Behavioral and Psychological Symptoms of Dementia in Nigerian Hospital Patients: Prevalence, Correlates and Caregiver Burden
Journal Title: International Neuropsychiatric Disease Journal - Year 2017, Vol 10, Issue 3
Abstract
Aims: This study was aimed at measuring the prevalence and impact of Behavioral and Psychological Symptoms of Dementia (BPSD) of elderly hospital attendees in Lagos Nigeria; and determining socio-cultural factors associated with the health of these elderly people with dementia. Study Design: This was a cross-sectional descriptive study. Fifty patients with dementia attending out-patient facilities of three tertiary hospitals in Lagos were interviewed along with their caregivers. Place and Duration of Study: The study was conducted over a 6 month period at the out-patient clinics of the Federal Neuro-Psychiatric Hospital, Yaba and the Neurology and Psychiatric Clinics of Lagos University Teaching Hospital, Idi-Araba Lagos. Methodology: Consecutively presenting patients who met the inclusion criteria for the study were recruited after obtaining consent from the participant and caregivers. The Mini Mental State Examination, Stick design and Indiana University Token test were administered to the patient, while Blessed Dementia Scale and Neuropsychiatry Inventory were administered to the caregivers. Results: Mean age was 72.5(±6.4) years, 52% were females and 54% had primary school education or less. Ninety-two percent lived with family and 96% had at least one BPSD, the commonest being hallucinations (68%), agitation (68%) and night-time behaviour (62%). The most severe BPSD using the mean NPI score (Frequency X Severity) were night-time behaviour 3.84, (SD3.71), aberrant motor behaviour 3.74, (SD4.06) and agitation 3.53, (SD3.52). The more distressing symptoms experienced by caregivers were agitation 1.78, (SD1.56), night-time behaviour 1.78, (SD1.43), and aberrant motor behaviour 1.66, (SD1.59), On regression analysis, BPSD independently predicted caregiver distress. Conclusion: These findings are similar to previous studies with high prevalence of BPSD in patients with dementia and distress in caregivers. Improving access to treatment of BPSD is vital in alleviating caregiver distress especially in low income countries where family care is about the only option for dementia care.
Authors and Affiliations
Abidemi O. Bello, Olusegun Baiyewu, Francis O. Aina, Increase I. Adeosun
Keywords
Related Articles
- EP ID EP308490
- DOI 10.9734/INDJ/2017/38030
- Views 110
- Downloads 0
Comparison between the First and Sixth Year Medical Students in the Arabian Gulf University of Bahrain Regarding Anxiety and Depression
A cross sectional study involving all year 1 and 6 medical student of Arabian Gulf University in Bahrain in the year 2011-2012 was performed by self reporting anxiety and depression using HADS forms. The results showed t...
Life Satisfaction, Self Esteem and Depression in a Sample of Nigerian Adolescents
Background: A person’s state of mind often affects his/her health and how he/she responds to stress. The level of happiness and life satisfaction in the individual can be assessed by finding out if a person has high amou...
Dextromethorphan for Tardive Dyskinesia
Aims: To report three cases of successful treatment of tardive dyskinesia (TD) with dextromethorphan. Study Design: Retrospective chart review. Place and Duration of Study: Private outpatient practice in Syracuse, NY....
Assessment of Cognitive Functions, Psychomotor Performance and Attention Deficit Hyperactivity Disorders among Students with Dyslexia
Aim: The present study presented as a comparison of the cognitive functions, psychomotor performance and attention deficit hyperactivity disorders between dyslexic and control students. Method: This was a randomized stu...
The Effectiveness of Substance Abuse Management: Perspectives of Nurses in Neuropsychiatric Hospital, Aro, Abeokuta, Ogun State, Nigeria
The study assessed the perspectives of nurses in Neuropsychiatric Hospital, Aro, Abeokuta, Nigeria on the effectiveness of substance abuse management. It made use of a descriptive research design. The study was conducted...