title: Gender of demented patients and specific family relationship of caregiver to patients influence mental fatigue and burdens on relatives as caregivers.
abstract: OBJECTIVE
  To survey the burden and psychological problems of family caregivers of demented people.
  
  
  METHODS
  All scores were compared according to gender of the demented patients and which family members were the caregivers.
  
  
  METHODS
  Outpatients clinic at the university hospital and the day service system for the elderly.
  
  
  METHODS
  Sixty-two demented patients living at home and family members acting as caregivers.
  
  
  METHODS
  Cognitive function, activities of daily living (ADL) and behaviour of demented patients were rated using the Hasegawa scale, the ADL scale and the dementia behaviour disturbance (DBD) scale. Caregiver's burden and mental fatigue were rated using a burden scale and a general health questionnaire (GHQ).
  
  
  RESULTS
  Caregiver burden correlated negatively with the Hasegawa score and positively with the GHQ and DBD scores. Caregiver burden, GHQ and DBD for male patients were significantly higher than for females. Little difference was evident for caregiver burden scale or patient DBD between spouses and offspring as caregiver, but the GHQ score for spouses was significantly worse than that for offspring.
  
  
  CONCLUSIONS
  The difficulty of caregivers in supporting the daily life of demented family members correlated with patients' cognitive impairment, abnormal behaviour and ADL status, and caregivers' difficulty resulted in mental fatigue. Caregivers' relative isolation from friends, attributable to their caregiving responsibility, did not correlate with the demented person's cognitive impairment or ADL status.
authors.affiliation: Department of Neuropsychiatry, Faculty of Medicine, Kagoshima University, Japan.
authors.forename: I
authors.initials: I
authors.lastname: Nagatomo
authors.forename: Y
authors.initials: Y
authors.lastname: Akasaki
authors.forename: M
authors.initials: M
authors.lastname: Uchida
authors.forename: M
authors.initials: M
authors.lastname: Tominaga
authors.forename: W
authors.initials: W
authors.lastname: Hashiguchi
authors.forename: M
authors.initials: M
authors.lastname: Takigawa
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers / Q000523:psychology*; D016241:Child of Impaired Parents / Q000523:psychology*; D017281:Cost of Illness; D003704:Dementia / Q000523:psychology*; D005195:Family Relations; D005260:Female; D005783:Gender Identity; D006801:Humans; D007564:Japan; D008297:Male; D005222:Mental Fatigue / Q000523:psychology*; D008875:Middle Aged; D010045:Outpatients; D018454:Spouses / Q000523:psychology*