Perfil clínico de pacientes con enfermedad de Alzheimer atendidos en centros de día psicogeriátricos / Clinical profile of patients with Alzheimer´s disease attended at psychogeriatric day centers

Objetivo: Describir las características sociodemográficas,perfil cognitivo, estado funcional y síntomas conductualesy psicológicos (SCP) en 125 pacientes conenfermedad de Alzheimer (EA), así como la carga desus cuidadores.Material y métodos: Se recogieron datos sociodemográficosy clínicos y se evaluaron: estadio de la demencia(Global Deterioration Scale), cognición (Mini Mental StateExamination/MMSE, Fluencia Verbal Semántica yFonológica, Rey Auditory Verbal Learning Test y TrailMaking Test), estado funcional (Bayer Activities of DailyLiving/B-ADL), SCP (Neuropsychiatric Inventory) y cargadel cuidador (atención a las actividades básicas de la vidadiaria/ABVD, Hamilton Depression Rating Scale/HDRS,State-Trait Inventory/STAI y subescala de sufrimiento delNeuropsychiatric Inventory).Resultados: El 70%de los pacientes eran mujeres (edadmedia: 76 años), con un tiempo de evolución de la demenciade 62 meses. Sufrían un deterioro cognitivo moderado(MMSE: 14,46 ± 4,81), un deterioro funcional moderado/grave (B-ADL: 8,92 ± 1,31). El 98% presentaron SCP.El 79% de los cuidadores fueron mujeres (edad media: 61años), dedicaban 2,34 ± 1,61 horas diarias a la atención deABVD. Presentaban niveles elevados de ansiedad (STAI:35,59 ± 7,05) y depresión (HDRS: 14,28 ± 6,66).Conclusiones: Nuestros resultados indican que lospacientes con EA atendidos en centros de día psicogeriátricosson mayoritariamente mujeres, con un deteriorocognitivo y funcional moderadamente graves y conuna elevada frecuencia de SCP. Sus cuidadores principalespresentan síntomas de ansiedad y depresión

Objective: The objective of this study is to describethe socio-demographic data, cognitive profile, functionalstatus and behavioral and psychological symptoms(BPS) in a group of 125 patients diagnosed withAlzheimer’s disease (AD), as also the burden and distressof their caregivers.Material and methods:We collected socio-demographicand clinical data and assessment: stage of dementia(Global Deterioration Scale), cognitive functions (MiniMental State Examination/MMSE, Semantic and PhonemicVerbal Fluency, Rey Auditory Verbal Learning Testand Trail Making Test), activities of daily living (BayerActivities of Daily Living/B-ADL), BPS (NeuropsychiatricInventory) and caregiver’s burden (number of hoursof attention given to the basic activities of dailyliving/BADL, Hamilton Depression Rating Scale/HDRS,State-Trait Inventory /STAI and NPI-distress Scale).Results: 70% of patients were women (mean age: 76years old), with a mean time of dementia of 62 months.They had a moderate cognitive impairment (MMSE:14.46 ± 4.81) and a severe functional deterioration (BADL:8.92 ± 1.31). A total of 122 patients (98%)showed BPS. 79% of caregiver were women (mean age:61 years old), dedicating an average of 2.34 hours toattend to the BADL, with a high level of anxiety (STAIE:35.59 ± 7.05) and depression (HDRS: 14.28 ± 6.66).Conclusions: The AD patients who attend the psychogeriatricday centers are mainly women, with moderatelysevere cognitive and functional impairment andwith high frequency of BPS. Their main caregiversshow symptoms of anxiety and depression