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      Memory and behavior-related problems of patients with neurocognitive disorders and the attitudes of their caregivers

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          Abstract

          Objective: The purpose of this study was to investigate the memory and behavior-related problems of patients with neurocognitive disorders and the attitudes of their caregivers so as to provide an effective basis for nursing interventions against such problems.

          Methods: The subjects were selected from patients who were under treatment or short-term hospitalization between April 2011 and March 2012. One hundred fifty-three patients with neurocognitive disorders and their major caregivers were selected from 9 Grade 3 Class A hospitals of Hunan Province. The Revised Memory and Behavior Problems Checklist (RMBPC) was used to measure the memory and behavior-related problems of patients with neurocognitive disorders and the influence on their caregivers. The occurrence of different memory and behavior-related problems and the distress on their caregivers was compared.

          Results: The RMBPC investigation showed that among 153 patients and their caregivers, 152 (99.3%) had memory-related problems, 137 (89.5%) had depression, and 136 patients (88.9%) had destructive behaviors. The incidence of memory-related problems was higher than depression and destructive behaviors ( P<0.01). Caregivers bore more distress when encountering destructive behaviors (1.95±1.13 points) than memory-related problems and depression (0.91±0.76 points and 0.89±0.85 points; P<0.01). Curve fitting was used to analyze the relationship between the number of memory and behavior-related problems and the distress on their caregivers. A curve correlation existed between the two factors (the recorded maximum value of the Cubic equation curve was 0.278, F=229.212, P<0.05).

          Conclusion: Among patients with neurocognitive disorders, memory-related problems had the highest incidence, while the caregivers bore the strongest distress when encountering destructive behaviors, thus interventions should be conducted in consideration of patient memory and behavior-related problems, and caregivers’ attitude to further reduce caregiver burden.

          Most cited references17

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          Stress, Appraisal, and Coping

          <p><b>The reissue of a classic work, now with a foreword by Daniel Goleman!</b><p>Here is a monumental work that continues in the tradition pioneered by co-author Richard Lazarus in his classic book <i>Psychological Stress and the Coping Process</i>. Dr. Lazarus and his collaborator, Dr. Susan Folkman, present here a detailed theory of psychological stress, building on the concepts of cognitive appraisal and coping which have become major themes of theory and investigation.</p> <p>As an integrative theoretical analysis, this volume pulls together two decades of research and thought on issues in behavioral medicine, emotion, stress management, treatment, and life span development. A selective review of the most pertinent literature is included in each chapter. The total reference listing for the book extends to 60 pages.</p> <p>This work is necessarily multidisciplinary, reflecting the many dimensions of stress-related problems and their situation within a complex social context. While the emphasis is on psychological aspects of stress, the book is oriented towards professionals in various disciplines, as well as advanced students and educated laypersons. The intended audience ranges from psychiatrists, clinical psychologists, nurses, and social workers to sociologists, anthropologists, medical researchers, and physiologists.</p>
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            How much striving is too much? John Henryism active coping predicts worse daily cortisol responses for African American but not white female dementia family caregivers.

            The John Henryism active coping (JHAC) hypothesis suggests that striving with life challenges predicts increased risk for cardiovascular disease for those with scarce coping resources. This study examined the moderating role of JHAC in the associations of 1) caregiver status and 2) care recipient functional status with diurnal salivary cortisol patterns among 30 African Americans (AAs) and 24 white female dementia caregivers and 63 noncaregivers (48 AAs).
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              Revised memory and behavior problems checklist in Taiwanese patients with Alzheimer’s disease

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                Author and article information

                Journal
                FMCH
                Family Medicine and Community Health
                FMCH
                Family Medicine and Community Health & American Chinese Medical Education Association (USA )
                xxx-xxx
                2305-6983
                December 2013
                December 2014
                : 1
                : 4
                : 23-30
                Affiliations
                [1] 1School of Nursing, Central South University, Hunan 410013, China
                [2] 2The Medical College of Hunan Normal University, Hunan 410006, China
                Author notes
                CORRESPONDING AUTHOR: Siyuan Tang, School of Nursing, Central South University, Hunan 410013, China, E-mail: tangsyuan@ 123456126.com
                Funding: This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
                Article
                fmch20140113
                10.15212/FMCH.2014.0113
                22f66cc3-e964-4a03-9e39-fae57aed2733
                Copyright © 2013 Family Medicine and Community Health

                This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

                History
                : 7 October 2013
                : 30 November 2013
                Categories
                Original Research

                General medicine,Medicine,Geriatric medicine,Occupational & Environmental medicine,Internal medicine,Health & Social care
                Neurocognitive disorders,Memory Disorder,Revised Memory and Behavior Problems Checklist,Caregiver,Attitude

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