattacharyya S.b · Burns A.b · Camus V.d · Liperoti R.g · Marriott A.c · Nobili F.h · Robert P.e · Tsolaki M.i · Vellas B.f · Verhey F.j · Byrne E.J.b
An Investigation of the Relationship to Behavioural and Psychological Symptoms in Dementia
aKing’s College London, Institute of Psychiatry, London, bDivision of Psychiatry, University of Manchester, Manchester, and cKingshill Research Centre, Victoria Hospital, Swindon, UK; dClinique Psychiatrique Universitaire, Centre Hospitalier Régional Universitaire, Tours, eCentre Mémoire de Ressources et de Recherche au CHU, Université de Nice Sophia-Antipolis, Nice, and fCentre Mémoire de Ressources et de Recherche de Toulouse, Toulouse, France; gCentro Medicina dell’Invecchiamento, Università Cattolica del Sacro Cuore, Rome, and hClinical Neurophysiology Service, Department of Internal Medicine, University of Genoa, Genoa, Italy; iMemory and Dementia Centre, Aristotle University of Thessaloniki, Thessaloniki, Greece; jUniversity Hospital of Maastricht, Alzheimer Centre Limburg, Limburg, The Netherlands
Dr. Catherine Hurt
King’s College London, Institute of Psychiatry
Department of Psychology PO77
De Crespigny Park, London SE5 8AF (UK)
Tel. +44 20 7848 0923, Fax +44 20 7848 5006, E-Mail Catherine.firstname.lastname@example.org
Do you have an account?
Background/Aims: Behavioural and psychological symptoms have a high prevalence amongst patients with dementia and can be a significant source of distress to both patients and carers. The present study explored the relationships between quality of life and behavioural and psychological symptoms in dementia (BPSD) from both patient and carer perspectives. Contextual factors surrounding the occurrence of BPSD were explored. Methods: Forty-six patients and 116 carers completed questionnaire measures of BPSD and quality of life. Results: BPSD were negatively associated with both patient and carer ratings of patient quality of life. The symptoms related to lower quality of life differed between patient and carer ratings: depression and irritability were found to predict lower carer ratings of quality of life, whilst delusions and apathy indicated lower patient ratings. Carers were found to be poor at identifying antecedents and consequences of BPSD. Conclusions: The presence of BPSD is associated with lower quality of life in dementia. Interventions designed to improve the quality of life for patients should focus on the BPSD specifically associated with the patient’s rating of quality of life. Information regarding the role of contextual factors in behaviour management should be made available to carers.
© 2008 S. Karger AG, Basel
Article / Publication Details
Copyright / Drug Dosage / DisclaimerCopyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.