Impact of Social Isolation on People with Dementia and Their Family Caregivers.

Autor:	Azevedo LVDS; Behavioral and Cognitive Research Group, Department of Internal Medicine, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte (MG), Brazil., Calandri IL; Department of Cognitive Neurology, Neuropsychology and Neuropsychiatry, FLENI, Buenos Aires, Argentina., Slachevsky A; Geroscience Center for Brain Health and Metabolism (GERO), Santiago, Chile.; Memory and Neuropsychiatric Clinic (CMYN) Neurology Department, Hospital del Salvador and Faculty of Medicine, University of Chile, Santiago, Chile.; Neuropsychology and Clinical Neuroscience Laboratory (LANNEC), Physiopathology Department - ICBM, Neurocience and East Neuroscience Departments, Faculty of Medicine, University of Chile, Santiago, Chile.; Servicio de Neurología, Departamento de Medicina, Clínica Alemana-Universidad del Desarrollo, Santiago, Chile., Graviotto HG; Cognitive Neurology and Neuropsychology Department, César Milstein Hospital, Buenos Aires, Argentina., Vieira MCS; Faculdade Ciências Médicas de Minas Gerais/FELUMA, Belo Horizonte (MG), Brazil.; Geriatric Medicine - Rede Mater Dei de Saúde e AURUS Ensino e Pesquisa do Envelhecimento, Belo Horizonte (MG), Brazil., Andrade CB; Behavioral and Cognitive Research Group, Department of Internal Medicine, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte (MG), Brazil., Rossetti AP; Faculdade Ciências Médicas de Minas Gerais/FELUMA, Belo Horizonte (MG), Brazil.; Geriatric Medicine - Rede Mater Dei de Saúde e AURUS Ensino e Pesquisa do Envelhecimento, Belo Horizonte (MG), Brazil., Generoso AB; Geriatric Medicine - Rede Mater Dei de Saúde e AURUS Ensino e Pesquisa do Envelhecimento, Belo Horizonte (MG), Brazil., Carmona KC; Behavioral and Cognitive Research Group, Department of Internal Medicine, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte (MG), Brazil., Pinto LAC; Behavioral and Cognitive Research Group, Department of Internal Medicine, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte (MG), Brazil., Sorbara M; Cognitive Neurology and Neuropsychology Department, César Milstein Hospital, Buenos Aires, Argentina., Pinto A; Memory and Neuropsychiatric Clinic (CMYN) Neurology Department, Hospital del Salvador and Faculty of Medicine, University of Chile, Santiago, Chile., Guajardo T; Memory and Neuropsychiatric Clinic (CMYN) Neurology Department, Hospital del Salvador and Faculty of Medicine, University of Chile, Santiago, Chile., Olavarria L; Memory and Neuropsychiatric Clinic (CMYN) Neurology Department, Hospital del Salvador and Faculty of Medicine, University of Chile, Santiago, Chile., Thumala D; Geroscience Center for Brain Health and Metabolism (GERO), Santiago, Chile.; Department of Psychology, Social Sciences Faculty, University of Chile, Santiago, Chile., Crivelli L; Department of Cognitive Neurology, Neuropsychology and Neuropsychiatry, FLENI, Buenos Aires, Argentina., Vivas L; Department of Cognitive Neurology, Neuropsychology and Neuropsychiatry, FLENI, Buenos Aires, Argentina., Allegri RF; Department of Cognitive Neurology, Neuropsychology and Neuropsychiatry, FLENI, Buenos Aires, Argentina., Barbosa MT; Behavioral and Cognitive Research Group, Department of Internal Medicine, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte (MG), Brazil.; Faculdade Ciências Médicas de Minas Gerais/FELUMA, Belo Horizonte (MG), Brazil., Serrano CM; Cognitive Neurology and Neuropsychology Department, César Milstein Hospital, Buenos Aires, Argentina., Miranda-Castillo C; Faculty of Nursing, Universidad Andres Bello, Santiago, Chile.; Millennium Institute for Research in Depression and Personality, Santiago, Chile., Caramelli P; Behavioral and Cognitive Research Group, Department of Internal Medicine, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte (MG), Brazil.
Jazyk:	angličtina
Zdroj:	Journal of Alzheimer's disease : JAD [J Alzheimers Dis] 2021; Vol. 81 (2), pp. 607-617.
DOI:	10.3233/JAD-201580
Abstrakt:	Background: People with dementia and their family caregivers may face a great burden through social isolation due to the COVID-19 pandemic, which can be manifested as various behavioral and clinical symptoms. Objective: To investigate the impacts of social isolation due to the COVID-19 pandemic on individuals with dementia and their family caregivers. Methods: Two semi-structured questionnaires were applied via telephone to family caregivers of people diagnosed with dementia in three cities in Argentina, Brazil, and Chile, in order to assess clinical and behavioral changes in people with dementia and in their caregivers. Results: In general, 321 interviews were conducted. A significant decline in memory function has been reported among 53.0%of people with dementia. In addition, 31.2%of individuals with dementia felt sadder and 37.4%had increased anxiety symptoms. These symptoms of anxiety were greater in individuals with mild to moderate dementia, while symptoms of agitation were greater in individuals with severe dementia. Moreover, compulsive-obsessive behavior, hallucinations, increased forgetfulness, altered appetite, and increased difficulty in activities of daily living were reported more frequently among individuals with moderate to severe dementia. Caregivers reported feeling more tired and overwhelmed during this period and these symptoms were also influenced by the severity of dementia. Conclusion: Social isolation during the COVID-19 pandemic triggered a series of negative behavioral repercussions, both for people with dementia and for their family caregivers in these three South American countries.
Databáze:	MEDLINE
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