title: Obtaining Information from Family Caregivers Is Important to Detect Behavioral and Psychological Symptoms and Caregiver Burden in Subjects with Mild Cognitive Impairment.
abstract: BACKGROUND
  The objectives of this study are to clarify the differences between the difficulties in daily life experienced by patients with both mild cognitive impairment (MCI) and chronic disease and those experienced by healthy elderly individuals.
  
  
  METHODS
  We assessed (a) cognitive function; (b) gait ability; (c) behavioral and psychological symptoms (observed at home); (d) activities of daily living (observed at home); (e) family caregiver burden, and (f) intention to continue family caregiving of 255 cognitively normal and 103 MCI subjects attending adult day care services covered by long-term care insurance, and compared the two groups.
  
  
  RESULTS
  Subjects with MCI display more behavioral and psychological symptoms than cognitively normal subjects, posing a heavy caregiver burden (p < 0.01). Behavioral and psychological symptoms most commonly observed in subjects with MCI are apathy, hallucinations, delusions, agitation, and aberrant motor behavior.
  
  
  CONCLUSIONS
  Information regarding the behavioral and psychological symptoms displayed at home by patients with MCI can only be obtained from family caregivers living with the patients. To provide early-stage support for elderly patients with MCI, adult day care workers should collect information from family caregivers regarding behavioral and psychological symptoms observed at home.
authors.affiliation: The Research Team for Understanding Daily In-Home Activities of Elderly People with Dementia, The Japanese Physical Therapy Association, Japan; School of Health Care, Takasaki University of Health and Welfare, Takasaki, Japan.
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Yamagami
authors.affiliation: The Research Team for Understanding Daily In-Home Activities of Elderly People with Dementia, The Japanese Physical Therapy Association, Japan; Graduate School of Health Science, Kibi International University, Okayama, Japan.
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Harada
authors.affiliation: The Research Team for Understanding Daily In-Home Activities of Elderly People with Dementia, The Japanese Physical Therapy Association, Japan; School of Health Science, Kyorin University, Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Hashidate
authors.affiliation: The Research Team for Understanding Daily In-Home Activities of Elderly People with Dementia, The Japanese Physical Therapy Association, Japan; Tokyo Metropolitan University Graduate School of Human Health Sciences, Japan.
authors.forename: Yasuyoshi
authors.initials: Y
authors.lastname: Asakawa
authors.affiliation: The Research Team for Understanding Daily In-Home Activities of Elderly People with Dementia, The Japanese Physical Therapy Association, Japan; Hoshi General Hospital, Fukushima, Japan.
authors.forename: Kenji
authors.initials: K
authors.lastname: Nihei
authors.affiliation: The Research Team for Understanding Daily In-Home Activities of Elderly People with Dementia, The Japanese Physical Therapy Association, Japan; Kamma Memorial Hospital, Nasushiobara, Japan.
authors.forename: Satomi
authors.initials: S
authors.lastname: Kaneya
authors.affiliation: The Research Team for Understanding Daily In-Home Activities of Elderly People with Dementia, The Japanese Physical Therapy Association, Japan; Health Department of Rehabilitation, University of Tokyo Health Science, Tokyo, Japan.
authors.forename: Chiharu
authors.initials: C
authors.lastname: Yoshii
keywords: Adult day care services; Behavioral and psychological symptoms; Family caregiver burden; Mild cognitive impairment