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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

High burden and frailty: association with poor cognitive performance in older caregivers living in rural areas

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Author(s):
Brigola, Allan Gustavo [1] ; Luchesi, Bruna Moretti [2] ; Alexandre, Tiago da Silva [2] ; Inouye, Keika [2] ; Mioshi, Eneida [3] ; Iost Pavarini, Sofia Cristina [2]
Total Authors: 6
Affiliation:
[1] Univ Fed Sao Carlos, Programa Posgrad Enfermagem, Sao Carlos, SP - Brazil
[2] Univ Fed Sao Carlos, Dept Gerontol, Sao Carlos, SP - Brazil
[3] Univ East Anglia, Sch Hlth Sci, Fac Med & Hlth Sci, Norwich, Norfolk - England
Total Affiliations: 3
Document type: Journal article
Source: Trends in Psychiatry and Psychotherapy; v. 39, n. 4, p. 257-263, OCT-DEC 2017.
Web of Science Citations: 0
Abstract

Introduction: Older caregivers living in rural areas may be exposed to three vulnerable conditions, i.e., those related to care, their own aging, and their residence context. Objective: To analyze the association of burden and frailty with cognition performance in older caregivers in rural communities. Method: In this cross-sectional survey, 85 older caregivers who cared for dependent elders were included in this study. Global cognition (Addenbrooke's Cognitive Examination - Revised; Mini Mental State Examination), burden (Zarit Burden Interview) and frailty (Fried's frailty phenotype) were assessed. All ethical principles were observed. Results: Older caregivers were mostly women (76.7%); mean age was 69 years. Cognitive impairment was present in 15.3%, severe burden in 8.2%, frailty in 9.4%, and pre-frailty in 52.9% of the older caregivers. More severely burdened or frail caregivers had worse cognitive performance than those who were not, respectively (ANOVA test). Caregivers presenting a high burden level and some frailty degree (pre-frail or frail) simultaneously were more likely to have a reduced global cognition performance. Conclusion: A significant number of older caregivers had low cognitive performance. Actions and resources to decrease burden and physical frailty may provide better cognition and well-being, leading to an improved quality of life and quality of the care provided by the caregivers. (AU)

FAPESP's process: 13/26798-9 - Cognitive profile, frailty, depressive symptoms and burden in older caregivers in rural communities
Grantee:Allan Gustavo Bregola
Support type: Scholarships in Brazil - Master
FAPESP's process: 14/23898-5 - Applicability of mini Addenbrooke's cognitive examination (M-ACE) in Brazilian elderly with low education and coping strategies in Brazilian and non-Brazilian caregivers
Grantee:Allan Gustavo Bregola
Support type: Scholarships abroad - Research Internship - Master's degree