Main Organiser

Julius Centre University of Malaya

Co-organiser

Department of Social and Preventive Medicine, Faculty of Medicine, University of Malay

Supported by

University of Malaya

RELATIONSHIP BETWEEN COGNITIVE IMPAIRMENT, BEHAVIORAL AND PSYCHOLOGICAL SYMPTOMS OD DEMENTIA (BPSD) AND BURDEN OF CARE IN PATIENTS WITH DEMENTIA

Author

R Rosdinom 1 , M. Zabidi N.Z 2 , M.Saher Z 3 , W Suzaily 1

Institution

1 Department of Psychiatry, Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Kuala Lumpur, Malaysia
2 Department of Psychiatry, Hospital Malacca, Malaysia
3 Department of Psychiatry and Mental Health, Hospital Kuala Lumpur, Malaysia

Abstract

Objectives: Tolerance towards dementia may vary in caregivers. This study aims to determine the relationship between cognitive impairment, behavioural and psychological symptoms of dementia (BPSD) and burden of care of patients with dementia.

Methods: A cross-sectional, non-randomised study on 65 elderly patients with Dementia and their caregivers were conducted over a 3-month period in January 2007 at the psychogeriatric and memory clinics of Universiti Kebangsaan Malaysia Medical Centre (UKMMC) and Hospital Kuala Lumpur (HKL). The patients’ cognitive functions were assessed with the Mini Mental State Examination (MMSE). Caregivers were interviewed to determine the severity of BPSD and level of burden using the Neuropsychiatric Inventory Questionnaire (NPI) and the Zarit’s Burden Interview (BI) respectively.

Results: Patient’s BPSD score, not cognitive impairment, was found to be associated with caregiver burden (p=0.005). Multiple linear regression analysis revealed that caregiver’s educational level (p=0.001) and male gender of the patient (p=0.012) were associated with caregiver burden.

Conclusion: Patients’ behavioural disturbances and male gender were associated with caregiver burden. Burden of care was perceived more among caregivers who were better educated. Severity of cognitive impairment of patients did not show any significant association with caregiver burden.