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Cited by 116Dementia and Cognitive Impairment ResearchNursing care and researchFamily Caregiving in Mental Illness

Do family caregivers perceive more difficulty when they look after patients with early onset dementia compared to those with late onset dementia?

Arai, Asuna, Matsumoto, Teruhisa, Ikeda, Manabu, Arai, Yumiko·2007·International Journal of Geriatric Psychiatry
DOI 10.1002/gps.1935
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Abstract

Objective: To compare family caregiving situations for patients with early onset dementia (EOD) and late onset dementia (LOD), and to identify the specific problems experienced by relatives caring for EOD patients. Methods: The participants were chosen from 92 consecutive caregiver–patient dyads, comprising co‐residing family caregivers and outpatients who fulfilled the diagnostic criteria for dementia. The patients were assessed according to cognitive function, neuropsychiatric disturbances and the severity of dementia. The caregivers completed a self‐administered questionnaire that included items on their sociodemographic status and caregiving situation. Caregiver burden was assessed by the Japanese version of the Zarit Burden Interview. Results: In total, 68 dyads were eligible for the analysis, 14 of which included patients with EOD and 54 of which included patients with LOD. There were no significant differences between the two groups in terms of patient clinical features, duration of caregiving, number of hours during which caregivers were relieved per day or number of hours of caregiving per day. No significant associations were detected between the type of dementia and caregiver characteristics (such as health status) or caregiver burden, even after adjusting for confounding variables. However, the caregivers of EOD patients had greater perceived difficulties due to patient behavioural disturbances than did the caregivers of LOD patients. Conclusions: Our findings demonstrated that additional resources, such as care services, should be provided for sufferers of EOD, in order to allow family caregivers to cope with difficulties associated with patient behavioural problems. Copyright © 2007 John Wiley & Sons, Ltd.

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  • Less is known about family caregivers of people with early-onset dementia before age 65.

    “However, much less is known about the situation of family caregivers of persons with early-onset dementia prior to age 6,7 65”

    From The Unique Experience of Spouses in Early-Onset Dementia (2013) · cites this paper as [6]

  • Lack of preparation for the caregiver role when the disease is highly unlikely at an early age may be a stressor.

    “Moreover, the lack of preparation for the caregiver role at a time when marital partners are confronted with a disease that a priori is highly unlikely at an early age could be a stressor.6”

    From The Unique Experience of Spouses in Early-Onset Dementia (2013) · cites this paper as [6]

  • One significant difference between the difficulties of caregivers of persons with late-onset dementia and those of caregivers of persons with early-onset dementia lies in the area of problem behaviors.

    “According to a quantitative study carried out by Arai et al, 6 one of the significant differences between the difficulties of caregivers of persons with late-onset dementia and those of caregivers of persons with early-onset dementia lies in the area of problem behaviors.”

    From The Unique Experience of Spouses in Early-Onset Dementia (2013) · cites this paper as [6]

  • Selected studies report higher stress and burden among spouse caregivers of people with earlier-onset dementia than among family caregivers of people with later-onset dementia.

    “In sum, selected studies have reported a higher level of stress and burden experienced by spouse caregivers of persons affected by dementia at an earlier age than by the family caregivers of persons affected at a later age.6,14,19”

    From The Unique Experience of Spouses in Early-Onset Dementia (2013) · cites this paper as [6]

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Authors
Arai, A., Matsumoto, T., Ikeda, M., & Arai, Y.
Affiliations
  • National Center for Geriatrics and Gerontology (JP)
  • Ehime University (JP)
Corresponding author
Arai, Yumiko
ORCID
Venue
International Journal of Geriatric Psychiatry
Publisher
Wiley
Published
2007-11-14
Volume
22
Issue
12
Pages
1255-1261
ISSN
  • 0885-6230 (ISSN-L)
  • 1099-1166
DOI
10.1002/gps.1935
OpenAlex
W2042027420
Cited by
116
References
29
Citations by year
2026: 4 · 2025: 1 · 2024: 3 · 2023: 4 · 2022: 9 · 2021: 6 · 2020: 6 · 2019: 7 · 2018: 6 · 2017: 8 · 2016: 10 · 2015: 10 · 2014: 7 · 2013: 10 · 2012: 5
FWCI
2.21
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • International Journal of Geriatric Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Health Sciences › Health Professions › Pharmacy › Nursing care and research
  • Social Sciences › Psychology › Clinical Psychology › Family Caregiving in Mental Illness
Keywords
early-onset dementia, late-onset dementia, family caregivers, caregiver burden, behavioral problems, neuropsychiatric symptoms, Zarit Burden Interview, patient-caregiver dyads, dementia services
MeSH terms
Adaptation, Psychological, Aged, Aged, 80 and over, Dementia, Female, Health Status, Home Nursing, Humans, Male, Middle Aged, Surveys and Questionnaires, Caregivers, Cost of Illness, Age of Onset

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