title: Caregiver burden of Mexican dementia patients: the role of dysexecutive syndrome, sleep disorders, schooling and caregiver depression.
abstract: OBJECTIVE
  As a result of the accelerated growth of the elderly population, reconfiguration of families and member roles, and the increase of mental disorders, it is necessary to investigate the effects of this set of factors on the caregivers of patients with dementia in Mexico. Mental disorders of individuals have a negative impact on their physical and emotional quality of life, leading to greater dependence and making the caring experience a heavy burden. Several studies (none in Mexico) have used either the characteristics of the patient or caregiver to determine the burden, but few studies have included both profiles within a single study. The objective of the present study was to analyze the characteristics of the patients and caregivers associated with caregiver burden.
  
  
  METHODS
  A multicenter study was carried out in six health institutions located in Mexico City, including 175 patients (and their caregivers) diagnosed with different types of dementia. We used the Spanish Caregiver Burden Screen. Descriptive analysis and logistic regressions were used to estimate the effect of the covariates on the caregiver burden.
  
  
  RESULTS
  The results showed that patient variables have a greater impact on caregiver burden than caregiver-associated variables. Dysexecutive syndrome, sleep disorders, schooling and caregiver depression are associated with a higher level of caregiver burden.
  
  
  CONCLUSIONS
  Caregiver burden is a complex phenomenon. The results of the present study showed the need to implement multifactorial interventions targeting the caregiver to reduce the burden, strengthen the skills for patient management to avoid depression, improve patient health, and diminish functional dependence and future hospitalization.
authors.affiliation: National Institute of Geriatrícs, Mexico City, Mexico.
authors.forename: Óscar
authors.initials: Ó
authors.lastname: Rosas-Carrasco
authors.forename: María de Guadalupe
authors.initials: Mde G
authors.lastname: Guerra-Silla
authors.forename: Laura Del Pilar
authors.initials: Ldel P
authors.lastname: Torres-Arreola
authors.forename: Carmen
authors.initials: C
authors.lastname: García-Peña
authors.forename: Cristopher Isaac
authors.initials: CI
authors.lastname: Escamilla-Jiménez
authors.forename: César
authors.initials: C
authors.lastname: González-González
mesh_terms: D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000368:Aged; D000369:Aged, 80 and over; D002055:Burnout, Professional / Q000175:diagnosis / Q000209:etiology* / Q000523:psychology; D017028:Caregivers / Q000523:psychology*; D003863:Depression / Q000453:epidemiology / Q000534:rehabilitation*; D003866:Depressive Disorder / Q000175:diagnosis / Q000209:etiology* / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D016273:Occupational Exposure / Q000009:adverse effects*; D015995:Prevalence; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors; D012893:Sleep Wake Disorders / Q000175:diagnosis / Q000209:etiology* / Q000523:psychology; D011795:Surveys and Questionnaires; D013577:Syndrome
keywords: caregiver burden; dementia; dysexecutive syndrome; elderly; neuropsychiatric symptoms