Anxiety and depression symptoms among caregivers of care-recipients with subjective cognitive decline and cognitive impairment
Open accessAbstract
BACKGROUND: Caregivers of care-recipients with mild cognitive impairment (MCI) or dementia experience high caregiver burden; however, the psychiatric burden of caregivers of care-recipients with subjective cognitive decline (SCD) has not been investigated. We aimed to explore the prevalence of and risk factors for anxiety and depression symptoms among the caregivers of care-recipients with SCD and cognitive impairment. METHODS: The Hospital Anxiety and Depression Scale (HADS) was used to examine the anxiety and depression symptoms among the caregivers of 343 care-recipients (84 with SCD, 120 with MCI and 139 with dementia) treated at the Memory Clinic of Huashan Hospital in Shanghai, China from May 2012 to October 2014. A logistic regression was used to explore the factors associated with caregiver's anxiety and depression symptoms. RESULTS: In total, 26.5 % of caregivers had anxiety symptoms, and 22.4 % had depression symptoms. Totals of 17.9, 30.0 and 28.8 % of caregivers of care-recipients with SCD, MCI or dementia, respectively, had anxiety symptoms (P = 0.1140), whereas 22.6, 24.2 and 20.9 %, respectively, had depression symptoms (P = 0.8165). The risk factors for caregiver's anxiety symptoms were increased caregiver age as well as having care-recipients who were male, had higher Cohen Mansfield Agitation Inventory (CMAI) scores, and higher Geriatric Depression Scale (GDS) scores. The risk factors for caregiver's depression symptoms were increased caregiver age as well as caring for care-recipients with MCI or SCD, those with lower Toronto Empathy Questionnaire (TEQ) scores, and those with higher GDS scores. CONCLUSIONS: Caregivers of care-recipients with SCD showed the same level of depression symptoms as those of care-recipients with MCI. Caregiver's depression and anxiety symptoms were associated with their care-recipients' psychiatric and behavioral syndromes.
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The prevalence of depressive and anxiety symptoms in dementia caregivers ranges from 29.9% to 74% and 7% to 44%, respectively, which is much higher than in the general population.
“The prevalence of depressive and anxiety symptoms in dementia caregivers ranges from 29.9% to 74% and 7% to 44%, respectively, which is much higher than in the general population [19,20,21,22,23,24,25].”
From Relationship of Psychological Flexibility and Mindfulness to Caregiver Burden, and Depressive and Anxiety Symptoms in Caregivers of People with Dementia (2023) · cites this paper as [21]
The Discussion reports anxiety symptoms in 28.8% and depression symptoms in 20.9% of dementia caregivers. It does not give the claimed prevalence ranges or compare caregivers with the general population; its depression estimate is also below the claimed 29.9% lower bound. (LLM, conf=0.83)
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- Authors
- Liang, X., Guo, Q., Luo, J., Li, F., Ding, D., Zhao, Q., & Hong, Z.
- Affiliations
- Fudan University (CN)
- Corresponding author
- Luo, Jianfeng
- Venue
- BMC Neurology
- Published
- 2016-10-03
- Volume
- 16
- Issue
- 1
- Pages
- 191-191
- ISSN
- 1471-2377 (ISSN-L)
- PMC
- PMC5048476
- OpenAlex
- W2528035862
- Cited by
- 53
- References
- 70
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 6 · 2023: 8 · 2022: 8 · 2021: 3 · 2020: 7 · 2019: 4 · 2018: 2 · 2017: 4
- FWCI
- 2.96
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Neurology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Natural Science Foundation of China (81171019)
- Beijing Municipal Commission of Science and Technology (Z141107002514177)
- 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
- caregiver anxiety, caregiver depression, subjective cognitive decline, mild cognitive impairment, dementia, family caregivers, caregiver burden, mental health burden, risk factors, empathy, agitation
- MeSH terms
- Adaptation, Psychological, Aged, Anxiety Disorders, China, Cross-Sectional Studies, Dementia, Female, Humans, Male, Psychiatric Status Rating Scales, Surveys and Questionnaires, Risk Factors, Prevalence, Caregivers, Cost of Illness
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