Frontotemporal dementia: change of familial caregiver burden and partner relation in a Dutch cohort of 63 patients

Dement Geriatr Cogn Disord. 2008;26(5):398-406. doi: 10.1159/000164276. Epub 2008 Oct 21.

Abstract

Background/aims: The current study examined the change of caregiver burden and the development of the quality of the partner relation in frontotemporal dementia (FTD).

Methods: During a 2-year period, deterioration, behavioural problems, caregiver burden, general psychopathology, quality of life, social support, coping strategies and relationship quality were inspected in 63 FTD caregiver-care recipient dyads.

Results: After 2 years patients reached maximum dementia severity with stable Neuropsychiatric Inventory levels. Contrary to expectations, caregiver burden decreased and psychological well-being remained stable. Coping style and social support changed unfavourably. Relationship closeness and getting along were preserved, whereas communication and sharing viewpoint on life were dramatically reduced.

Conclusions: FTD caregivers need support in coping with the increasingly hopeless situation of their patients. Future research methods into caregiver burden should address response shift as a means for psychological adjustment.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological
  • Aged
  • Caregivers / psychology*
  • Caregivers / statistics & numerical data
  • Cohort Studies
  • Cost of Illness
  • Dementia / epidemiology
  • Dementia / psychology*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Netherlands / epidemiology
  • Quality of Life
  • Retrospective Studies
  • Socioeconomic Factors
  • Surveys and Questionnaires