Prolonged grief in caregivers of community-dwelling dementia patients.

Serena Passoni, Alessio Toraldo, Barbara Villa, Gabriella Bottini
Author Information
  1. Serena Passoni: Cognitive Neuropsychology Center, Niguarda Ca' Granda Hospital, Milan, Italy serena.passoni@gmail.com.
  2. Alessio Toraldo: Department of Brain and Behavioural Sciences, University of Pavia, Pavia, Italy.
  3. Barbara Villa: AIMA Milano Onlus, Italian Association of Alzheimer Disease, Milan, Italy.
  4. Gabriella Bottini: Cognitive Neuropsychology Center, Niguarda Ca' Granda Hospital, Milan, Italy Department of Brain and Behavioural Sciences, University of Pavia, Pavia, Italy.

Abstract

OBJECTIVES: To estimate the frequency of prolonged grief disorder (PGD) in 90 primary caregivers of patients with dementia who live in the community dwelling in Milan and to identify the relationship between grief intensity (GI) and other caregiver variables; another aim was to clarify the role of the objective cognitive and functional impairment of the patients and the level of deterioration perceived by caregivers.
DESIGN: Cross-sectional study.
RESULTS: In all, 16.7% of caregivers had PGD. Caregiver variables increasing GI and the risk of developing PGD were burden, anxiety, and some sociodemographic features. The objective level of patient's deterioration was irrelevant for PGD probability/GI, while the deterioration level perceived by the caregiver increased PGD probability and GI.
CONCLUSIONS: Caregivers of patients with dementia may experience grief symptoms that are associated with low educational level, high level of burden and anxiety, and high perceived deterioration of their demented relatives' cognitive and functional abilities.

Keywords

References

  1. J Psychiatr Res. 1975 Nov;12(3):189-98 [PMID: 1202204]
  2. JAMA. 1963 Sep 21;185:914-9 [PMID: 14044222]
  3. Psychol Aging. 2005 Mar;20(1):100-16 [PMID: 15769217]
  4. Am J Psychiatry. 1997 May;154(5):616-23 [PMID: 9137115]
  5. PLoS Med. 2009 Aug;6(8):e1000121 [PMID: 19652695]
  6. BMJ. 1997 Feb 22;314(7080):572 [PMID: 9055718]
  7. Monaldi Arch Chest Dis. 2006 Dec;66(4):255-63 [PMID: 17312844]
  8. Harv Ment Health Lett. 1999 Nov;16(5):4-6 [PMID: 10521908]
  9. Br J Psychiatry. 1999 Jan;174:67-73 [PMID: 10211154]
  10. Am J Geriatr Psychiatry. 2008 Aug;16(8):664-73 [PMID: 18669945]
  11. Eur J Cardiovasc Prev Rehabil. 2010 Apr;17(2):187-97 [PMID: 20215970]
  12. Rheumatol Rehabil. 1976 Aug;15(3):185-7 [PMID: 968347]
  13. Am J Geriatr Psychiatry. 2010 Oct;18(10):917-27 [PMID: 20808108]
  14. J Gerontol B Psychol Sci Soc Sci. 2000 Jan;55(1):S2-13 [PMID: 10728125]
  15. Bereave Care. 2009 Dec 1;28(3):10-13 [PMID: 20463850]
  16. Brain Inj. 2010;24(4):581-8 [PMID: 20235760]
  17. Gerontologist. 1969 Autumn;9(3):179-86 [PMID: 5349366]
  18. J Clin Oncol. 2010 Oct 10;28(29):4457-64 [PMID: 20837950]
  19. Am J Geriatr Psychiatry. 2004 May-Jun;12(3):240-9 [PMID: 15126224]
  20. Aging Ment Health. 2005 Jul;9(4):325-30 [PMID: 16019288]
  21. Am J Geriatr Psychiatry. 2006 Aug;14(8):650-8 [PMID: 16861369]
  22. Psychol Bull. 2003 Nov;129(6):946-72 [PMID: 14599289]
  23. G Ital Med Lav Ergon. 2008 Jan-Mar;30(1 Suppl A):A105-10 [PMID: 18700485]
  24. Am J Alzheimers Dis Other Demen. 2010 Feb;25(1):9-17 [PMID: 19386994]
  25. Gerontologist. 2001 Oct;41(5):658-70 [PMID: 11574711]
  26. Soc Work Health Care. 2003;37(3):35-53 [PMID: 14526875]
  27. Dement Geriatr Cogn Dis Extra. 2012 Jan;2(1):638-48 [PMID: 23341829]
  28. Am J Geriatr Psychiatry. 2011 Jun;19(6):543-50 [PMID: 21606897]
  29. Gerontologist. 1989 Dec;29(6):798-803 [PMID: 2516000]
  30. G Ital Med Lav Ergon. 2010 Jul-Sep;32(3 Suppl B):B37-42 [PMID: 21302523]

MeSH Term

Adult
Aged
Aged, 80 and over
Caregivers
Cross-Sectional Studies
Dementia
Depressive Disorder
Female
Grief
Humans
Male
Middle Aged

Word Cloud

Created with Highcharts 10.0.0griefPGDcaregiversleveldeteriorationpatientsdementiaperceivedGIprolongeddisordercaregivervariablesobjectivecognitivefunctionalburdenanxietyhighOBJECTIVES:estimatefrequency90primarylivecommunitydwellingMilanidentifyrelationshipintensityanotheraimclarifyroleimpairmentDESIGN:Cross-sectionalstudyRESULTS:167%Caregiverincreasingriskdevelopingsociodemographicfeaturespatient'sirrelevantprobability/GIincreasedprobabilityCONCLUSIONS:Caregiversmayexperiencesymptomsassociatedloweducationaldementedrelatives'abilitiesProlongedcommunity-dwelling

Similar Articles

Cited By (3)