Articoli originali
V. 13 (2025)
Valutazione delle variabili psicosociali e neuropsicologiche nei pazienti con disturbi neurocognitivi e stress cronico nei caregiver
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Background: al giorno d'oggi, esistono numerosi programmi e risorse per prevenire il carico assistenziale dei pazienti affetti da malattia di Alzheimer. Nonostante ciò, molti caregiver sof-frono di alti livelli di carico e stress, il che porta a una istituzionalizzazione precoce dei pazienti. Questo studio mira a esplorare come i moduli comportamentali specifici della malattia di Alz-heimer influiscano sul carico del caregiver. Materiali e Metodi: è stato adottato un disegno longitudinale (T0-T1, follow-up) diadico ed è stato reclutato un campione di 76 diadi paziente-caregiver. Sono state utilizzate analisi correla-zionali per modellare le associazioni tra le variabili. Il carico è stato misurato con un Caregiver Burden Inventory. Sono state considerate le misure della cognizione, dell'insight, della depres-sione, dei disturbi comportamentali e della capacità funzionale dei pazienti con scale specifiche (Cornell; Scala di Valutazione della Demenza Clinica, CDR; Scala di Valutazione dell'Insight Clinico, CIRS). Risultati: abbiamo scoperto che esistono moduli comportamentali specifici della malattia di Al-zheimer che influenzano negativamente lo stato psicofisico della salute del caregiver. Questi in-cludono l'umore del paziente (r=0,4; p=0,001), i cambiamenti comportamentali (r=0,4; p<0,001), le funzioni cicliche (r=0,3; p=0,007) e l'isolamento sociale (r=0,3; p=0,02). Conclusioni: nonostante i limiti dello studio, gli interventi per ridurre il carico dovrebbero es-sere adattati alle esigenze specifiche del paziente affetto da Alzheimer e del caregiver.
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Valutazione delle variabili psicosociali e neuropsicologiche nei pazienti con disturbi neurocognitivi e stress cronico nei caregiver. (2025). Working Paper of Public Health, 13. https://doi.org/10.4081/wpph.2025.10316
Copyright (c) 2025 Antonio Pepoli, Marinella Bertolotti, Antonella Cassinari, Chiara Demaria, Marianna Farotto, Monica Franscini, Simona Giribone, Valentina Manfredi, Elisa Messina, Rossella Sterpone, Patrizia Valorio, Antonio Maconi, Aldo Bellora
Questo volume è pubblicato con la licenza Creative Commons Attribuzione - Non commerciale 4.0 Internazionale.
