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Chiari A, Pistoresi B, Galli C, Tondelli M, Vinceti G, Molinari MA, Addabbo T, Zamboni G. Determinants of Caregiver Burden in Early-Onset Dementia. Dement Geriatr Cogn Dis Extra 2021; 11:189-197. [PMID: 34721497 PMCID: PMC8460976 DOI: 10.1159/000516585] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2021] [Accepted: 04/17/2021] [Indexed: 11/29/2022] Open
Abstract
Introduction Caregivers of patients with early-onset dementia (EOD) experience high levels of burden, which is known to be affected by caregivers' psychological features as well as by patients' and caregivers' demographical and social variables. Although potential clinical, demographical, and social determinants have been separately examined, it is not known how they reciprocally interact. Methods Ninety-two consecutive patient-caregiver dyads were recruited from the Cognitive Neurology Clinics of Modena, Northern Italy. Caregivers were asked to fill in questionnaires regarding their burden, psychological distress, and family economic status. Data were analyzed with multivariable regression models and then entered in a mediation model. Results Caregiver burden was positively related to female caregiver sex, spousal relationship to the patient, severity of patient's behavioral symptoms, diagnostic delay, and financial distress of the family. It was negatively related to disease duration, patient's education, region of birth, caregiver age, number of caregiver's days off work, number of offspring, and caregiver perception of patient's quality of life. While the effect of caregiver age, diagnostic delay, and of proxies of family or social network directly impacted on caregiver's burden, the effect of patient's disease duration, being a wife caregiver, financial distress, and number of caregiver's days off work was entirely mediated by the level of caregiver psychological distress. Conclusions Both direct actions (such as increasing social networks and shortening diagnostic delay) and indirect actions aimed at reducing psychological distress (such as increasing the number of caregiver's days off work and financial support) should be planned to reduce caregiver's burden.
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Affiliation(s)
- Annalisa Chiari
- U.O. Neurologia, Azienda Ospedaliero Universitaria di Modena, Modena, Italy
| | - Barbara Pistoresi
- Dipartimento di Economia Marco Biagi, Università di Modena e Reggio Emilia, Modena, Italy
| | - Chiara Galli
- U.O. Neurologia, Azienda Ospedaliero Universitaria di Modena, Modena, Italy.,Dipartimento di Cure Primarie, AUSL Modena, Modena, Italy
| | - Manuela Tondelli
- U.O. Neurologia, Azienda Ospedaliero Universitaria di Modena, Modena, Italy.,Dipartimento di Cure Primarie, AUSL Modena, Modena, Italy
| | - Giulia Vinceti
- U.O. Neurologia, Azienda Ospedaliero Universitaria di Modena, Modena, Italy.,Dipartimento di Scienze Biomediche, Metaboliche e Neuroscienze, Università di Modena e Reggio Emilia, Modena, Italy.,Center for Neurosciences and Neurotechnology, Università di Modena e Reggio Emilia, Modena, Italy
| | | | - Tindara Addabbo
- Dipartimento di Economia Marco Biagi, Università di Modena e Reggio Emilia, Modena, Italy
| | - Giovanna Zamboni
- U.O. Neurologia, Azienda Ospedaliero Universitaria di Modena, Modena, Italy.,Dipartimento di Scienze Biomediche, Metaboliche e Neuroscienze, Università di Modena e Reggio Emilia, Modena, Italy.,Center for Neurosciences and Neurotechnology, Università di Modena e Reggio Emilia, Modena, Italy.,Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom
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Mattei G, Russo T, Addabbo T, Galeazzi GM. The COVID-19 recession might increase discriminating attitudes toward LGBT people and mental health problems due to minority stress. Int J Soc Psychiatry 2021; 67:400-401. [PMID: 32985293 DOI: 10.1177/0020764020960770] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Giorgio Mattei
- Department of Economics & Marco Biagi Foundation, University of Modena and Reggio Emilia, Modena, Italy.,Department of Biomedical, Metabolic, and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy.,Association for Research in Psychiatry, Castelnuovo Rangone, Modena, Italy
| | - Tullia Russo
- Department of Economics & Marco Biagi Foundation, University of Modena and Reggio Emilia, Modena, Italy
| | - Tindara Addabbo
- Department of Economics & Marco Biagi Foundation, University of Modena and Reggio Emilia, Modena, Italy
| | - Gian Maria Galeazzi
- Department of Biomedical, Metabolic, and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy
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Chiari A, Pistoresi B, Galli C, Tondelli M, Vinceti G, Addabbo T, Zamboni G. Determinants of caregiver burden in early onset dementia. Alzheimers Dement 2020. [DOI: 10.1002/alz.043957] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- Annalisa Chiari
- Neurologia Azienda Ospedaliero Universitaria di Modena Modena Italy
| | | | - Chiara Galli
- Neurologia Azienda Ospedaliero Universitaria di Modena Modena Italy
| | | | | | | | - Giovanna Zamboni
- University of Modena and Reggio Emilia Modena Italy
- University of Oxford Oxford United Kingdom
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Starace F, Mungai F, Sarti E, Addabbo T. Self-reported unemployment status and recession: An analysis on the Italian population with and without mental health problems. PLoS One 2017; 12:e0174135. [PMID: 28376098 PMCID: PMC5380304 DOI: 10.1371/journal.pone.0174135] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2016] [Accepted: 02/22/2017] [Indexed: 01/24/2023] Open
Abstract
Purpose During economic recession people with mental health problems have higher risk of losing their job. This paper analyses the issue by considering the Italian rates of unemployment amongst individuals with and without mental health problems in 2005 and 2013, that is prior and during the economic crisis. Methods We used data from the National surveys on “Health conditions and use of health services” carried out by the Italian National Institute of Statistics (ISTAT) for the years 2005 and 2013. The surveys collected information on the health status and socioeconomic conditions of the Italian population. Self-reported unemployment status was analysed amongst individuals with and without reported mental health problems. In addition, descriptive statistics were performed in order to detect possible differences in the risk of unemployment within different regional contexts characterised by different socio-economic conditions. Results The recession determined increased disparities in unemployment rates between people with and without mental health problems. Regardless to the presence of mental health problems, young people were more likely to be unemployed. Among people who reported mental health problems, males were more likely to be unemployed than females. People with low education level were more likely to be unemployed, particularly during the recession and in presence of mental health problems. Changes in unemployment rates due to the crisis showed different patterns across different regions of the Country. Conclusions These analyses confirm that in periods of economic crisis people with mental health problems are at risk of experiencing exclusion from labour market. In addition, the impact is even worse within the group with low education and younger age. These findings emphasise the importance of specific interventions aimed at promoting labour market participation and reintegration for people with mental health problems.
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Affiliation(s)
- Fabrizio Starace
- Department of Mental Health & Drug Abuse, AUSL Modena, Modena, Italy
| | - Francesco Mungai
- Department of Mental Health & Drug Abuse, AUSL Modena, Modena, Italy
- * E-mail:
| | - Elena Sarti
- Department of Economics University of Modena and Reggio Emilia, Modena, Italy, Marco Biagi Foundation
| | - Tindara Addabbo
- Department of Economics University of Modena and Reggio Emilia, Modena, Italy, Marco Biagi Foundation
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Abstract
BACKGROUND The Great Recession has caused worldwide tangible costs in terms of cuts in employment and income, which have been widely recognised also as major social determinants of mental health. Italy has not been spared from the financial crisis with severe societal and mental health consequences. In addition, a strong earthquake hit the province of Modena, Italy, in 2012, that is, amid the crisis. AIMS In this study, we explored and investigated the possible additional impact of concurrent events such as economic crisis and a natural disaster. METHODS Our analysis elaborated data from two local surveys, ICESmo2 (2006) and ICESmo3 (2012), and a national survey carried out in 2013 by the Italian National Institute of Statistics (Istituto Nazionale di Statistica (ISTAT)). A regression model was adopted to distinguish the effect of the crisis and the earthquake. RESULTS Our analysis confirmed the negative effect of the economic crisis on psychological wellbeing, but within the province of Modena such an effect resulted as even stronger compared with the rest of Italy, particularly within those areas struck by the earthquake. CONCLUSION Being hit by a combination of two major negative events might have a significantly increased negative effect on psychological health. The higher repercussion observed is not only attributable to the occurrence of a natural disaster but can be reasonably related to the additional effect of unemployment on psychological dimensions.
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Affiliation(s)
- Fabrizio Starace
- Department of Mental Health and Drug Abuse, AUSL Modena, Modena, Italy
| | - Francesco Mungai
- Department of Mental Health and Drug Abuse, AUSL Modena, Modena, Italy
| | - Elena Sarti
- Marco Biagi Foundation, University of Modena and Reggio Emilia, Modena, Italy
| | - Tindara Addabbo
- Marco Biagi Foundation, University of Modena and Reggio Emilia, Modena, Italy
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Addabbo T, Bertocci F, Fort A, Mugnaini M, Shahin L, Vignoli V, Spinicci R, Rocchi S, Gregorkiewitz M. An Artificial Olfactory System (AOS) for Detection of Highly Toxic Gases in Air Based on YCoO3. ACTA ACUST UNITED AC 2014. [DOI: 10.1016/j.proeng.2014.11.355] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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