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Emotional and Psychological Distress of Persons Involved in the Care of Patients with Alzheimer Disease Predicts Falls and Fractures in Their Care Recipients

Background/Aims: Elderly patients with dementia have a higher risk of falls and fractures as compared to cognitively intact elderly subjects. To investigate whether psychological distress of the caregiver might predispose older persons with Alzheimer disease (AD) to falls and fractures, we performed... Full description

Journal Title: Dementia and geriatric cognitive disorders 2010-08, Vol.30 (1), p.33-38
Main Author: Maggio, Dario
Other Authors: Ercolani, Sara , Andreani, Sonia , Ruggiero, Carmelinda , Mariani, Elena , Mangialasche, Francesca , Palmari, Nicola , Mecocci, Patrizia
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: Basel, Switzerland: Karger
ID: ISSN: 1420-8008
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recordid: cdi_pubmed_primary_20689280
title: Emotional and Psychological Distress of Persons Involved in the Care of Patients with Alzheimer Disease Predicts Falls and Fractures in Their Care Recipients
format: Article
creator:
  • Maggio, Dario
  • Ercolani, Sara
  • Andreani, Sonia
  • Ruggiero, Carmelinda
  • Mariani, Elena
  • Mangialasche, Francesca
  • Palmari, Nicola
  • Mecocci, Patrizia
subjects:
  • Accidental Falls - statistics & numerical data
  • Activities of Daily Living
  • Aged
  • Alzheimer Disease - complications
  • Biological and medical sciences
  • Caregivers - psychology
  • Cognition - physiology
  • Cohort Studies
  • Comorbidity
  • Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
  • Female
  • Forecasting
  • Fractures, Bone - epidemiology
  • Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy
  • Humans
  • Italy - epidemiology
  • Logistic Models
  • Male
  • Medical sciences
  • Medicin och hälsovetenskap
  • Middle Aged
  • Nervous system (semeiology, syndromes)
  • Neurology
  • Neuropsychological Tests
  • Original Research Article
  • Risk
  • Stress, Psychological - epidemiology
  • Stress, Psychological - psychology
ispartof: Dementia and geriatric cognitive disorders, 2010-08, Vol.30 (1), p.33-38
description: Background/Aims: Elderly patients with dementia have a higher risk of falls and fractures as compared to cognitively intact elderly subjects. To investigate whether psychological distress of the caregiver might predispose older persons with Alzheimer disease (AD) to falls and fractures, we performed a prospective cohort study. Methods: A consecutive series of 110 subjects with dementia underwent baseline and follow-up clinical and functional evaluations. The burden of the caregivers was recorded at baseline. Any intervening fall or fracture was ascertained at the 1-year follow-up. Results: The caregiver burden was significantly higher in persons involved in the care of patients with AD who subsequently fell. In a multivariate regression model, the caregiver burden score predicted falls and fractures. Conclusion: Part of the increased risk of falls and fractures in AD might be due to the distress of caregivers, a factor potentially amenable to treatment.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 1420-8008
fulltext: fulltext
issn:
  • 1420-8008
  • 1421-9824
  • 1421-9824
url: Link


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titleEmotional and Psychological Distress of Persons Involved in the Care of Patients with Alzheimer Disease Predicts Falls and Fractures in Their Care Recipients
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creatorMaggio, Dario ; Ercolani, Sara ; Andreani, Sonia ; Ruggiero, Carmelinda ; Mariani, Elena ; Mangialasche, Francesca ; Palmari, Nicola ; Mecocci, Patrizia
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descriptionBackground/Aims: Elderly patients with dementia have a higher risk of falls and fractures as compared to cognitively intact elderly subjects. To investigate whether psychological distress of the caregiver might predispose older persons with Alzheimer disease (AD) to falls and fractures, we performed a prospective cohort study. Methods: A consecutive series of 110 subjects with dementia underwent baseline and follow-up clinical and functional evaluations. The burden of the caregivers was recorded at baseline. Any intervening fall or fracture was ascertained at the 1-year follow-up. Results: The caregiver burden was significantly higher in persons involved in the care of patients with AD who subsequently fell. In a multivariate regression model, the caregiver burden score predicted falls and fractures. Conclusion: Part of the increased risk of falls and fractures in AD might be due to the distress of caregivers, a factor potentially amenable to treatment.
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subjectAccidental Falls - statistics & numerical data ; Activities of Daily Living ; Aged ; Alzheimer Disease - complications ; Biological and medical sciences ; Caregivers - psychology ; Cognition - physiology ; Cohort Studies ; Comorbidity ; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases ; Female ; Forecasting ; Fractures, Bone - epidemiology ; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy ; Humans ; Italy - epidemiology ; Logistic Models ; Male ; Medical sciences ; Medicin och hälsovetenskap ; Middle Aged ; Nervous system (semeiology, syndromes) ; Neurology ; Neuropsychological Tests ; Original Research Article ; Risk ; Stress, Psychological - epidemiology ; Stress, Psychological - psychology
ispartofDementia and geriatric cognitive disorders, 2010-08, Vol.30 (1), p.33-38
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descriptionBackground/Aims: Elderly patients with dementia have a higher risk of falls and fractures as compared to cognitively intact elderly subjects. To investigate whether psychological distress of the caregiver might predispose older persons with Alzheimer disease (AD) to falls and fractures, we performed a prospective cohort study. Methods: A consecutive series of 110 subjects with dementia underwent baseline and follow-up clinical and functional evaluations. The burden of the caregivers was recorded at baseline. Any intervening fall or fracture was ascertained at the 1-year follow-up. Results: The caregiver burden was significantly higher in persons involved in the care of patients with AD who subsequently fell. In a multivariate regression model, the caregiver burden score predicted falls and fractures. Conclusion: Part of the increased risk of falls and fractures in AD might be due to the distress of caregivers, a factor potentially amenable to treatment.
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1Ercolani, Sara
2Andreani, Sonia
3Ruggiero, Carmelinda
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atitleEmotional and Psychological Distress of Persons Involved in the Care of Patients with Alzheimer Disease Predicts Falls and Fractures in Their Care Recipients
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abstractBackground/Aims: Elderly patients with dementia have a higher risk of falls and fractures as compared to cognitively intact elderly subjects. To investigate whether psychological distress of the caregiver might predispose older persons with Alzheimer disease (AD) to falls and fractures, we performed a prospective cohort study. Methods: A consecutive series of 110 subjects with dementia underwent baseline and follow-up clinical and functional evaluations. The burden of the caregivers was recorded at baseline. Any intervening fall or fracture was ascertained at the 1-year follow-up. Results: The caregiver burden was significantly higher in persons involved in the care of patients with AD who subsequently fell. In a multivariate regression model, the caregiver burden score predicted falls and fractures. Conclusion: Part of the increased risk of falls and fractures in AD might be due to the distress of caregivers, a factor potentially amenable to treatment.
copBasel, Switzerland
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pmid20689280
doi10.1159/000288774
tpages6