Effectiveness of a Family Support Intervention on Caregiving Burden in Family of Elderly Patients With Cognitive Decline After the Covid-19 Lockdown

Bibliographic Data

ID15522145
AuthorsLuca Cravello (0000-0002-7388-6872, Aziende Socio Sanitaria Territoriale Rhodense, corresponding author), Eleonora Martini (Aziende Socio Sanitaria Territoriale Rhodense), Niccolò Viti (Aziende Socio Sanitaria Territoriale Rhodense), Cristina Campanello (Aziende Socio Sanitaria Territoriale Rhodense), Francesca Assogna (0000-0003-4315-7879, Fondazione Santa Lucia), Daniele Perotta (Aziende Socio Sanitaria Territoriale Rhodense)
Year2021
Volume12
Pages590104-590104
Publication date2021-03-04
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2021.590104
PMID33746791
OpenAlexW3135603869
LanguageEN
Citations received3
References cited40

Background: The coronavirus disease 2019 (COVID-19) pandemic had a great impact on patients with cognitive decline or dementia. The lockdown period may exacerbate behavioral disorders and worsen distress of caregivers. The aim of this study is to evaluate the effectiveness of a family support intervention on the negative effects that the COVID-19 lockdown may have on patients and related caregivers. Methods: We recruited patients whose related caregivers had attended a family support course before the COVID-19 lockdown. The course was for family members of patients with cognitive decline or dementia and consisted in eight meetings during which the participants received information about the disease, the management of neuropsychiatric symptoms, and community resources and services available for patients with dementia. Data on cognitive decline, neuropsychiatric symptoms, and functional status had been collected before the course with the Mini-Mental State Examination (MMSE), the Neuropsychiatric Inventory (NPI), and the Instrumental (IADL) and Basic (BADL) Activities of Daily Living scales, respectively. The caregiving burden had been evaluated at the end of the course by means of the Zarit Burden Interview (ZBI). After the COVID-19 lockdown, a phone interview was made to compare neuropsychiatric symptoms, functional status, and caregiver's burden with the previous evaluation. Results: There were no significant changes before and after the COVID-19 lockdown in the mean NPI score. The IADL, BADL, and ZBI scores were significantly lower after lockdown than before. The BADL scores were inversely associated with ZBI scores. Thus, despite a worsening of patients' functional status, the caregivers' burden decreased significantly probably due to the positive effect of the family support intervention. Conclusions: Our study demonstrated that a complete family support intervention for caregivers of patients with cognitive decline or dementia can reduce the burden of care even in a particular negative period, such as the COVID-19 lockdown

Activities of daily living · Alzheimer's disease · Caregiver burden · Cognition · Coronavirus disease 2019 (COVID-19 · Dementia · Disease · Distress · Family caregivers · Intervention (counseling · Pandemic · Psychiatry · Clinical Psychology · Dementia and Cognitive Impairment Research · Family Caregiving in Mental Illness · Geriatric Care and Nursing Homes · Medicine · Psychology · Gerontology · Internal Medicine

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