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Cognitive impairment in Parkinson's disease: impact on quality of life of carers.

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Title: Cognitive impairment in Parkinson's disease: impact on quality of life of carers.
Authors: Lawson, RA, Yarnall, AJ, Johnston, F, Duncan, GW, Khoo, TK, Collerton, D, Taylor, JP, Burn, DJ, Lawson, R A (AUTHOR), Yarnall, A J (AUTHOR), Duncan, G W (AUTHOR), Khoo, T K (AUTHOR), Taylor, J P (AUTHOR), Burn, D J (AUTHOR), ICICLE-PD study group (CORPORATE AUTHOR)
Source: International Journal of Geriatric Psychiatry. Dec2017, Vol. 32 Issue 12, p1362-1370. 9p.
Subjects: Mild cognitive impairment, Cognition disorders, Caregivers, Parkinson's disease, Quality of life, Mental health, Activities of daily living, Neuropsychological tests, Regression analysis, Research funding, Psychology
Abstract: Background: The quality of life (QoL) of informal caregivers of people with Parkinson's disease (PD) (PwP) can be affected by the caring role. Because of cognitive symptoms and diminished activities of daily living, in addition to the management of motor symptoms, carers of PwP and cognitive impairment may experience increased levels of burden and poorer QoL compared with carers of PwP without cognitive impairment. This study aimed to investigate the impact of cognitive impairment in PD upon QoL of carers.Methods: Approximately 36 months after diagnosis, 66 dyadic couples of PwP and carers completed assessments. PwP completed a schedule of neuropsychological assessments and QoL measures; carers of PwP completed demographic questionnaires and assessments of QoL. Factor scores of attention, memory/executive function and global cognition, as derived by principal component analysis, were used to evaluate cognitive domains.Results: Hierarchical regression analysis found lower Montreal Cognitive Assessment was a significant independent predictor of poorer carer QoL, in addition to number of hours spent caregiving, carer depression and PD motor severity. Attentional deficits accounted for the largest proportion of variance of carer QoL. Carers of PwP and dementia (n = 9) had significantly poorer QoL scores compared with PwP and mild cognitive impairment (n = 18) or normal cognition (n = 39) carers (p < 0.01).Conclusions: Attentional deficits were the strongest predictor of carer QoL compared with other cognitive predictors. Carers for those with PD dementia reported the poorest QoL. Interventions such as respite or cognitive behavioural therapy to improve mood and self-efficacy in carers may improve carer QoL. © 2016 The Authors. International Journal of Geriatric Psychiatry published by 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: Cognitive impairment in Parkinson&#39;s disease: impact on quality of life of carers.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Lawson%2C+RA%22&quot;&gt;Lawson, RA&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Yarnall%2C+AJ%22&quot;&gt;Yarnall, AJ&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Johnston%2C+F%22&quot;&gt;Johnston, F&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Duncan%2C+GW%22&quot;&gt;Duncan, GW&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Khoo%2C+TK%22&quot;&gt;Khoo, TK&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Collerton%2C+D%22&quot;&gt;Collerton, D&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Taylor%2C+JP%22&quot;&gt;Taylor, JP&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Burn%2C+DJ%22&quot;&gt;Burn, DJ&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Lawson%2C+R+A%22&quot;&gt;Lawson, R A&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Yarnall%2C+A+J%22&quot;&gt;Yarnall, A J&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Duncan%2C+G+W%22&quot;&gt;Duncan, G W&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Khoo%2C+T+K%22&quot;&gt;Khoo, T K&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Taylor%2C+J+P%22&quot;&gt;Taylor, J P&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Burn%2C+D+J%22&quot;&gt;Burn, D J&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22ICICLE-PD+study+group%22&quot;&gt;ICICLE-PD study group&lt;/searchLink&gt; (CORPORATE AUTHOR)
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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;. Dec2017, Vol. 32 Issue 12, p1362-1370. 9p.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Mild+cognitive+impairment%22&quot;&gt;Mild cognitive impairment&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Cognition+disorders%22&quot;&gt;Cognition disorders&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Caregivers%22&quot;&gt;Caregivers&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Parkinson&#39;s+disease%22&quot;&gt;Parkinson&#39;s disease&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Quality+of+life%22&quot;&gt;Quality of life&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Mental+health%22&quot;&gt;Mental health&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Activities+of+daily+living%22&quot;&gt;Activities of daily living&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Neuropsychological+tests%22&quot;&gt;Neuropsychological tests&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Regression+analysis%22&quot;&gt;Regression analysis&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Research+funding%22&quot;&gt;Research funding&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Psychology%22&quot;&gt;Psychology&lt;/searchLink&gt;
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  Data: &lt;bold&gt;Background: &lt;/bold&gt;The quality of life (QoL) of informal caregivers of people with Parkinson&#39;s disease (PD) (PwP) can be affected by the caring role. Because of cognitive symptoms and diminished activities of daily living, in addition to the management of motor symptoms, carers of PwP and cognitive impairment may experience increased levels of burden and poorer QoL compared with carers of PwP without cognitive impairment. This study aimed to investigate the impact of cognitive impairment in PD upon QoL of carers.&lt;bold&gt;Methods: &lt;/bold&gt;Approximately 36 months after diagnosis, 66 dyadic couples of PwP and carers completed assessments. PwP completed a schedule of neuropsychological assessments and QoL measures; carers of PwP completed demographic questionnaires and assessments of QoL. Factor scores of attention, memory/executive function and global cognition, as derived by principal component analysis, were used to evaluate cognitive domains.&lt;bold&gt;Results: &lt;/bold&gt;Hierarchical regression analysis found lower Montreal Cognitive Assessment was a significant independent predictor of poorer carer QoL, in addition to number of hours spent caregiving, carer depression and PD motor severity. Attentional deficits accounted for the largest proportion of variance of carer QoL. Carers of PwP and dementia (n = 9) had significantly poorer QoL scores compared with PwP and mild cognitive impairment (n = 18) or normal cognition (n = 39) carers (p &lt; 0.01).&lt;bold&gt;Conclusions: &lt;/bold&gt;Attentional deficits were the strongest predictor of carer QoL compared with other cognitive predictors. Carers for those with PD dementia reported the poorest QoL. Interventions such as respite or cognitive behavioural therapy to improve mood and self-efficacy in carers may improve carer QoL. &#169; 2016 The Authors. International Journal of Geriatric Psychiatry published by John Wiley &amp; Sons, Ltd. [ABSTRACT FROM AUTHOR]
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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.)
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        Value: 10.1002/gps.4623
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        Text: English
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      – SubjectFull: Mild cognitive impairment
        Type: general
      – SubjectFull: Cognition disorders
        Type: general
      – SubjectFull: Caregivers
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      – SubjectFull: Parkinson's disease
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      – SubjectFull: Quality of life
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      – SubjectFull: Mental health
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      – SubjectFull: Activities of daily living
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      – SubjectFull: Neuropsychological tests
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      – SubjectFull: Regression analysis
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      – SubjectFull: Research funding
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      – SubjectFull: Psychology
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      – TitleFull: Cognitive impairment in Parkinson's disease: impact on quality of life of carers.
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              Text: Dec2017
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