Mental Health of Caregivers of Elderly Patients: The Impact of Psychotropic Drugs on Quality of Life, Anxiety, Depression, and Stress
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caregivers
elderly
mental health
medication

Como Citar

Mental Health of Caregivers of Elderly Patients: The Impact of Psychotropic Drugs on Quality of Life, Anxiety, Depression, and Stress. (2023). RIAGE - Revista Ibero-Americana De Gerontologia, 4. https://doi.org/10.61415/riage.105

Resumo

Caregiver burden is a common impairment resulting from coping with the physical dependence and mental incapacity of the care subject. This study aimed to assess the self-perception of formal and informal caregivers of elderly patients regarding burden, quality of life, anxiety and depression, stress, and the impact of psychotropic drugs. The questionnaire was disseminated in nursing homes and caregivers' associations. Statistical analysis was carried out using SPSS V.28, with a significance level of α = 0.05. The questionnaires used were the Sociodemographic Questionnaire, the Depression, Anxiety and Stress Scales, the Zarit Scale, the Satisfaction with Medication Treatment Questionnaire and Quality of Life. The sample consisted mainly of female individuals, with an average age of 52 years, residing in the northern region of the country and mostly married. Around half of the respondents admitted taking some psychotropic drug, namely selective serotonin reuptake inhibitor(s) or benzodiazepines. Caregivers who use medication report being moderately satisfied with it, and global satisfaction was correlated with the convenience and effectiveness of the medication. Caregivers also demonstrate that being a caregiver has a high impact on their quality of life, and informal caregivers are those who report a more severe state of depression, anxiety, and stress. The current study highlights the need to assess mental health status and the impact of pharmacotherapy on the quality of life of caregivers of elderly patients.

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Referências

Chyczij, F. F., Ramos, C., Santos, A., Jesus, L., & Alexandre, J. (2020). Prevalência da depressão, ansiedade e stress numa unidade de saúde familiar do norte de Portugal. Revista de Enfermagem Referência, V Série(No 2), e19094. https://doi.org/10.12707/RIV19094

Clipp, E. C., & George, L. K. (1990). Psychotropic drug use among caregivers of patients with dementia. Journal of the American Geriatrics Society, 38(3), 227–235. https://doi.org/10.1111/j.1532-5415.1990.tb03496.x

de Carvalho, Á., Xavier, M., Domingos, P., Almeida, C., Pires, P., & Szabzon, F. (2017). Programa nacional para a saúde mental.

Denche-Zamorano, A., Rodriguez-Redondo, Y., Barrios-Fernandez, S., Mendoza-Muñoz, M., Rojo-Ramos, J., Garcia-Gordillo, M. A., Adsuar, J. C., & Muñoz-Bermejo, L. (2023). Depression, anxiety and antidepressants and anxiolytics use in Spanish informal caregivers according to the physical activity frequency: EHSS 2014–2020. Healthcare, 11(7), 990. https://doi.org/10.3390/healthcare11070990

Ferreira, F., Pinto, A., Laranjeira, A., Pinto, A. C., Lopes, A., Viana, A., Rosa, B., Esteves, C., Pereira, I., Nunes, I., Miranda, J., Fernandes, P., & Leal, V. (n.d.). Validação da escala de Zarit: Sobrecarga do cuidador em cuidados paliativos domiciliares, para população portuguesa.

Gautam, S., Jain, A., Gautam, M., Vahia, V., & Gautam, A. (2017). Clinical practice guidelines for the management of generalized anxiety disorder (GAD) and panic disorder (PD). Indian Journal of Psychiatry, 59(5), 67. https://doi.org/10.4103/0019-5545.196975

Grace, E. L., Burgio, L. D., Allen, R. S., DeCoster, J., Aiello, A. E., & Algase, D. L. (2016). Caregiver and care recipient characteristics as predictors of psychotropic medication use in community-dwelling dementia patients. Aging & Mental Health, 20(12), 1297–1304. https://doi.org/10.1080/13607863.2015.1075960

Kalra, H., Kamath, P., Trivedi, J. K., & Janca, A. (2008). Caregiver burden in anxiety disorders. Current Opinion in Psychiatry, 21(1), 70–73. https://doi.org/10.1097/YCO.0b013e3282f2dfca

Katzman, M. A., Bleau, P., Blier, P., Chokka, P., Kjernisted, K., & Ameringen, M. V. (2014). Canadian clinical practice guidelines for the management of anxiety, posttraumatic stress and obsessive-compulsive disorders.

Loo, Y., Yan, S., & Low, L. (2022). Caregiver burden and its prevalence, measurement scales, predictive factors and impact: A review with an Asian perspective. Singapore Medical Journal, 63(10), 593. https://doi.org/10.11622/smedj.2021033

Moriarty, J., Maguire, A., O’Reilly, D., & McCann, M. (2015). Bereavement after informal caregiving: Assessing mental health burden using linked population data. American Journal of Public Health, 105(8), 1630–1637. https://doi.org/10.2105/AJPH.2015.302597

OECD & European Union. (2022). Health at a glance: Europe 2022: State of health in the EU cycle. OECD. https://doi.org/10.1787/507433b0-en

Pais-Ribeiro, J. L., Honrado, A., & Leal, I. (n.d.). Contribuição para o estudo da adaptação portuguesa das escalas de ansiedade, depressão e stress (EADS) de 21 itens de Lovibond e Lovibond.

Park, L. T., & Zarate, C. A. (2019). Depression in the primary care setting. New England Journal of Medicine, 380(6), 559–568. https://doi.org/10.1056/NEJMcp1712493

Penninx, B. W., Pine, D. S., Holmes, E. A., & Reif, A. (2021). Anxiety disorders. The Lancet, 397(10277), 914–927. https://doi.org/10.1016/S0140-6736(21)00359-7

Volpicelli Leonard, K., Robertson, C., Bhowmick, A., & Herbert, L. B. (2020). Perceived treatment satisfaction and effectiveness facilitators among patients with chronic health conditions: A self-reported survey. Interactive Journal of Medical Research, 9(1), e13029. https://doi.org/10.2196/13029