Behavioral and Psychological Effects of Coronavirus Disease-19 Quarantine in Patients With Dementia
BackgroundIn March 2020, the World Health Organization declared a global pandemic due to the novel coronavirus SARS-CoV-2 and several governments planned a national quarantine in order to control the virus spread. Acute psychological effects of quarantine in frail elderly subjects with special needs...
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Format: | Article |
Language: | English |
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Frontiers Media S.A.
2020-09-01
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Series: | Frontiers in Psychiatry |
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Online Access: | https://www.frontiersin.org/article/10.3389/fpsyt.2020.578015/full |
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author | Annachiara Cagnin Raffaele Di Lorenzo Camillo Marra Laura Bonanni Chiara Cupidi Valentina Laganà Elisa Rubino Alessandro Vacca Paolo Provero Paolo Provero Valeria Isella Nicola Vanacore Federica Agosta Federica Agosta Ildebrando Appollonio Paolo Caffarra Ilaria Pettenuzzo Renato Sambati Renato Sambati Davide Quaranta Valeria Guglielmi Giancarlo Logroscino Giancarlo Logroscino Massimo Filippi Massimo Filippi Gioacchino Tedeschi Carlo Ferrarese Innocenzo Rainero Amalia C. Bruni SINdem COVID-19 Study Group Erica Gallo Alberto Grassini Andrea Marcinnò Fausto Roveta Paola De Martino Francesca Frangipane Gianfranco Puccio Rosanna Colao Maria Mirabelli Noemi Martellacci Federica Lino Stefano Mozzetta Cinzia Bussè Giulia Camporese Simona Sacco Maria Carmela Lechiara Claudia Carrarini Mirella Russo Alfonsina Casalena Patrizia Sucapane Pietro Tiraboschi Paola Caroppo Veronica Redaelli Giuseppe Di Fede Daniela Coppa Lenino Peluso Pasqualina Insarda Matteo De Bartolo Sabrina Esposito Alessandro Iavarone Anna Vittoria Marta Orsini Elena Salvatore Chiara Criscuolo Luisa Sambati Rossella Santoro Daniela Gragnaniello Ilaria Pedriali Livia Ludovico Annalisa Chiari Andrea Fabbo Petra Bevilacqua Chiara Galli Silvia Magarelli Marta Perini Gianfranco Spalletta Nerisa Banaj Desirée Estela Porcari Giulia Caruso Virginia Cipollini Anna Rosa Casini Francesca Ursini Giuseppe Bruno Renzo Rozzini Michela Brambilla Giuseppe Magnani Francesca Caso Edoardo G. Spinelli Matteo Cotta Ramusino Giulia Perini Simona Luzzi Gabriella Cacchiò Rossano Angeloni Cinzia Giuli Katia Fabi Marco Guidi Cristina Paci Annaelisa Castellano Elena Carapelle Rossella Petrucci Miriam Accogli Gianluigi Calabrese Giovanna Nicoletta Trevisi Brigida Coluccia Antonella Vasquez Giuliano Marcella Caggiula Fulvio Da Re Antonio Milia Giuseppina Pilia Maria Giuseppina Mascia Valeria Putzu Tommaso Piccoli Luca Cuffaro Roberto Monastero Antonella Battaglia Valeria Blandino Federica Lupo Eduardo Cumbo Luca Antonina Giuseppe Caravaglios Annalisa Vezzosi Valentina Bessi Gloria Tognoni Valeria Calsolaro Enrico Mossello Serena Amici Alberto Trequattrini Salvatore Pezzuto Patrizia Mecocci Giulia Fichera Samantha Pradelli Marino Formilan Alessandra Coin Laura Detogni Francesca Sala Giulia Sandri Maurizio Gallucci Anna Paola Mazzarolo Cristina Bergamelli |
author_facet | Annachiara Cagnin Raffaele Di Lorenzo Camillo Marra Laura Bonanni Chiara Cupidi Valentina Laganà Elisa Rubino Alessandro Vacca Paolo Provero Paolo Provero Valeria Isella Nicola Vanacore Federica Agosta Federica Agosta Ildebrando Appollonio Paolo Caffarra Ilaria Pettenuzzo Renato Sambati Renato Sambati Davide Quaranta Valeria Guglielmi Giancarlo Logroscino Giancarlo Logroscino Massimo Filippi Massimo Filippi Gioacchino Tedeschi Carlo Ferrarese Innocenzo Rainero Amalia C. Bruni SINdem COVID-19 Study Group Erica Gallo Alberto Grassini Andrea Marcinnò Fausto Roveta Paola De Martino Francesca Frangipane Gianfranco Puccio Rosanna Colao Maria Mirabelli Noemi Martellacci Federica Lino Stefano Mozzetta Cinzia Bussè Giulia Camporese Simona Sacco Maria Carmela Lechiara Claudia Carrarini Mirella Russo Alfonsina Casalena Patrizia Sucapane Pietro Tiraboschi Paola Caroppo Veronica Redaelli Giuseppe Di Fede Daniela Coppa Lenino Peluso Pasqualina Insarda Matteo De Bartolo Sabrina Esposito Alessandro Iavarone Anna Vittoria Marta Orsini Elena Salvatore Chiara Criscuolo Luisa Sambati Rossella Santoro Daniela Gragnaniello Ilaria Pedriali Livia Ludovico Annalisa Chiari Andrea Fabbo Petra Bevilacqua Chiara Galli Silvia Magarelli Marta Perini Gianfranco Spalletta Nerisa Banaj Desirée Estela Porcari Giulia Caruso Virginia Cipollini Anna Rosa Casini Francesca Ursini Giuseppe Bruno Renzo Rozzini Michela Brambilla Giuseppe Magnani Francesca Caso Edoardo G. Spinelli Matteo Cotta Ramusino Giulia Perini Simona Luzzi Gabriella Cacchiò Rossano Angeloni Cinzia Giuli Katia Fabi Marco Guidi Cristina Paci Annaelisa Castellano Elena Carapelle Rossella Petrucci Miriam Accogli Gianluigi Calabrese Giovanna Nicoletta Trevisi Brigida Coluccia Antonella Vasquez Giuliano Marcella Caggiula Fulvio Da Re Antonio Milia Giuseppina Pilia Maria Giuseppina Mascia Valeria Putzu Tommaso Piccoli Luca Cuffaro Roberto Monastero Antonella Battaglia Valeria Blandino Federica Lupo Eduardo Cumbo Luca Antonina Giuseppe Caravaglios Annalisa Vezzosi Valentina Bessi Gloria Tognoni Valeria Calsolaro Enrico Mossello Serena Amici Alberto Trequattrini Salvatore Pezzuto Patrizia Mecocci Giulia Fichera Samantha Pradelli Marino Formilan Alessandra Coin Laura Detogni Francesca Sala Giulia Sandri Maurizio Gallucci Anna Paola Mazzarolo Cristina Bergamelli |
author_sort | Annachiara Cagnin |
collection | DOAJ |
description | BackgroundIn March 2020, the World Health Organization declared a global pandemic due to the novel coronavirus SARS-CoV-2 and several governments planned a national quarantine in order to control the virus spread. Acute psychological effects of quarantine in frail elderly subjects with special needs, such as patients with dementia, have been poorly investigated. The aim of this study was to assess modifications of neuropsychiatric symptoms during quarantine in patients with dementia and their caregivers.MethodsThis is a sub-study of a multicenter nation-wide survey. A structured telephone interview was delivered to family caregivers of patients with diagnosis of Alzheimer disease (AD), dementia with Lewy bodies (DLB), frontotemporal dementia (FTD), and vascular dementia (VD), followed regularly at 87 Italian memory clinics. Variations in behavioral and psychological symptoms (BPSD) were collected after 1 month since quarantine declaration and associations with disease type, severity, gender, and caregiver’s stress burden were analyzed.ResultsA total of 4,913 caregivers participated in the survey. Increased BPSD was reported in 59.6% of patients as worsening of preexisting symptoms (51.9%) or as new onset (26%), and requested drug modifications in 27.6% of these cases. Irritability, apathy, agitation, and anxiety were the most frequently reported worsening symptoms and sleep disorder and irritability the most frequent new symptoms. Profile of BPSD varied according to dementia type, disease severity, and patients’ gender. Anxiety and depression were associated with a diagnosis of AD (OR 1.35, CI: 1.12–1.62), mild to moderate disease severity and female gender. DLB was significantly associated with a higher risk of worsening hallucinations (OR 5.29, CI 3.66–7.64) and sleep disorder (OR 1.69, CI 1.25–2.29), FTD with wandering (OR 1.62, CI 1.12–2.35), and change of appetite (OR 1.52, CI 1.03–2.25). Stress-related symptoms were experienced by two-thirds of caregivers and were associated with increased patients’ neuropsychiatric burden (p<0.0001).ConclusionQuarantine induces a rapid increase of BPSD in approximately 60% of patients and stress-related symptoms in two-thirds of caregivers. Health services need to plan a post-pandemic strategy in order to address these emerging needs. |
first_indexed | 2024-12-14T09:45:02Z |
format | Article |
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institution | Directory Open Access Journal |
issn | 1664-0640 |
language | English |
last_indexed | 2024-12-14T09:45:02Z |
publishDate | 2020-09-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Frontiers in Psychiatry |
spelling | doaj.art-3ff5baccace44a27af9386b8e38677982022-12-21T23:07:40ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402020-09-011110.3389/fpsyt.2020.578015578015Behavioral and Psychological Effects of Coronavirus Disease-19 Quarantine in Patients With DementiaAnnachiara Cagnin0Raffaele Di Lorenzo1Camillo Marra2Laura Bonanni3Chiara Cupidi4Valentina Laganà5Elisa Rubino6Alessandro Vacca7Paolo Provero8Paolo Provero9Valeria Isella10Nicola Vanacore11Federica Agosta12Federica Agosta13Ildebrando Appollonio14Paolo Caffarra15Ilaria Pettenuzzo16Renato Sambati17Renato Sambati18Davide Quaranta19Valeria Guglielmi20Giancarlo Logroscino21Giancarlo Logroscino22Massimo Filippi23Massimo Filippi24Gioacchino Tedeschi25Carlo Ferrarese26Innocenzo Rainero27Amalia C. Bruni28SINdem COVID-19 Study GroupErica GalloAlberto GrassiniAndrea MarcinnòFausto RovetaPaola De MartinoFrancesca FrangipaneGianfranco PuccioRosanna ColaoMaria MirabelliNoemi MartellacciFederica LinoStefano MozzettaCinzia BussèGiulia CamporeseSimona SaccoMaria Carmela Lechiara Claudia CarrariniMirella RussoAlfonsina CasalenaPatrizia SucapanePietro TiraboschiPaola CaroppoVeronica RedaelliGiuseppe Di FedeDaniela CoppaLenino PelusoPasqualina InsardaMatteo De BartoloSabrina EspositoAlessandro IavaroneAnna Vittoria Marta OrsiniElena SalvatoreChiara CriscuoloLuisa SambatiRossella SantoroDaniela GragnanielloIlaria PedrialiLivia LudovicoAnnalisa ChiariAndrea FabboPetra BevilacquaChiara GalliSilvia MagarelliMarta PeriniGianfranco SpallettaNerisa BanajDesirée Estela PorcariGiulia CarusoVirginia CipolliniAnna Rosa CasiniFrancesca UrsiniGiuseppe BrunoRenzo RozziniMichela BrambillaGiuseppe MagnaniFrancesca CasoEdoardo G. SpinelliMatteo Cotta RamusinoGiulia PeriniSimona LuzziGabriella CacchiòRossano AngeloniCinzia GiuliKatia FabiMarco GuidiCristina PaciAnnaelisa CastellanoElena CarapelleRossella PetrucciMiriam AccogliGianluigi CalabreseGiovanna Nicoletta TrevisiBrigida ColucciaAntonella Vasquez GiulianoMarcella CaggiulaFulvio Da ReAntonio MiliaGiuseppina PiliaMaria Giuseppina MasciaValeria PutzuTommaso PiccoliLuca CuffaroRoberto MonasteroAntonella BattagliaValeria BlandinoFederica LupoEduardo CumboLuca AntoninaGiuseppe CaravagliosAnnalisa VezzosiValentina BessiGloria TognoniValeria CalsolaroEnrico MosselloSerena AmiciAlberto TrequattriniSalvatore PezzutoPatrizia MecocciGiulia FicheraSamantha PradelliMarino FormilanAlessandra CoinLaura DetogniFrancesca SalaGiulia SandriMaurizio GallucciAnna Paola MazzaroloCristina BergamelliDepartment of Neuroscience (DNS), University of Padua, Padua, ItalyRegional Neurogenetic Centre, Department of Primary Care, ASP-CZ, Catanzaro, ItalyMemory Clinic, Fondazione Policlinico Gemelli, IRCCS Università, Cattolica del Sacro Cuore, Rome, ItalyDepartment of Neuroscience, Imaging and Clinical Sciences, University G. d’Annunzio of Chieti-Pescara, Chieti, ItalyCDCD Ospedale del Delta, AUSL Ferrara, Ferrara, ItalyRegional Neurogenetic Centre, Department of Primary Care, ASP-CZ, Catanzaro, ItalyDepartment of Neuroscience and Mental Health, AOU Città della Salute e della Scienza di Torino, Turin, ItalyAging Brain and Memory Clinic, Department of Neuroscience, University of Torino, Turin, ItalyDepartment of Molecular Biotechnology and Health Sciences, University of Torino, Turin, ItalyCenter for Omics Sciences, IRCCS San Raffaele Scientific Institute, Milan, Italy0Department of Medicine and Surgery and Milan Center for Neuroscience (NeuroMi), University of Milano – Bicocca, Monza, Italy1National Institute of Health, Rome, Italy2Division of Neuroscience, IRCCS San Raffaele Scientific Institute, Milan, Italy3Vita-Salute San Raffaele University, Milan, Italy0Department of Medicine and Surgery and Milan Center for Neuroscience (NeuroMi), University of Milano – Bicocca, Monza, Italy4Unit of Neuroscience, University of Parma, Parma, ItalyDepartment of Neuroscience (DNS), University of Padua, Padua, Italy5Department of Clinical Research in Neurology, Center for Neurodegenerative Diseases and the Aging Brain, University of Bari, Bari, Italy6Department of Basic Medicine Neuroscience and Sense Organs, University Aldo Moro Bari, Bari, ItalyMemory Clinic, Fondazione Policlinico Gemelli, IRCCS Università, Cattolica del Sacro Cuore, Rome, ItalyMemory Clinic, Fondazione Policlinico Gemelli, IRCCS Università, Cattolica del Sacro Cuore, Rome, Italy5Department of Clinical Research in Neurology, Center for Neurodegenerative Diseases and the Aging Brain, University of Bari, Bari, Italy6Department of Basic Medicine Neuroscience and Sense Organs, University Aldo Moro Bari, Bari, Italy2Division of Neuroscience, IRCCS San Raffaele Scientific Institute, Milan, Italy3Vita-Salute San Raffaele University, Milan, Italy7Department of Medical and Surgical Sciences, University of Campania “Luigi Vanvitelli”, Naples, Italy0Department of Medicine and Surgery and Milan Center for Neuroscience (NeuroMi), University of Milano – Bicocca, Monza, ItalyAging Brain and Memory Clinic, Department of Neuroscience, University of Torino, Turin, ItalyRegional Neurogenetic Centre, Department of Primary Care, ASP-CZ, Catanzaro, ItalyBackgroundIn March 2020, the World Health Organization declared a global pandemic due to the novel coronavirus SARS-CoV-2 and several governments planned a national quarantine in order to control the virus spread. Acute psychological effects of quarantine in frail elderly subjects with special needs, such as patients with dementia, have been poorly investigated. The aim of this study was to assess modifications of neuropsychiatric symptoms during quarantine in patients with dementia and their caregivers.MethodsThis is a sub-study of a multicenter nation-wide survey. A structured telephone interview was delivered to family caregivers of patients with diagnosis of Alzheimer disease (AD), dementia with Lewy bodies (DLB), frontotemporal dementia (FTD), and vascular dementia (VD), followed regularly at 87 Italian memory clinics. Variations in behavioral and psychological symptoms (BPSD) were collected after 1 month since quarantine declaration and associations with disease type, severity, gender, and caregiver’s stress burden were analyzed.ResultsA total of 4,913 caregivers participated in the survey. Increased BPSD was reported in 59.6% of patients as worsening of preexisting symptoms (51.9%) or as new onset (26%), and requested drug modifications in 27.6% of these cases. Irritability, apathy, agitation, and anxiety were the most frequently reported worsening symptoms and sleep disorder and irritability the most frequent new symptoms. Profile of BPSD varied according to dementia type, disease severity, and patients’ gender. Anxiety and depression were associated with a diagnosis of AD (OR 1.35, CI: 1.12–1.62), mild to moderate disease severity and female gender. DLB was significantly associated with a higher risk of worsening hallucinations (OR 5.29, CI 3.66–7.64) and sleep disorder (OR 1.69, CI 1.25–2.29), FTD with wandering (OR 1.62, CI 1.12–2.35), and change of appetite (OR 1.52, CI 1.03–2.25). Stress-related symptoms were experienced by two-thirds of caregivers and were associated with increased patients’ neuropsychiatric burden (p<0.0001).ConclusionQuarantine induces a rapid increase of BPSD in approximately 60% of patients and stress-related symptoms in two-thirds of caregivers. Health services need to plan a post-pandemic strategy in order to address these emerging needs.https://www.frontiersin.org/article/10.3389/fpsyt.2020.578015/fullbehavioral and psychological symptomsbehavioral symptomspsychological symptomsquarantinedementiacaregiver |
spellingShingle | Annachiara Cagnin Raffaele Di Lorenzo Camillo Marra Laura Bonanni Chiara Cupidi Valentina Laganà Elisa Rubino Alessandro Vacca Paolo Provero Paolo Provero Valeria Isella Nicola Vanacore Federica Agosta Federica Agosta Ildebrando Appollonio Paolo Caffarra Ilaria Pettenuzzo Renato Sambati Renato Sambati Davide Quaranta Valeria Guglielmi Giancarlo Logroscino Giancarlo Logroscino Massimo Filippi Massimo Filippi Gioacchino Tedeschi Carlo Ferrarese Innocenzo Rainero Amalia C. Bruni SINdem COVID-19 Study Group Erica Gallo Alberto Grassini Andrea Marcinnò Fausto Roveta Paola De Martino Francesca Frangipane Gianfranco Puccio Rosanna Colao Maria Mirabelli Noemi Martellacci Federica Lino Stefano Mozzetta Cinzia Bussè Giulia Camporese Simona Sacco Maria Carmela Lechiara Claudia Carrarini Mirella Russo Alfonsina Casalena Patrizia Sucapane Pietro Tiraboschi Paola Caroppo Veronica Redaelli Giuseppe Di Fede Daniela Coppa Lenino Peluso Pasqualina Insarda Matteo De Bartolo Sabrina Esposito Alessandro Iavarone Anna Vittoria Marta Orsini Elena Salvatore Chiara Criscuolo Luisa Sambati Rossella Santoro Daniela Gragnaniello Ilaria Pedriali Livia Ludovico Annalisa Chiari Andrea Fabbo Petra Bevilacqua Chiara Galli Silvia Magarelli Marta Perini Gianfranco Spalletta Nerisa Banaj Desirée Estela Porcari Giulia Caruso Virginia Cipollini Anna Rosa Casini Francesca Ursini Giuseppe Bruno Renzo Rozzini Michela Brambilla Giuseppe Magnani Francesca Caso Edoardo G. Spinelli Matteo Cotta Ramusino Giulia Perini Simona Luzzi Gabriella Cacchiò Rossano Angeloni Cinzia Giuli Katia Fabi Marco Guidi Cristina Paci Annaelisa Castellano Elena Carapelle Rossella Petrucci Miriam Accogli Gianluigi Calabrese Giovanna Nicoletta Trevisi Brigida Coluccia Antonella Vasquez Giuliano Marcella Caggiula Fulvio Da Re Antonio Milia Giuseppina Pilia Maria Giuseppina Mascia Valeria Putzu Tommaso Piccoli Luca Cuffaro Roberto Monastero Antonella Battaglia Valeria Blandino Federica Lupo Eduardo Cumbo Luca Antonina Giuseppe Caravaglios Annalisa Vezzosi Valentina Bessi Gloria Tognoni Valeria Calsolaro Enrico Mossello Serena Amici Alberto Trequattrini Salvatore Pezzuto Patrizia Mecocci Giulia Fichera Samantha Pradelli Marino Formilan Alessandra Coin Laura Detogni Francesca Sala Giulia Sandri Maurizio Gallucci Anna Paola Mazzarolo Cristina Bergamelli Behavioral and Psychological Effects of Coronavirus Disease-19 Quarantine in Patients With Dementia Frontiers in Psychiatry behavioral and psychological symptoms behavioral symptoms psychological symptoms quarantine dementia caregiver |
title | Behavioral and Psychological Effects of Coronavirus Disease-19 Quarantine in Patients With Dementia |
title_full | Behavioral and Psychological Effects of Coronavirus Disease-19 Quarantine in Patients With Dementia |
title_fullStr | Behavioral and Psychological Effects of Coronavirus Disease-19 Quarantine in Patients With Dementia |
title_full_unstemmed | Behavioral and Psychological Effects of Coronavirus Disease-19 Quarantine in Patients With Dementia |
title_short | Behavioral and Psychological Effects of Coronavirus Disease-19 Quarantine in Patients With Dementia |
title_sort | behavioral and psychological effects of coronavirus disease 19 quarantine in patients with dementia |
topic | behavioral and psychological symptoms behavioral symptoms psychological symptoms quarantine dementia caregiver |
url | https://www.frontiersin.org/article/10.3389/fpsyt.2020.578015/full |
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