PMID- 29989256
OWN - NLM
STAT- MEDLINE
DCOM- 20181211
LR  - 20211204
IS  - 1479-8301 (Electronic)
IS  - 1346-3500 (Linking)
VI  - 18
IP  - 5
DP  - 2018 Sep
TI  - Predictors of potentially harmful behaviour by family caregivers towards patients 
      treated for behavioural and psychological symptoms of dementia in Japan.
PG  - 357-364
LID - 10.1111/psyg.12328 [doi]
AB  - BACKGROUND: Potentially harmful behaviour (PHB) by caregivers is detrimental to 
      the physical and psychological well-being of care recipients. In Japan, few 
      studies have investigated caregivers' PHB towards dementia patients. This study 
      examined PHB in family caregivers of dementia patients with behavioural and 
      psychological symptoms of dementia (BPSD) and identified factors related to PHB. 
      METHODS: Following primary consultations at an elderly psychiatric patient 
      department, we enrolled 133 pairs of dementia patients and their family 
      caregivers. We assessed PHB using the Japanese version of the modified Conflict 
      Tactics Scale. We defined the presence of PHB as two or more points (PHB 
      frequency of 'sometimes' or more) on at least one indicator of the modified 
      Conflict Tactics Scale. We investigated the prevalence of PHB in relation to the 
      clinical characteristics of the patients and their family caregivers. We 
      evaluated BPSD using the Neuropsychiatric Inventory and caregiver burden using 
      the eight-item Japanese version of the Zarit Caregiver Burden Interview. RESULTS: 
      Of the family caregivers, 48.9% showed PHB. Multivariate analysis identified the 
      following association with PHB: caregiver's Zarit Caregiver Burden Interview 
      total score (odds ratio [OR], 1.09 per unit increase; 95% confidence interval 
      [95%CI], 1.02-1.16), and Neuropsychiatric Inventory scores for patient 
      irritability (OR, 1.22 per unit increase; 95%CI, 1.06-1.40), appetite/eating 
      disorders (OR, 1.41 per unit increase; 95%CI = 1.08-1.84) and daughters-in-law 
      caregivers (OR, 0.17, 95%CI, 0.05-0.57). CONCLUSIONS: Specific BPSD symptoms 
      could contribute to the expression of PHB. In addition to decreasing caregiver 
      burden, more intensive treatment and care strategies are required to manage 
      individual symptoms.
CI  - (c) 2018 Japanese Psychogeriatric Society.
FAU - Toda, Daisuke
AU  - Toda D
AUID- ORCID: 0000-0001-9880-8216
AD  - Department of Nursing, Ishikawa Prefectural Takamatsu Hospital, Kahoku, Japan.
AD  - Division of Health Sciences, Doctoral Course of Graduate School of Medical 
      Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan.
FAU - Tsukasaki, Keiko
AU  - Tsukasaki K
AD  - Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, 
      Kanazawa, Japan.
FAU - Itatani, Tomoya
AU  - Itatani T
AD  - Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, 
      Kanazawa, Japan.
FAU - Kyota, Kaoru
AU  - Kyota K
AD  - Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, 
      Kanazawa, Japan.
FAU - Hino, Shoryoku
AU  - Hino S
AD  - Department of Neuropsychiatry, Ishikawa Prefectural Takamatsu Hospital, Kahoku, 
      Japan.
FAU - Kitamura, Tatsuru
AU  - Kitamura T
AD  - Department of Neuropsychiatry, Ishikawa Prefectural Takamatsu Hospital, Kahoku, 
      Japan.
LA  - eng
PT  - Journal Article
DEP - 20180710
PL  - England
TA  - Psychogeriatrics
JT  - Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society
JID - 101230058
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - *Aggression
MH  - *Anger
MH  - Behavioral Symptoms/*psychology
MH  - Caregivers/*psychology
MH  - Cognitive Dysfunction/*psychology
MH  - Dementia/*diagnosis/psychology
MH  - *Elder Abuse
MH  - Female
MH  - Humans
MH  - Japan
MH  - Male
MH  - Middle Aged
MH  - Prevalence
MH  - Prohibitins
MH  - Rural Population
MH  - Stress, Psychological
MH  - Violence/*statistics & numerical data
OTO - NOTNLM
OT  - abuse
OT  - behavioural and psychological symptoms of dementia
OT  - caregivers
OT  - dementia
OT  - potentially harmful behaviour
EDAT- 2018/07/11 06:00
MHDA- 2018/12/12 06:00
CRDT- 2018/07/11 06:00
PHST- 2017/07/30 00:00 [received]
PHST- 2017/10/22 00:00 [revised]
PHST- 2018/02/03 00:00 [accepted]
PHST- 2018/07/11 06:00 [pubmed]
PHST- 2018/12/12 06:00 [medline]
PHST- 2018/07/11 06:00 [entrez]
AID - 10.1111/psyg.12328 [doi]
PST - ppublish
SO  - Psychogeriatrics. 2018 Sep;18(5):357-364. doi: 10.1111/psyg.12328. Epub 2018 Jul 
      10.