Caregiver Support Service Needs for Patients with Mild Cognitive Impairment and Alzheimer Disease

Overview

Journal Alzheimer Dis Assoc Disord

Specialties Neurology
Psychiatry

Date 2009 Jul 3

PMID 19571729

Citations 27

Authors

Kelly A Ryan

Annie Weldon

Nicole M Huby

Carol Persad

Arijit K Bhaumik

Judith L Heidebrink

Nancy Barbas

Nancy Staffend

Lindsay Franti

Bruno Giordani

Affiliations

Soon will be listed here.

Abstract

Little is known about the service needs for persons caring for individuals with mild cognitive impairment (MCI). In this study, the level of support service need for caregivers of individuals diagnosed with Alzheimer disease (AD; N=55) and MCI (N=25) was compared with normal controls (N=44). Study partners (ie, caregivers) completed questionnaires about their service needs and participants' neurobehavioral symptoms, functional abilities, and frailty. Total, social, and mental health service needs were significantly different among the 3 groups (P<0.0001), with MCI and AD caregivers reporting more need for services as compared with the normal control group. There was no significant difference between MCI and AD groups for total and social service need. In the MCI group, caregiver's service need was related to neurobehavioral symptoms and frailty, whereas service need among the AD caregivers was related to functional disability and frailty. Caregivers of individuals with MCI are already experiencing a need for increased services comparable to that of individuals caring for AD patients, though the pattern of patient-related factors is different between the 2 patient groups. These findings suggest possible areas of intervention that could be considered at the earliest stages of memory loss.

Citing Articles

Clinical practice guidelines for assessment and management of mild neurocognitive disorder.

Subramanyam A, Singh S, Raut N Indian J Psychiatry. 2025; 67(1):21-40.

PMID: 40046485 PMC: 11878458. DOI: 10.4103/indianjpsychiatry.indianjpsychiatry_693_24.

Medical Costs and Caregiver Burden of Delivering Disease-Modifying Alzheimer's Treatments with Different Duration and Route of Administration.

Ozawa T, Franguridi G, Mattke S J Prev Alzheimers Dis. 2024; 11(5):1384-1389.

PMID: 39350384 PMC: 11436425. DOI: 10.14283/jpad.2024.81.

Caregivers of People With Mild Cognitive Impairment and Dementia: Characterizing Social and Psychological Outcomes.

Meyer O, Zheng S, Alto R, Tran D, Luu S, Vu U Alzheimer Dis Assoc Disord. 2024; 38(1):51-58.

PMID: 38277636 PMC: 10922819. DOI: 10.1097/WAD.0000000000000603.

Influence of mild cognitive impairment on patient and care partner decision-making for acute ischemic stroke.

Blair E, Reale B, Zahuranec D, Forman J, Langa K, Giordani B J Stroke Cerebrovasc Dis. 2023; 32(6):107068.

PMID: 37004301 PMC: 10499500. DOI: 10.1016/j.jstrokecerebrovasdis.2023.107068.

Prevalence and sociodemographic characteristics of US community-dwelling older adults with communication disabilities, using the national health and aging trends survey.

Oshita J, Gell N, Stransky M, Reed N, MacLean C J Commun Disord. 2023; 102:106316.

PMID: 36870271 PMC: 10236317. DOI: 10.1016/j.jcomdis.2023.106316.

References

Georges J, Jansen S, Jackson J, Meyrieux A, Sadowska A, Selmes M . Alzheimer's disease in real life--the dementia carer's survey. Int J Geriatr Psychiatry. 2008; 23(5):546-51. DOI: 10.1002/gps.1984. View

Folstein M, Folstein S, McHugh P . "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975; 12(3):189-98. DOI: 10.1016/0022-3956(75)90026-6. View

Petersen R . Mild cognitive impairment as a diagnostic entity. J Intern Med. 2004; 256(3):183-94. DOI: 10.1111/j.1365-2796.2004.01388.x. View

Rickwood D, Braithwaite V . Social-psychological factors affecting help-seeking for emotional problems. Soc Sci Med. 1994; 39(4):563-72. DOI: 10.1016/0277-9536(94)90099-x. View

Montgomery R, Kosloski K . A longitudinal analysis of nursing home placement for dependent elders cared for by spouses vs adult children. J Gerontol. 1994; 49(2):S62-74. DOI: 10.1093/geronj/49.2.s62. View

Garand L, Dew M, Eazor L, DeKosky S, Reynolds 3rd C . Caregiving burden and psychiatric morbidity in spouses of persons with mild cognitive impairment. Int J Geriatr Psychiatry. 2005; 20(6):512-22. PMC: 2879012. DOI: 10.1002/gps.1318. View

Petersen R, Doody R, Kurz A, Mohs R, Morris J, Rabins P . Current concepts in mild cognitive impairment. Arch Neurol. 2001; 58(12):1985-92. DOI: 10.1001/archneur.58.12.1985. View

Forsell Y, Palmer K, Fratiglioni L . Psychiatric symptoms/syndromes in elderly persons with mild cognitive impairment. Data from a cross-sectional study. Acta Neurol Scand Suppl. 2003; 179:25-8. DOI: 10.1034/j.1600-0404.107.s179.4.x. View

Kaufer D, Cummings J, Ketchel P, Smith V, Macmillan A, Shelley T . Validation of the NPI-Q, a brief clinical form of the Neuropsychiatric Inventory. J Neuropsychiatry Clin Neurosci. 2000; 12(2):233-9. DOI: 10.1176/jnp.12.2.233. View

10.

Pfeffer R, Kurosaki T, Harrah Jr C, Chance J, Filos S . Measurement of functional activities in older adults in the community. J Gerontol. 1982; 37(3):323-9. DOI: 10.1093/geronj/37.3.323. View

11.

Morris J, HEYMAN A, Mohs R, Hughes J, van Belle G, Fillenbaum G . The Consortium to Establish a Registry for Alzheimer's Disease (CERAD). Part I. Clinical and neuropsychological assessment of Alzheimer's disease. Neurology. 1989; 39(9):1159-65. DOI: 10.1212/wnl.39.9.1159. View

12.

Waite A, Bebbington P, Skelton-Robinson M, Orrell M . Social factors and depression in carers of people with dementia. Int J Geriatr Psychiatry. 2004; 19(6):582-7. DOI: 10.1002/gps.1136. View

13.

Houde S . Predictors of elders' and family caregivers' use of formal home services. Res Nurs Health. 1998; 21(6):533-43. DOI: 10.1002/(sici)1098-240x(199812)21:6<533::aid-nur7>3.0.co;2-i. View

14.

Lyketsos C, Lopez O, Jones B, Fitzpatrick A, Breitner J, DeKosky S . Prevalence of neuropsychiatric symptoms in dementia and mild cognitive impairment: results from the cardiovascular health study. JAMA. 2002; 288(12):1475-83. DOI: 10.1001/jama.288.12.1475. View

15.

Yaffe K, Fox P, Newcomer R, Sands L, Lindquist K, Dane K . Patient and caregiver characteristics and nursing home placement in patients with dementia. JAMA. 2002; 287(16):2090-7. DOI: 10.1001/jama.287.16.2090. View

16.

Mangone C, SANGUINETTI R, Baumann P, Gonzalez R, Pereyra S, Bozzola F . Influence of feelings of burden on the caregiver's perception of the patient's functional status. Dementia. 1993; 4(5):287-93. DOI: 10.1159/000107335. View

17.

Gruffydd E, Randle J . Alzheimer's disease and the psychosocial burden for caregivers. Community Pract. 2006; 79(1):15-8. View

18.

Unverzagt F, Gao S, Baiyewu O, Ogunniyi A, Gureje O, Perkins A . Prevalence of cognitive impairment: data from the Indianapolis Study of Health and Aging. Neurology. 2001; 57(9):1655-62. DOI: 10.1212/wnl.57.9.1655. View

19.

Rozzini L, Vicini Chilovi B, Conti M, Delrio I, Borroni B, Trabucchi M . Neuropsychiatric symptoms in amnestic and nonamnestic mild cognitive impairment. Dement Geriatr Cogn Disord. 2007; 25(1):32-6. DOI: 10.1159/000111133. View

20.

Bruce J, McQuiggan M, Williams V, Westervelt H, Tremont G . Burden among spousal and child caregivers of patients with mild cognitive impairment. Dement Geriatr Cogn Disord. 2008; 25(4):385-90. DOI: 10.1159/000122587. View