Effects of a psychoeducational program on caregivers of patients with dementia
Open accessAbstract
BACKGROUND: The number of demented patients has increased significantly in recent years. The many challenges that dementia causes increase the stress of their caregivers and lead to shortening the time to institutionalization compared to the general population. A psychoeducational program for these accompanying persons was set up in Brussels. This type of program resulted in a 557-day delay in institutionalization in New York City. The objective of our study was to check whether our program also has such an impact, but also to see its potential effect on the psychobehavioral disorders of patients and the burden of caregivers. METHODS: We recruited two groups without randomization: psychoeducated caregivers and caregivers interested in the program and contacted regularly (every 6 months) without having participated. They were all contacted by telephone and responded to the NCPI and Zarit Burden Scale (ZBS) questionnaires. RESULTS: We could not demonstrate any significant impact, either on the institutionalization delay (p = 0.960), on the frequency of psychobehavioral disorders in demented patients (p > 0.05), or on the burden of caregivers (p = 0.403). However, the survival rate among the demented patients with psychoeducated caregivers was significantly higher than that among the demented patients with nonpsychoeducated caregivers (p < 0.001). CONCLUSIONS: Our small-sample, nonrandomized study did not reveal any differences in institutionalization delay, caregiver burden, or perception of psychobehavioral disorders related to our psychoeducational program. A new study should be carried out on the impact of psychoeducation on the survival of demented patients, in view of our preliminary analyses.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Education on disease progression and practical coping strategies were identified as key needs.
“Education on disease progression and practical coping strategies were identified as key needs (Brooks et al., 2022b; Damien et al., 2020).”
From Mind the gap: a systematic review of barriers, facilitators, and experiences of care transitions for people living with dementia and their informal caregivers. (2026) · cites this paper as Damien et al., 2020
The Introduction (p. 140) describes a psychoeducational program for dementia caregivers, and the Discussion says participants needed support or psychological education. Neither passage identifies education about disease progression or practical coping strategies as key needs. The Selection and Collected Data section says the program details are in supplementary appendices, rather than stating them in our copy (searched for program content and coping strategies). (LLM, conf=0.72)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
McKhann, G. M., Knopman, D. S., Chertkow, H., Hyman, B. T., Jack, C. R., Kawas, C. H., Klunk, W. E., Koroshetz, W. J., Manly, J. J., Mayeux, R., et al. (2011) · Alzheimer's & Dementia · doi:10.1016/j.jalz.2011.03.005 · Cited by 18,657 · see citing works
Diagnostic and Statistical Manual of Mental Disorders, 5th ed.
Carter, M. J. (2014) · Therapeutic Recreation Journal · Cited by 15,154 · see citing works
The Neuropsychiatric Inventory: Comprehensive assessment of psychopathology in dementia
Cummings, J. L., Mega, M., Gray, K., Rosenberg-Thompson, S., Carusi, D. A., & Gornbein, J. (1994) · Neurology · doi:10.1212/wnl.44.12.2308 · Cited by 7,568 · see citing works
Relatives of the Impaired Elderly: Correlates of Feelings of Burden
Zarit, S. H., Reever, K. E., & Bach-Peterson, J. (1980) · The Gerontologist · doi:10.1093/geront/20.6.649 · Cited by 5,810 · see citing works
The Neuropsychiatric Inventory
Cummings, J. L. (1997) · Neurology · doi:10.1212/wnl.48.5_suppl_6.10s · Cited by 2,017 · see citing works
Subjective Burden of Husbands and Wives as Caregivers: A Longitudinal Study
Zarit, S. H., Todd, P. A., & Zarit, J. M. (1986) · The Gerontologist · doi:10.1093/geront/26.3.260 · Cited by 1,846 · see citing works
Patient and Caregiver Characteristics and Nursing Home Placement in Patients With Dementia
Yaffe, K. (2002) · JAMA · doi:10.1001/jama.287.16.2090 · Cited by 903 · see citing works
Prediction of institutionalization in the elderly. A systematic review
Luppa, M., Luck, T., Weyerer, S. B., König, H. ‐., Brähler, E., & Riedel-Heller, S. G. (2009) · Age and Ageing · doi:10.1093/ageing/afp202 · Cited by 903 · see citing works
Cautionary Statement for Forensic Use of DSM-5
(2014) · Diagnostic and Statistical Manual of Mental Disorders, 5th Edition · doi:10.1176/appi.books.9780890425596.744053 · Cited by 624 · see citing works
Improving caregiver well-being delays nursing home placement of patients with Alzheimer disease
Mittelman, M. S., Haley, W. E., Clay, O. J., & Roth, D. L. (2006) · Neurology · doi:10.1212/01.wnl.0000242727.81172.91 · Cited by 602 · see citing works
Frontal Paralimbic Network Atrophy in Very Mild Behavioral Variant Frontotemporal Dementia
Seeley, W. W., Crawford, R., Rascovsky, K., Kramer, J. H., Weiner, M., Miller, B. L., & Gorno-Tempini, M. L. (2008) · Archives of Neurology · doi:10.1001/archneurol.2007.38 · Cited by 506 · see citing works
A clinicopathological approach to the diagnosis of dementia
Elahi, F. M., & Miller, B. L. (2017) · Nature Reviews Neurology · doi:10.1038/nrneurol.2017.96 · Cited by 407 · see citing works
A Controlled Study of Respite Service for Caregivers of Alzheimer's Patients
Lawton, M. P., Brody, E., & Saperstein, A. (1989) · The Gerontologist · doi:10.1093/geront/29.1.8 · Cited by 344 · see citing works
de Medeiros, K., Robert, P. H., Gauthier, S. G., Stella, F., Politis, A. M., Leoutsakos, J., Taragano, F. E., Kremer, J., Brugnolo, A., Porsteinsson, A. P., et al. (2010) · International Psychogeriatrics · doi:10.1017/s1041610210000876 · Cited by 266 · see citing works
Gaugler, J. E., Kane, R. L., Kane, R. L., Clay, T., & Newcomer, R. J. (2003) · The Gerontologist · doi:10.1093/geront/43.2.219 · Cited by 253 · see citing works
de Vugt, M. E., Riedijk, S. R., Aalten, P., Tibben, A., Swieten, J. C. V., & Verhey, F. R. J. (2006) · Dementia and Geriatric Cognitive Disorders · doi:10.1159/000093102 · Cited by 242 · see citing works
The behavioural variant frontotemporal dementia (bvFTD) syndrome in psychiatry
Lanata, S., & Miller, B. L. (2015) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp-2015-310697 · Cited by 142 · see citing works
Mausbach, B. T., Coon, D. W., Depp, C. A., Rabinowitz, Y. G., Wilson‐Arias, E., KRAEMER, H. C., Thompson, L. W., Lane, G. W., & Gallagher-Thompson, D. E. (2004) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2004.52306.x · Cited by 141 · see citing works
Bacigalupo, I., Mayer, F., Lacorte, E., Pucchio, A. D., Marzolini, F., Canevelli, M., Fiandra, T. D., & Vanacore, N. (2018) · Journal of Alzheimer s Disease · doi:10.3233/jad-180416 · Cited by 141 · see citing works
Factors underlying caregiver stress in frontotemporal dementia and Alzheimer's disease
Mioshi, E., Bristow, M., Cook, R., & Hodges, J. R. (2009) · Dementia and Geriatric Cognitive Disorders · doi:10.1159/000193626 · Cited by 133 · see citing works
Examining carer stress in dementia: the role of subtype diagnosis and neuropsychiatric symptoms
Lee, D. R., McKeith, I. G., Mosimann, U. P., Ghosh‐Nodyal, A., & Thomas, A. J. (2012) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.3799 · Cited by 115 · see citing works
Cho, S., Zarit, S. H., & Chiriboga, D. A. (2009) · The Gerontologist · doi:10.1093/geront/gnp010 · Cited by 49 · see citing works
Caregiver Psychological Adjustment and Institutionalization of Persons With Alzheimer’s Disease
Gilley, D. W., McCann, J. J., Bienias, J. L., & Evans, D. A. (2005) · Journal of Aging and Health · doi:10.1177/0898264304274252 · Cited by 37 · see citing works
Joling, K. J., van Marwijk, H., van der Horst, H. E., Scheltens, P., van de Ven, P. M., Appels, B. A., & van Hout, H. P. J. (2012) · PLoS ONE · doi:10.1371/journal.pone.0042145 · Cited by 26 · see citing works
Belle, S. H., Burgio, L., Burns, R., Coon, D., Czaja, S. J., Gallagher-Thompson, D., Gitlin, L. N., Klinger, J., Koepke, K. M., Lee, C. C., et al. (2006) · Annals of Internal Medicine · doi:10.7326/0003-4819-145-10-200611210-00005 · Cited by 23 · see citing works
Flagged first, then by citations
Research works printed but not linked: 2
- Mittelman MS, Ferris SH, Shulman E, Stein- berg G, Levin B. A family intervention to de- lay nursing home placement of patients with Alzheimer disease. A randomized controlled trial. JAMA. 1996 Dec; 276(21): 1725-31.
- Bier JC, Van den Berge D, de Wouters d'Oplinter N, Bosman N, Fery P. Evaluation of our psycho-educative program by partici- pating caregivers [in French]. Rev Med Brux. 2010 Sep; 31(4): 315-9.
Cited by
Sorted by citations
Greene, L., Brain, J., Watkins, P., Kafadar, A. H., Sabatini, S., Blundell, B., Bothe, E., Harper, K., Hersh, D., Morrisby, C., et al. (2026) · The Gerontologist · doi:10.1093/geront/gnaf275 · Cited by 9 · see citing works
- Authors
- Damien, C., Elands, S., Van Den Berge, D., & Bier, J.-C.
- Affiliations
- Université Libre de Bruxelles (BE)
- Venue
- Dementia and Geriatric Cognitive Disorders
- Publisher
- S. Karger AG
- Published
- 2020
- Volume
- 49
- Issue
- 2
- Pages
- 138-145
- ISSN
- 1420-8008 (ISSN-L)
- 1421-9824
- OpenAlex
- W3086054679
- Cited by
- 4
- References
- 25
- Citations by year
- 2025: 2 · 2024: 1 · 2022: 1
- FWCI
- 0.18
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Dementia and Geriatric Cognitive Disorders (publishedVersion)
- PubMed (publishedVersion)
- Dépôt institutionnel de l'Université libre de Bruxelles (Université Libre de Bruxelles) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Keywords
- dementia, psychoeducational intervention, caregivers, caregiver burden, patient survival, Zarit Burden Interview, caregiver education
- MeSH terms
- Caregiver Burden, Aged, Aged, 80 and over, Dementia, Female, Humans, Institutionalization, Male, Middle Aged, Caregivers, Cost of Illness
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review