Determinants of informal care time, distress, depression, and quality of life in care partners along the trajectory of Alzheimer's disease

Abstract Introduction We evaluated determinants associated with care partner outcomes along the Alzheimer's disease (AD) stages. Methods We included n = 270 care partners of amyloid‐positive patients in the pre‐dementia and dementia stages of AD. Using linear regression analysis, we examined de...

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Main Authors: Arenda Mank, Ingrid S. vanMaurik, Judith J. M. Rijnhart, Hanneke F. M. Rhodius‐Meester, Leonie N. C. Visser, Afina W. Lemstra, Sietske A. M. Sikkes, Charlotte E. Teunissen, Elsmarieke M. vanGiessen, Johannes Berkhof, Wiesje M. van derFlier
Format: Article
Language:English
Published: Wiley 2023-04-01
Series:Alzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring
Subjects:
Online Access:https://doi.org/10.1002/dad2.12418
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author Arenda Mank
Ingrid S. vanMaurik
Judith J. M. Rijnhart
Hanneke F. M. Rhodius‐Meester
Leonie N. C. Visser
Afina W. Lemstra
Sietske A. M. Sikkes
Charlotte E. Teunissen
Elsmarieke M. vanGiessen
Johannes Berkhof
Wiesje M. van derFlier
author_facet Arenda Mank
Ingrid S. vanMaurik
Judith J. M. Rijnhart
Hanneke F. M. Rhodius‐Meester
Leonie N. C. Visser
Afina W. Lemstra
Sietske A. M. Sikkes
Charlotte E. Teunissen
Elsmarieke M. vanGiessen
Johannes Berkhof
Wiesje M. van derFlier
author_sort Arenda Mank
collection DOAJ
description Abstract Introduction We evaluated determinants associated with care partner outcomes along the Alzheimer's disease (AD) stages. Methods We included n = 270 care partners of amyloid‐positive patients in the pre‐dementia and dementia stages of AD. Using linear regression analysis, we examined determinants of four care partner outcomes: informal care time, caregiver distress, depression, and quality of life (QoL). Results More behavioral symptoms and functional impairment in patients were associated with more informal care time and depressive symptoms in care partners. More behavioral symptoms were related with more caregiver distress. Spouse care partners spent more time on informal care and QoL was lower in female care partners. Behavioral problems and subtle functional impairment of the patient predisposed for worse care partner outcomes already in the pre‐dementia stages. Discussion Both patient and care partner determinants contribute to the care partner outcomes, already in early disease stages. This study provides red flags for high care partner burden.
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spelling doaj.art-8261577cecd441f69255b0cca56a156c2024-02-10T14:10:32ZengWileyAlzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring2352-87292023-04-01152n/an/a10.1002/dad2.12418Determinants of informal care time, distress, depression, and quality of life in care partners along the trajectory of Alzheimer's diseaseArenda Mank0Ingrid S. vanMaurik1Judith J. M. Rijnhart2Hanneke F. M. Rhodius‐Meester3Leonie N. C. Visser4Afina W. Lemstra5Sietske A. M. Sikkes6Charlotte E. Teunissen7Elsmarieke M. vanGiessen8Johannes Berkhof9Wiesje M. van derFlier10Alzheimer Center Amsterdam, Department of Neurology Vrije Universiteit Amsterdam Amsterdam UMC VUmc Amsterdam the NetherlandsAlzheimer Center Amsterdam, Department of Neurology Vrije Universiteit Amsterdam Amsterdam UMC VUmc Amsterdam the NetherlandsCollege of Public Health University of South Florida Tampa Florida USAAlzheimer Center Amsterdam, Department of Neurology Vrije Universiteit Amsterdam Amsterdam UMC VUmc Amsterdam the NetherlandsDepartment of Medical Psychology Amsterdam UMC, AMC University of Amsterdam Amsterdam the NetherlandsAlzheimer Center Amsterdam, Department of Neurology Vrije Universiteit Amsterdam Amsterdam UMC VUmc Amsterdam the NetherlandsAlzheimer Center Amsterdam, Department of Neurology Vrije Universiteit Amsterdam Amsterdam UMC VUmc Amsterdam the NetherlandsAmsterdam Neuroscience Neurodegeneration Amsterdam the NetherlandsDepartment of Radiology & Nuclear Medicine Vrije Universiteit Amsterdam Amsterdam UMC, VUmc Amsterdam the NetherlandsAmsterdam UMC Vrije Universiteit Amsterdam Department of Epidemiology and Data Science Amsterdam Public Health Institute Amsterdam the NetherlandsAlzheimer Center Amsterdam, Department of Neurology Vrije Universiteit Amsterdam Amsterdam UMC VUmc Amsterdam the NetherlandsAbstract Introduction We evaluated determinants associated with care partner outcomes along the Alzheimer's disease (AD) stages. Methods We included n = 270 care partners of amyloid‐positive patients in the pre‐dementia and dementia stages of AD. Using linear regression analysis, we examined determinants of four care partner outcomes: informal care time, caregiver distress, depression, and quality of life (QoL). Results More behavioral symptoms and functional impairment in patients were associated with more informal care time and depressive symptoms in care partners. More behavioral symptoms were related with more caregiver distress. Spouse care partners spent more time on informal care and QoL was lower in female care partners. Behavioral problems and subtle functional impairment of the patient predisposed for worse care partner outcomes already in the pre‐dementia stages. Discussion Both patient and care partner determinants contribute to the care partner outcomes, already in early disease stages. This study provides red flags for high care partner burden.https://doi.org/10.1002/dad2.12418Alzheimer's diseasecaregiverdementiadepressioninformal care timemild cognitive impairment
spellingShingle Arenda Mank
Ingrid S. vanMaurik
Judith J. M. Rijnhart
Hanneke F. M. Rhodius‐Meester
Leonie N. C. Visser
Afina W. Lemstra
Sietske A. M. Sikkes
Charlotte E. Teunissen
Elsmarieke M. vanGiessen
Johannes Berkhof
Wiesje M. van derFlier
Determinants of informal care time, distress, depression, and quality of life in care partners along the trajectory of Alzheimer's disease
Alzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring
Alzheimer's disease
caregiver
dementia
depression
informal care time
mild cognitive impairment
title Determinants of informal care time, distress, depression, and quality of life in care partners along the trajectory of Alzheimer's disease
title_full Determinants of informal care time, distress, depression, and quality of life in care partners along the trajectory of Alzheimer's disease
title_fullStr Determinants of informal care time, distress, depression, and quality of life in care partners along the trajectory of Alzheimer's disease
title_full_unstemmed Determinants of informal care time, distress, depression, and quality of life in care partners along the trajectory of Alzheimer's disease
title_short Determinants of informal care time, distress, depression, and quality of life in care partners along the trajectory of Alzheimer's disease
title_sort determinants of informal care time distress depression and quality of life in care partners along the trajectory of alzheimer s disease
topic Alzheimer's disease
caregiver
dementia
depression
informal care time
mild cognitive impairment
url https://doi.org/10.1002/dad2.12418
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