| mawaycle |
DATUM: NEDELJA, 2013-08-18, 19:59:04 | PORUKA # 1 |
POSTOVA: 1
STATUS: OFFLINE
LOKACIJA: Colonel Hill-South Georgia and the South Sandwich Islands |
At each meeting, the patients underwent a battery of tests to assess physical, cognitive, functional and behavioral health. The researchers also interviewed the caregivers - spouses, adult children or adult children-in-law - about the caregiving environment and gave them a survey to assess how close their relationships were with the patients. The survey asked caregivers to rate their level of agreement or disagreement with six statements, such as My relationship with the care recipient is close; The care recipient makes me feel like a special person; and The care recipient and I can always discuss things together. At the outset of the study, all patients scored similarly on cognitive and functional tests.
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However, as time progressed, the researchers found marked differences between patients whose caregivers had scored their relationships as close or more distant on the surveys. Patients with whose caregivers felt particularly close to them retained more of their cognitive function over the course of the study, losing less than half as many points on average by the end of the study on a common cognitive test called the Mini-Mental State Exam (MMSE), compared to patients with more distant caregivers. Patients with close caregivers also scored better on a functional test called the Clinical Dementia Rating, remaining significantly closer to baseline over time compared to those with more distant caregivers. The closeness effect was heightened for pairs in which the caregiver was a spouse, as opposed to an adult child or in-law. Patients with close spouses declined the slowest overall, with scores on the MMSE showing changes over time similar to patients participating in recent clinical trials for FDA-approved Alzheimer's drugs called acetylcholinesterase inhibitors. We've shown that the benefits of having a close caregiver, especially a spouse, may be substantial. The difference in cognitive and functional decline over time between close and not-as-close pairs can mean the difference between staying at home or going to a nursing facility, says Lyketsos. The study was funded by grants from the National Institute on Aging, one of the National Institutes of Health.
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