Dr. Mahtab Alizadeh-Khoei; Graduated in Nursing (MSc) in Iran. Awarded the MPH from Queensland University and PhD (Gerontology) from Sydney University, Australia. Advisor in department of Aging Health in Ministry of Health, Iran. Associate Professor in Geriatric & Gerontology Dep., Medical school, Tehran University. Dual affiliated Elderly Health Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences. Co-Director of the social welfare and rehabilitation sciences university, Iran.
Association between abuse in dementia elderly with caregiver burden, dementia severity, and functional dependency rated
Objective: The aim of this study was determining the risk factors of abuse in cognitive impaired elderly (Mild Cognitive Impairment (MCI) and dementia) by family caregivers.
Method: participants were 60+ years, with dementia diagnosed (n=236) who living with their caregivers selected by random sample in two groups (dementia and MCI) from outpatient neurology clinics. Abuse was measured by Caregiver Abuse screen (CASE). Dementia was rated by Global Deterioration Scale (GDS). Burden of family caregivers determined by Zarit scale, and functional dependency in dementia elderly was measured by Bayer-ADL criteria.
Results: There were significant relations between elder abuse with caregiver burden (0.936, P≤0.001), severity of dementia (0.652, P≤0.001), and Bayer-ADL dependency (0.495, P≤0.001).
Conclusion: Elder abuse had growth with increasing caregiver burden. In this study, the abuse of elderly had a direct correlation with caregiver burden, so that the severity of dementia and functional dependency increased the amount of abuse.
Keywords: Abuse, Burden, Dementia, Elderly, Bayer-ADL