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Effect of neuropsychiatric symptoms of Alzheimer's disease on Chinese and American caregivers.

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Title: Effect of neuropsychiatric symptoms of Alzheimer's disease on Chinese and American caregivers.
Authors: Pang, F. C., Chow, T. W., Cummings, J. L., Leung, V. P. Y., Chiu, H. F. K., Lam, L. C. W., Chen, Q. L., Tai, C. T., Chen, L. W., Wang, S. J., Fuh, J. L.
Source: International Journal of Geriatric Psychiatry. Jan2002, Vol. 17 Issue 1, p29-34. 6p. 6 Charts.
Subjects: Apathy, Alzheimer's disease, Caregivers, Dementia, Depression in old age
Geographic Terms: China, United States
Abstract: Background In Chinese culture, extended family support, acceptance of age-related cognitive changes and filial tradition of caring for elders may decrease caregiver burden and distress in the context of dementia. Objective To study cross-regional and cross-cultural differences in symptom-related caregiver distress due to the behavioral problems of Chinese and American patients with Alzheimer's disease. Method Caregivers of patients with Alzheimer's disease at Taipei Veterans General Hospital, Taiwan (n = 89), Chinese University of Hong Kong (n = 31) and the UCLA Alzheimer's Disease Research Center, Los Angeles, California (n = 169) reported the neuropsychiatric symptoms of patients and their corresponding distress on the Neuropsychiatric Inventory. Result Presence or absence of distress due to the neuropsychiatric symptoms of the patients with Alzheimer's disease was assessed. The three centers differed significantly in the proportions of caregivers with distress caused by depression (p < 0.05) and apathy (p < 0.001). UCLA had higher proportions of caregivers with depression-related distress than Taipei. UCLA caregivers were also more stressed by apathy than caregivers in Taipei and Hong Kong. Logistic regression further supported the findings that depression-related and apathy-related caregiver distress differed between Chinese and American caregivers (p < 0.05). Conclusions The results were surprising, in that American and Chinese (Taipei and Hong Kong) caregivers exhibited similar distress or lack of distress in response to delusions, hallucinations, agitation, anxiety, euphoria, disinhibition, irritability, aberrant motor behavior, sleep and appetite symptoms of Alzheimer's disease patients. Chinese caregivers were less affected by depression and apathy in patients with Alzheimer's disease than Caucasian caregivers. Copyright © 2002 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Geriatric Psychiatry is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Effect of neuropsychiatric symptoms of Alzheimer&#39;s disease on Chinese and American caregivers.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Pang%2C+F%2E+C%2E%22&quot;&gt;Pang, F. C.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Chow%2C+T%2E+W%2E%22&quot;&gt;Chow, T. W.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Cummings%2C+J%2E+L%2E%22&quot;&gt;Cummings, J. L.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Leung%2C+V%2E+P%2E+Y%2E%22&quot;&gt;Leung, V. P. Y.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Chiu%2C+H%2E+F%2E+K%2E%22&quot;&gt;Chiu, H. F. K.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Lam%2C+L%2E+C%2E+W%2E%22&quot;&gt;Lam, L. C. W.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Chen%2C+Q%2E+L%2E%22&quot;&gt;Chen, Q. L.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Tai%2C+C%2E+T%2E%22&quot;&gt;Tai, C. T.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Chen%2C+L%2E+W%2E%22&quot;&gt;Chen, L. W.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Wang%2C+S%2E+J%2E%22&quot;&gt;Wang, S. J.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Fuh%2C+J%2E+L%2E%22&quot;&gt;Fuh, J. L.&lt;/searchLink&gt;
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22International+Journal+of+Geriatric+Psychiatry%22&quot;&gt;International Journal of Geriatric Psychiatry&lt;/searchLink&gt;. Jan2002, Vol. 17 Issue 1, p29-34. 6p. 6 Charts.
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– Name: Abstract
  Label: Abstract
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  Data: Background In Chinese culture, extended family support, acceptance of age-related cognitive changes and filial tradition of caring for elders may decrease caregiver burden and distress in the context of dementia. Objective To study cross-regional and cross-cultural differences in symptom-related caregiver distress due to the behavioral problems of Chinese and American patients with Alzheimer&#39;s disease. Method Caregivers of patients with Alzheimer&#39;s disease at Taipei Veterans General Hospital, Taiwan (n = 89), Chinese University of Hong Kong (n = 31) and the UCLA Alzheimer&#39;s Disease Research Center, Los Angeles, California (n = 169) reported the neuropsychiatric symptoms of patients and their corresponding distress on the Neuropsychiatric Inventory. Result Presence or absence of distress due to the neuropsychiatric symptoms of the patients with Alzheimer&#39;s disease was assessed. The three centers differed significantly in the proportions of caregivers with distress caused by depression (p &lt; 0.05) and apathy (p &lt; 0.001). UCLA had higher proportions of caregivers with depression-related distress than Taipei. UCLA caregivers were also more stressed by apathy than caregivers in Taipei and Hong Kong. Logistic regression further supported the findings that depression-related and apathy-related caregiver distress differed between Chinese and American caregivers (p &lt; 0.05). Conclusions The results were surprising, in that American and Chinese (Taipei and Hong Kong) caregivers exhibited similar distress or lack of distress in response to delusions, hallucinations, agitation, anxiety, euphoria, disinhibition, irritability, aberrant motor behavior, sleep and appetite symptoms of Alzheimer&#39;s disease patients. Chinese caregivers were less affected by depression and apathy in patients with Alzheimer&#39;s disease than Caucasian caregivers. Copyright &#169; 2002 John Wiley &amp; Sons, Ltd. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: &lt;i&gt;Copyright of International Journal of Geriatric Psychiatry is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=11821691
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