International Psychogeriatrics Research Articles

Assessing the Effects of Burden on Alzheimer’s Patients’ Caregivers: A Comprehensive Review

AbstractBackgroundAlthough Alzheimer’s disease (AD) care is a heavily researched subject, caregiver burden is often overlooked. Caregiver burden may hinder care for those with AD. The objective is to assess caregiver burden in respect to sleep patterns, depression, and gender identity.MethodA comprehensive review of effects of caregiver burden for AD patients was conducted using databases such as PubMed and Google Scholar. PRISMA guidelines were followed. Keywords “caregiver burden,” “Alzheimer’s,” and “dementia” were paired with “sleep disturbance,” “depression,” and “gender” to find relevant articles. All searches were performed by the authors and re‐assessed for accuracy. Searches were restricted to publications from 2008‐2022. Eligible studies were excluded if caregiver burden was associated with diseases other than AD. Inclusion criteria consisted of AD caregivers from homes, nursing homes, and hospitals. Papers in the review were not restricted to the US population.ResultAccording to literature, AD caregivers reported sleep disturbances, with 58% reporting poor sleep quality, ⅔ being disturbed in the middle of their sleep, and 47% being woken up several times throughout the night1. Studies indicated that those caregivers with worse sleep quality had more depressive symptoms. Most studies showed a positive association between depression and AD caregivers. One article indicated that caregivers demonstrated the following depressive attributes: poor ability to take care of themselves, ignorance of basic physical and emotional needs, and low self‐care2. Findings show that female caregivers experienced a higher level of burden compared to male caregivers, specifically in regard to time dependence, development, physical, and social burdens.ConclusionFindings suggest that the quality of sleep is decreased, depressive and other neuropsychiatric symptoms were associated with caregiver burden, and females were more affected by caregiver burden than males. We recommend raising awareness and providing resources that may reduce this burden for AD caregivers.1. Creese, J., Bédard, M., Brazil, K., & Chambers, L. (2008). Sleep disturbances in spousal caregivers of individuals with Alzheimer’s disease. International Psychogeriatrics, 20(1), 149‐161. https://doi.org/10.1017/S10416102070053392. Vespa, A., Spatuzzi, R., Fabbietti, P., Penna, M., & Giulietti, M. V. (2021). Association between care burden, depression and personality traits in Alzheimer’s caregiver: A pilot study. PloS One, 16(9), e0251813. https://doi.org/10.1371/journal.pone.0251813

Neuropsychiatric symptoms and caregiver’s burden in Colombian relatives of people with dementia

AbstractBackgroundNeuropsychiatric symptoms are part of the psychopathological dimension of dementias. From a psychosocial approach, the direct and indirect costs of the disease increase, generating a greater demand to the caregiver. We aim to show the relationship between neuropsychiatric symptoms and the caregiver’s burden in a group of 100 caregivers of patients with a dementia diagnosis.MethodSample of 51 caregivers of patients with Alzheimer’s disease and 49 with Fronto‐Temporal Dementia (FTD). Caregivers were patient’s relatives, mean age 58 y.o. and most of them had a college degree. To patients, we applied The Clinical Dementia Rating (CDR), The Neuropsychiatric Inventory (NPI) and a sociodemographic questionnaire. Additionally, we implemented the Zarit caregiver burden test to the caregivers.ResultCategorized three groups of caregivers: without burden (n = 42), mild burden (n = 25), and severe burden (n = 33). There were not statistical differences between caregiver’s age (p = .067), schooling (p = .429), nor how long they were caring for the patient (p = .057). Nonetheless, there’s higher burden scores when they have more economic difficulties (p<.05), more psychosomatic symptoms (p<.05), even when implementing strategies to handle stress (p<.05). Also, the burden is present the more neuropsychiatric symptoms the patients have (p<.05). Age (Beta = .021; p = .934) is not associated with burden level, however, scholarship (Beta = ‐.679; p<.05) and neuropsychiatric symptoms (Beta = 1.141; p<.001) are significantly associated.ConclusionSociodemographic caregiver’s characteristics and the symptom’s severity of the patients may establish a risk profile for caregivers. The study shows the importance of the development of support programs for caregivers.Shin, I. S., Carter, M., Masterman, D., Fairbanks, L., & Cummings, J. L. (2005). Neuropsychiatric symptoms and quality of life in Alzheimer disease. The American journal of geriatric psychiatry, 13(6), 469‐474.Hiu, S. K. W., Bigirumurame, T., Kunonga, P., Bryant, A., & Pillai, M. (2022). Neuropsychiatric Inventory domains cluster into neuropsychiatric syndromes in Alzheimer’s disease: A systematic review and meta‐analysis. Brain and Behavior, 12(9), e2734.Monfort, J. C., Lezy, A. M., Papin, A., & Du Montcel, S. T. (2020). Psychogeriatric Inventory of Disconcerting Symptoms and Syndromes (PGI‐DSS): validity and reliability of a new brief scale compared to the Neuropsychiatric Inventory for Nursing Homes (NPI‐NH). International psychogeriatrics, 32(9), 1085‐1095.

International Pyschogeriatrics Volume 33 Issue 12: Table of Contents

PsychogeriatricsVolume 22, Issue 2 p. 288-288 INTERNATIONAL PSYCHOGERIATRICS: TABLE OF CONTENTS International Pyschogeriatrics Volume 33 Issue 12: Table of Contents First published: 01 March 2022 https://doi.org/10.1111/psyg.12821AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article. Volume22, Issue2March 2022Pages 288-288 RelatedInformation

International Psychogeriatrics Volume 33 Issue 10: Table of Contents

PsychogeriatricsVolume 22, Issue 1 p. 163-163 INTERNATIONAL PSYCHOGERIATRICS: TABLE OF CONTENTSFree to Read International Psychogeriatrics Volume 33 Issue 10: Table of Contents First published: 02 January 2022 https://doi.org/10.1111/psyg.12803AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article. Volume22, Issue1January 2022Pages 163-163 RelatedInformation

International Psychogeriatrics Volume 33 Issue 11: Table of Contents

PsychogeriatricsVolume 22, Issue 1 p. 164-164 INTERNATIONAL PSYCHOGERIATRICS: TABLE OF CONTENTSFree to Read International Psychogeriatrics Volume 33 Issue 11: Table of Contents First published: 02 January 2022 https://doi.org/10.1111/psyg.12804AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article. Volume22, Issue1January 2022Pages 164-164 RelatedInformation

IPA criteria for psychosis in major and mild neurocognitive disorders

AbstractBackgroundPsychosis is common among individuals with neurocognitive disorders, is difficult to manage, and causes considerable burden and stress to patients and caregivers. Developing effective treatments is a substantial unmet medical need but research has been slowed by the need for updated consensus diagnostic criteria. To address this need, the International Psychogeriatrics Association (IPA) initiated a process to develop criteria for clinical use, research, and treatment development efforts. This opening can be bolstered by some epidemiology – 5.8M AD, 20% with psychosis at some time in the illness.MethodThe process included clinical, regulatory, and industry stakeholders as well as input from a global network of experts in geriatric psychiatry responding to two surveys (N=336).Details on each survey and the meetingResultsThe consensus process confirmed that clinicians wanted elaboration of aspects of the definition proposed by Jeste and Finkel in 2000 to ensure that the criteria are applied appropriately. Based on discussions, the survey, and emerging research, criteria were revised to be applied to psychosis occurring with all major and mild neurocognitive disorders. Other important changes include providing examples of hallucinations and delusions and clarifying time course, impact, and exclusionary criteria.ConclusionsThis definition of psychosis in major and mild neurocognitive disorders can be used to advance many types of research including development of much needed pharmacologic and nonpharmacologic interventions for psychosis in patients with neurocognitive disorders.

International Psychogeriatrics Volume 33 Issue 8: Table of Contents

PsychogeriatricsVolume 21, Issue 6 p. 954-954 INTERNATIONAL PSYCHOGERIATRICS: TABLE OF CONTENTS International Psychogeriatrics Volume 33 Issue 8: Table of Contents First published: 02 November 2021 https://doi.org/10.1111/psyg.12779AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article. Volume21, Issue6November 2021Pages 954-954 RelatedInformation

International Psychogeriatrics Volume 33 Issue 9: Table of Contents

International Psychogeriatrics Volume 33 Issue 9: Table of Contents

102 - IPA Guidelines on Dementia and Agitation: From Provisional to Final

Agitation is common across neuropsychiatric disorders and contributes to disability, institutionalization, and diminished quality of life for patients and their caregivers. In 2015 IPA convened a transparent process to build a consensus definition of agitation and agreement on what elements should be included in the syndrome that resulted in publication of provisional guidelines. (Cummings et al, 2015) In the 2020-2021 year, the two co-chairs of this symposium have led a new workgroup to make the provisional consensus definition of agitation in patients with cognitive disorders that can be applied in epidemiologic, non-interventional clinical, pharmacologic, non-pharmacologic interventional, and neurobiological studies and guide treatment final.Co-Chairs will discuss methods used in updating and findings and compare changes made to the provisional guidelines. Dr. Sano will present new findings on the biological basis of agitation in dementia and Dr. Mintzer will present on application of guidelines in the special circumstances of persons in palliative and hospice care. Dr. Rosenberg will discuss the special circumstance of agitation care in hospital emergency departments. Mr. Splaine will present findings about the utilization of the 2015 guidelines in the peer reviewed literature, professional and government dementia care guidance, and clinical trials.Cummings, J., Mintzer, J., Brodaty, H., Sano, M., Banerjee, S., Devanand, D., … Zhong, K. (2015). Agitation in cognitive disorders: International Psychogeriatric Association provisional consensus clinical and research definition. International Psychogeriatrics, 27(1), 7-17. doi:10.1017/S1041610214001963

International Psychogeriatrics Volume 33 Issue 7: Table of Contents

PsychogeriatricsVolume 21, Issue 5 p. 858-858 INTERNATIONAL PSYCHOGERIATRICS: TABLE OF CONTENTS International Psychogeriatrics Volume 33 Issue 7: Table of Contents First published: 02 September 2021 https://doi.org/10.1111/psyg.12758AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinked InRedditWechat No abstract is available for this article. Volume21, Issue5September 2021Pages 858-858 RelatedInformation

International Psychogeriatrics Volume 33 Issue 6: Table of Contents

PsychogeriatricsVolume 21, Issue 5 p. 857-857 INTERNATIONAL PSYCHOGERIATRICS: TABLE OF CONTENTS International Psychogeriatrics Volume 33 Issue 6: Table of Contents First published: 02 September 2021 https://doi.org/10.1111/psyg.12757AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article. Volume21, Issue5September 2021Pages 857-857 RelatedInformation

International Psychogeriatrics Volume 33 Issue 5: Table of Contents

International Psychogeriatrics Volume 33 Issue 5: Table of Contents

International Psychogeriatrics Volume 33 Issue 4: Table of Contents

PsychogeriatricsVolume 21, Issue 4 p. 695-695 INTERNATIONAL PSYCHOGERIATRICS: TABLE OF CONTENTS International Psychogeriatrics Volume 33 Issue 4: Table of Contents First published: 01 July 2021 https://doi.org/10.1111/psyg.12733AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinked InRedditWechat No abstract is available for this article. Volume21, Issue4July 2021Pages 695-695 RelatedInformation

International Psychogeriatrics Volume 33 Issue 3: Table of Contents

International Psychogeriatrics Volume 33 Issue 3: Table of Contents

International Psychogeriatrics Volume 33 Issue 2: Table of Contents

International Psychogeriatrics Volume 33 Issue 2: Table of Contents

International Psychogeriatrics Volume 33 Issue 1: Table of Contents

International Psychogeriatrics Volume 33 Issue 1: Table of Contents

International Psychogeriatrics Volume 32 Issue 12: Table of Contents

International Psychogeriatrics Volume 32 Issue 12: Table of Contents

International Psychogeriatrics Volume 32 Issue 11: Table of Contents

International Psychogeriatrics Volume 32 Issue 11: Table of Contents

International Psychogeriatrics Volume 32 Issue 10: Table of Contents

PsychogeriatricsVolume 20, Issue 6 p. 949-949 INTERNATIONAL PSYCHOGERIATRICS: TABLE OF CONTENTSFree Access International Psychogeriatrics Volume 32 Issue 10: Table of Contents First published: 22 November 2020 https://doi.org/10.1111/psyg.12630AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article. Volume20, Issue6November 2020Pages 949-949 RelatedInformation

International Psychogeriatrics Volume 32 Issue 9: Table of Contents

International Psychogeriatrics Volume 32 Issue 9: Table of Contents