Assessing the severity of dementia. Patient and caregiver
S. Teunisse, M. M. Derix and H. van Crevel
Department of Neurology, Academisch Medisch Centrum, Amsterdam, The Netherlands.
In dementia there is cognitive impairment, disability in daily life, and
sometimes behavioral disturbance. These changes are a burden for the
caregivers of patients with dementia. Few studies are available that
examine all these aspects and their interrelationships in a single patient
group. In our study we selected detailed methods for assessment of all
these aspects. Interrelationships were studied in 30 mild to moderately
impaired patients with dementia and their caregivers. Although the
relations of cognitive deterioration to disability in daily life and of
burden experienced by the caregiver to patient's condition were stronger
than often reported, it was impossible to deduce the overall severity of
dementia from one single aspect. Thus, for effective management of patients
and caregivers, for evaluation of individual treatment or of clinical
trials, attention should be paid to all the different aspects of patients'
condition and caregivers' burden. Outcome measurements will then be more
valid.
Use of Cholinesterase Inhibitors in Clinical Practice: Evidence-Based Recommendations
Cummings
Focus 2004;2:239-252.
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The prevalence and causes of dementia in people under the age of 65 years
Harvey et al.
J. Neurol. Neurosurg. Psychiatry 2003;74:1206-1209.
ABSTRACT
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Use of Cholinesterase Inhibitors in Clinical Practice: Evidence-Based Recommendations
Cummings
AJGP 2003;11:131-145.
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Rating scales in old age psychiatry
BURNS et al.
Br. J. Psychiatry 2002;180:161-167.
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Review of Outcome Measurement Instruments in Alzheimer's Disease Drug Trials: Psychometric Properties of Functional and Quality of Life Scales
Demers et al.
J Geriatr Psychiatry Neurol 2000;13:170-180.
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Metrifonate Enhances the Ability of Alzheimer's Disease Patients to Initiate, Organize, and Execute Instrumental and Basic Activities of Daily Living
Gelinas et al.
J Geriatr Psychiatry Neurol 2000;13:9-16.
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The Burden of Caregiving in Partners of Long-Term Stroke Survivors
Reimer et al.
Stroke 1998;29:1605-1611.
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Assessment of Burden in Partners of Stroke Patients With the Sense of Competence Questionnaire
Reimer et al.
Stroke 1998;29:373-379.
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