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DOI: 10.1590/0004-282X20180101
Factors associated with cognitive performance in elderly caregivers
Principais fatores associados aos domínios cognitivos em cuidadores idosos
Abstract
Objectives: To explore the socioeconomic, demographic and psychosocial factors associated with cognitive performance in elderly caregivers from Brazil.
Methods: We evaluated 351 Brazilian elderly caregivers attending primary healthcare services regarding sociodemographic and care variables. Addenbrooke's Cognitive Examination-Revised (ACE-R) domains of orientation/attention, memory, verbal fluency, language and visuospatial were used as dependent variables in the Tobit model.
Results: Literacy and family income were positively associated with all ACE-R domains. Age, gender, time of care (days/week) were negatively associated with some cognitive domains. Moreover, receiving emotional help and the level of hope were positively associated with specific domains.
Discussion: The results may be useful for planning interventions aimed at elderly caregivers in order to prevent deficits in the different cognitive domains.
RESUMO
Objetivos: explorar os fatores socioeconçmicos, demográficos e psicossociais associados ao desempenho cognitivo em idosos cuidadores do Brasil.
Métodos: Avaliamos 351 idosos cuidadores da atenção primária à saúde em relação a variáveis sociodemográficas e de contexto do cuidado. Os domínios da Escala Cognitiva de Addenbrooke Revisada (ACE-R) - orientação/atenção, memória, fluência verbal, linguagem e visuo-espacial - foram utilizados como variáveis dependentes no modelo de Tobit.
Resultados: Alfabetização e renda familiar foram positivamente associados a todos os domínios ACE-R. A idade, o sexo, o tempo de atendimento (dias/semana) foram associados negativamente com alguns domínios cognitivos. Além disso, receber ajuda emocional e nível de esperança foram positivamente associados a domínios específicos.
Discussão: os resultados podem ser úteis para o planejamento de intervenções voltadas para cuidadores idosos, a fim de prevenir déficits nos diferentes domínios cognitivos.
Publication History
Received: 19 December 2017
Accepted: 02 July 2018
Article published online:
22 August 2023
© 2023. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 Miranda D, Morais G, Mendes G, Cruz A, Silva A, Lucia A. Population aging in Brazil: current and future social challenges and consequences. Rev Bras Geriatr Gerontol. 2016;19(3):507-19. https://doi.org/10.1590/1809-98232016019.150140
- 2 Tomomitsu MRSV, Perracini MR, Neri AL. [Factors associated with satisfaction with life among elderly caregivers and non-caregivers]. Cienc Saúde Coletiva. 2014;19(8):3429-40. Portuguese. https://doi.org/10.1590/1413-81232014198.13952013
- 3 Beydoun MA, Beydoun HA, Gamaldo AA, Teel A, Zonderman AB, Wang Y. Epidemiologic studies of modifiable factors associated with cognition and dementia: systematic review and meta-analysis. BMC Public Health. 2014 Jun;14(1):643. https://doi.org/10.1186/1471-2458-14-643
- 4 Aggarwal NT, Wilson RS, Beck TL, Rajan KB, Leon CFM, Evans DA et al. Perceived stress and change in cognitive function among adults 65 years and older. Psychosom Med. 2014 Jan;76(1):80-5. https://doi.org/10.1097/PSY.20180101201801010016
- 5 Frankish H, Horton R. Prevention and management of dementia: a priority for public health. Lancet. 2017;390(10113):2614-5. https://doi.org/10.1016/S0140-6736(17)31756-7
- 6 Sposito G, Neri AL, Yassuda MS. Advanced Activities of Daily Living (AADLs) and cognitive performance in community-dwelling elderly persons: data from the FIBRA Study - UNICAMP. Rev Bras Geriatr Gerontol. 2016;19(1):7-20. https://doi.org/10.1590/1809-9823.2016.15044
- 7 Luchesi BM, Souza EN, Gratão AC, Gomes GA, Inouye K, Alexandre TS et al. The evaluation of perceived stress and associated factors in elderly caregivers. Arch Gerontol Geriatr. 2016 Nov-Dec;67:7-13. https://doi.org/10.1016/j.archger.2016.06.017
- 8 Stewart NJ, Morgan DG, Karunanayake CP, Wickenhauser JP, Cammer A, Minish D et al. Rural Caregivers for a Family Member With Dementia: Models of Burden and Distress Differ for Women and Men. J Appl Gerontol. 2016 Feb;35(2):150-78. https://doi.org/10.1177/0733464813517547
- 9 Turner AD, Capuano AW, Wilson RS, Barnes LL. Depressive symptoms and cognitive decline in older african americans: two scales and their factors. Am J Geriatr Psychiatry. 2015 Jun;23(6):568-78. https://doi.org/10.1016/j.jagp.2014.08.003
- 10 Fratiglioni L, Paillard-Borg S, Winblad B. An active and socially integrated lifestyle in late life might protect against dementia. Lancet Neurol. 2004 Jun;3(6):343-53. https://doi.org/10.1016/S1474-4422(04)00767-7
- 11 Baumgart M, Snyder HM, Carrillo MC, Fazio S, Kim H, Johns H. Summary of the evidence on modifiable risk factors for cognitive decline and dementia: A population-based perspective. Alzheimers Dement. 2015 Jun;11(6):718-26. https://doi.org/10.1016/j.jalz.2015.05.016
- 12 Seeman TE, Miller-Martinez DM, Stein Merkin S, Lachman ME, Tun PA, Karlamangla AS. Histories of social engagement and adult cognition: midlife in the U.S. study. J Gerontol B Psychol Sci Soc Sci. 2011 Jul;66 Suppl 1:i141-52. https://doi.org/10.1093/geronb/gbq091
- 13 KATZ S. FORD AB, MOSKOWITZ RW, JACKSON BA, JAFFE MW. Studies of illness in the aged. the index of ADL: a standardized measure of biological and psychosocial function. JAMA. 1963;185:914-9. https://doi.org/10.1001/jama.1963.03060120024016
- 14 Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969;9(3):179-86. Available from: https://doi.org/10.1093/geront/9.3_Part_1.179
- 15 Mioshi E, Dawson K, Mitchell J, Arnold R, Hodges JR. The Addenbrooke's Cognitive Examination Revised (ACE-R): a brief cognitive test battery for dementia screening. Int J Geriatr Psychiatry. 2006 Nov;21(11):1078-85. https://doi.org/10.1002/gps.1610
- 16 Duarte YAO. Família: Rede de Suporte ou fator estressor: a ótica de idosos e cuidadores familiares. São Paulo: [s.n.]; 2001.
- 17 Luft CDB, Sanches SO, Mazo GZ, Andrade A. [Brazilian version of the Perceived Stress Scale: translation and validation for the elderly[. Rev Saúde Pública. 2007;41(4):606-15. Portuguese. https://doi.org/S0034-89102007000400015
- 18 Sartore AC, Grossi SA. [Herth Hope Index: instrument adapted and validated to Portuguese]. Rev Esc Enferm USP. 2008 Jun;42(2):227-32. Portuguese. https://doi.org/10.1590/S0080-62342008000200003
- 19 Pinto C, Pais-Ribeiro JL. Construção de uma escala de avaliação da espiritualidade em contextos de saúde. Arq Med. 2007;21(2):47-53
- 20 Gonçalves LTH, Leite MT, Hildebrandt LM, Bisogno SC, Biasuz S, Falcade BL. [Living together and family care at the fourth age: quality of life for seniors and their caregivers]. Rev Bras Geriatr Gerontol. 2013;16(2):315-25. Portuguese. https://doi.org/10.1590/S1809-98232013000200011
- 21 Sebastião C, Albuquerque C. [Aging and dependence: study concerning the impacts of an elderly family member dependence on family and informal caregiver[. Rev Kairós. 2011;14(4):25-49.
- 22 Olai L, Borgquist L, Svärdsudd K. Life situations and the care burden for stroke patients and their informal caregivers in a prospective cohort study. Ups J Med Sci. 2015;120(4):290-8. https://doi.org/10.3109/03009734.2015.1049388
- 23 Bento JA, Lebrão ML. [Sufficiency of income perceived by the elderly in the city of São Paulo/Brazil]. Cien Saúde Coletiva. 2013 Aug;18(8):2229-38. Portuguese. https://doi.org/10.1590/S1413-81232013000800007
- 24 Faria EC, Silva SA, Farias KRA, Cintra A. Cognitive evaluation of elderly people referenced at the family health strategy in a city in Southern Minas Gerais. Rev Esc Enferm USP. 2011;45(spe2):1741752. https://doi.org/10.1590/S0080-62342011000800019
- 25 Nascimento RA, Batista RT, Rocha SV, Vasconcelos LRC. [Prevalence and factors associated with the decline in the elderly with cognitive low economic condition: MONIDI study]. J Bras Psiquiatr. 2015;64(3):187-92. Portuguese. http://dx.doi.org/10.1590/0047-208520180101077
- 26 Castro-Costa E, Dewey ME. Uchça E, Firmo JOA, Lima-Costa MF, Stewart R. Trajectories of cognitive decline over 10 years in a Brazilian elderly population: the Bambu? cohort study of aging. Cad Saúde Pública. 2011;27 suppl 3:s345-50. https://doi.org/10.1590/S0102-311X2011001500004
- 27 Bento-Torres NV, Bento-Torres J, Tomás AM, Costa VO, Corrêa PG, Costa CN et al. Influence of schooling and age on cognitive performance in healthy older adults. Braz J Med Biol Res. 2017 Mar;50(4):e5892. https://doi.org/10.1590/1414-431x20165892
- 28 Lenehan ME, Summers MJ, Saunders NL, Summers JJ, Vickers JC. Relationship between education and age-related cognitive decline: a review of recent research. Psychogeriatrics. 2015 Jun;15(2):154-62. https://doi.org/10.1111/psyg.12083
- 29 dos Santos AA, Mansano-Schlosser TC, Ceolim MF, lost Pavarini SC. [Sleep, fragility and cognition: a multicenter study with Brazilian elderly]. Rev Bras Enferm. 2013 May-Jun;66(3):351-7. Portuguese. https://doi.org/10.1590/S0034-71672013000300008
- 30 César KG, Yassuda MS, Porto FH, Brucki SM, Nitrini R. Addenbrooke's cognitive examination-revised: normative and accuracy data for seniors with heterogeneous educational level in Brazil. Int Psychogeriatr. 2017 Aug;29(8):1345-53. https://doi.org/10.1017/S1041610217000734
- 31 Brayne C, Ince PG, Keage HA, McKeith IG, Matthews FE, Polvikoski T et al.. Education, the brain and dementia: neuroprotection or compensation? Brain. 2010 Aug;133(Pt 8):2210-6. https://doi.org/10.1093/brain/awq185
- 32 Yu H, Wang X, He R, Liang R, Zhou L. Measuring the caregiver burden of caring for community-residing people with Alzheimer's diseasePLoS One. 2015;10(7):e0132168. https://doi.org/10.1371/journal.pone.0132168
- 33 Gratão AC, Talmelli LF, Figueiredo LC, Rosset I, Freitas CP, Rodrigues RA. Functional dependency of older individuals and caregiver burden. Rev Esc Enferm USP. 2013 Feb;47(1):137-44. http://dx.doi.org/10.1590/S0080-62342013000100017
- 34 Balardin JB, Palma KAXA, Garcia Junior ME, Bromberg E. Déficits cognitivos em cuidadores de pacientes com demência. Rev Bras Cienc Envelhec Hum. 2007;4(2):55-64. https://doi.org/10.5335/rbceh.2012.138
- 35 Brigola AG, Luchesi BM, Rossetti ES, Mioshi e, Inouye K, Pavarini SCI. Health profile of family caregivers of the elderly and its association with variables of care: a rural study. Rev Bras Geriatr Gerontol. 2017;20(3):409-420. https://doi.org/10.1590/1981-22562017020.160202
- 36 Henning MC, Moré CLOO. Religião e psicologia: análise das interfaces temáticas. Rever. 2009 dez;84-114.
- 37 Moreira-Almeida A, Lotufo Neto F, Koenig HG. Religiousness and mental health: a review. Rev Bras Psiquiatr. 2006 Sep;28(3):242-50. https://doi.org/10.1590/S1516-44462006005000006
- 38 Souza EN, Oliveira NA, Luchesi BM, Gratão ACM, Orlandi FS, Pavarini SCI. Relationship between hope and spirituality of elderly caregivers. Texto Context Enferm. 2017;26(3):e6780015. https://doi.org/10.1590/0104-07072017006780015
- 39 Balsanelli AC, Grossi SA, Herth K. Assessment of hope in patients with chronic illness and their family or caregivers. Acta Paul Enferm. 2011;24(3):354-8. https://doi.org/10.1590/S0103-21002011000300008
- 40 Snyder CR, Harris C, Anderson JR, Holleran SA, Irving LM, Sigmon ST et al. The will and the ways: development and validation of an individual-differences measure of hope. J Pers Soc Psychol. 1991 Apr;60(4):570-85. https://doi.org/10.1037/0022-3514.60.4.570
- 41 Huen JM, Ip BY, Ho SM, Yip PS. Hope and hopelessness: the role of hope in buffering the impact of hopelessness on suicidal ideation. PLoS One. 2015 Jun;10(6):e0130073. https://doi.org/10.1371/journal.pone.0130073