title: The stress and psychological morbidity of the Alzheimer patient caregiver.
abstract: BACKGROUND
  Alzheimer's family caregivers suffer from psychological and physical morbidity associated with the care of the Alzheimer's patient. The objectives of the study were to compare stress and psychological morbidity between family caregivers of Alzheimer's disease patients and family caregivers of aged non-demented chronically ill patients and to explore the impact of cognitive and non-cognitive patient symptoms on caregivers.
  
  
  METHODS
  Fifty-eight caregivers of Alzheimer's patients (cases) and 32 caregivers of non-demented chronically ill patients (controls) were studied. A cross-sectional case-control design was employed using validated scales to assess patient symptomatology and self-report questionnaires to measure stress and psychological morbidity in caregivers.
  
  
  RESULTS
  Compared to controls, stress and psychological morbidity were higher in caregivers of Alzheimer's patients. Behavioral symptoms and impairment in instrumental activities of daily living were associated with caregiver stress. Length of care was associated with caregiver psychological morbidity.
  
  
  CONCLUSIONS
  Caregiver stress may be reduced with special attention paid to the treatment and management of behavioral and functional symptoms in the Alzheimer's disease patient. Caregiver education and coping skills should also be included.
authors.affiliation: Neuropsychiatry and Memory Group, The Johns Hopkins University, Baltimore, MD 21287-5371, USA.
authors.forename: M T
authors.initials: MT
authors.lastname: González-Salvador
authors.forename: C
authors.initials: C
authors.lastname: Arango
authors.forename: C G
authors.initials: CG
authors.lastname: Lyketsos
authors.forename: A C
authors.initials: AC
authors.lastname: Barba
mesh_terms: D000368:Aged; D000544:Alzheimer Disease; D000704:Analysis of Variance; D017028:Caregivers / Q000523:psychology*; D016022:Case-Control Studies; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012044:Regression Analysis; D012720:Severity of Illness Index; D013030:Spain; D013315:Stress, Psychological / Q000453:epidemiology* / Q000523:psychology