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Screening of dementia in community-dwelling elderly through informant report
- Authors:
- MORALES Jose-Manuel, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 12(8), August 1997, pp.808-816.
- Publisher:
- Wiley
Screening tools for cognitive decline still have low accuracy for dementia, mainly in cases of mild dementia. All of them are affected by factors such as age, sex educational level, sensory deficits and several mental disorders. This study validates a Spanish version (S-IQCODE) of the Informant Questionnaire on Cognitive Decline in the Elderly (I-QCODE), a dementia screening questionnaire in Spanish population-based samples. The results obtained with the S-IQCODE show that it could possibly be applied in screening for dementia in community-dwelling elderly.
Burden associated with the presence of anosognosia in Alzheimer's disease
- Authors:
- TURRÓ-GARRIGA Oriol, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 28(3), 2013, pp.291-297.
- Publisher:
- Wiley
Anosognosia, a lack of deficit awareness, can appear in patients in the early stages of dementia, significantly disrupting their environment and increasing care giver burden. The object of this cross-sectional study was to determine the relationship between anosognosia and caregiver burden, both overall and in relation to specific dimensions of their burden. Anosognosia was evaluated using the Experimenter Rating Scale, and caregiver burden evaluated using the Burden Interview (BI). Using the BI's comprehensive scoring and each of its five factors as dependent variables, six linear regression models were adjusted to determine the effect of anosognosia on caregiver burden. The sample consisted of 124 Spanish patients and 124 caregivers. The mean patient age was 78.9 years; the mean caregiver age was 59.7 years; 66.6% of the caregivers were women. The prevalence of anosognosia was 24.2%. The degree of caregiver burden was associated with the degree of anosognosia, which explained 14.7% of the variance. For the BI factors, the Experimenter Rating Scale was associated with physical and social burden, relationship of dependence and emotional stress. It is concluded that the presence of anosognosia in patients with AD is an independent factor that increases caregiver burden by increasing physical wear, social isolation, dependence and tension related to patient care.