Behavioral and Psychological Symptoms of Dementia: Prevalence, Symptom Severity, and Caregiver Distress in South-Western Uganda—A Quantitative Cross-Sectional Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Study Setting
2.3. Study Participants
2.4. Sample Size Determination, Sampling Procedure, and Recruitment
2.5. Data Collection Tools and Data Collection Methods
2.5.1. Neuropsychiatric Inventory–Questionnaire (NPI-Q)
2.5.2. Demographic Questionnaire
2.6. Data Management and Data Analysis
2.7. Quality Assurance
3. Results
3.1. Socio-Demographic Characteristics of the Study Sample
3.2. Prevalence of BPSD
3.3. Correlations between the Total Numbers of BPSD with Other Studied Variables
4. Discussion
Study Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
BPSD | Behavioral and psychological symptoms of dementia |
CBI | Caregiver Burden Inventory |
QoL | Quality of life |
ROTOM | Reach One Touch One Ministries |
SD | Standard deviation |
N | Number |
NPI-Q | Neuropsychiatric Inventory–Questionnaire (NPI-Q) |
NPI | Standard Neuropsychiatric Inventory (NPI) |
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Study Variables | Total Sample; n (%) | Mean ± SD of BPSD |
---|---|---|
Socio-demographic variables | ||
District location | ||
Rubanda District | 131 (74.9) | 7.7 ± 2.9 |
Rukiga District | 44 (25.1) | 5.9 ± 2.5 |
Age (in completed years) | ||
60 years and below | 148 (84.6) | 7.3 ± 3.0 |
Above 60 years | 27 (15.4) | 7.3 ± 2.8 |
Gender | ||
Female | 132 (75.4) | 7.6 ± 2.9 |
Male | 43 (24.6) | 6.3 ± 2.9 |
Marital status | ||
Separated/Divorced | 14 (8.0) | 7.4 ± 2.4 |
Married/Cohabiting | 128 (73.1) | 7.2 ± 3.1 |
Single | 13 (7.4) | 6.6 ± 2.7 |
Widow/Widower | 20 (11.4) | 7.8 ± 2.6 |
Level of education | ||
None | 32 (18.3) | 7.2 ± 2.9 |
Primary | 114 (65.1) | 7.3 ± 2.9 |
Secondary | 19 (10.9) | 8.1 ± 3.3 |
Tertiary | 10 (5.7) | 6.0 ± 2.2 |
Employment status | ||
Previously employed, retired, but currently still active | 1 (0.6) | 2.0 ± 0 |
Previously employed, retired, but currently not active | 10 (5.7) | 6.1 ± 2.0 |
Previously not employed and currently not active | 49 (28.0) | 7.4 ± 2.9 |
Previously not employed and currently still active | 115 (65.7) | 7.4 ± 3.0 |
Presence of chronic illness | ||
Yes | 67 (38.3) | 7.4 ± 2.7 |
No | 108 (61.7) | 7.2 ± 3.1 |
History of alcohol use | ||
Yes | 40 (22.9) | 7.4 ± 2.8 |
No | 135 (77.1) | 7.2 ± 3.0 |
History of cigarette smoking | ||
Yes | 14 (8.0) | 7.2 ± 3.0 |
No | 161 (92.0) | 7.9 ± 2.3 |
BPSD Types | Persons Reporting BPSD N = 175 (%) | Mean Severity ± SD | Severity > 2, n (%) | Mean Distress ± SD | Distress > 3, n (%) |
---|---|---|---|---|---|
Delusions | 109 (62.3) | 2.4 ± 0.7 | 95 (54.3) | 2.7 ± 1.7 | 59 (33.7) |
Hallucinations | 132 (75.4) | 2.5 ± 0.6 | 123 (70.3) | 2.9 ± 1.7 | 76 (43.4) |
Agitation/Aggression | 90 (51.4) | 2.2 ± 0.7 | 75 (42.9) | 2.7 ± 1.6 | 46 (26.3) |
Dysphoria/Depression | 142 (81.1) | 2.3 ± 0.7 | 119 (68.0) | 2.6 ± 1.7 | 69 (39.4) |
Anxiety | 118 (67.4) | 2.2 ± 0.6 | 105 (60.0) | 2.7 ± 1.7 | 61 (34.9) |
Elation/Euphoria | 94 (53.7) | 2.1 ± 0.7 | 61 (34.9) | 1.6 ± 2.0 | 28 (16.0) |
Apathy/Indifference | 99 (56.6) | 2.3 ± 0.8 | 82 (46.9) | 2.2 ± 1.8 | 39 (22.3) |
Disinhibition | 71 (40.6) | 2.2 ± 0.8 | 53 (30.3) | 2.9 ± 1.9 | 39 (22.3) |
Irritability/Lability | 97 (55.4) | 2.4 ± 0.7 | 87 (49.7) | 2.9 ± 1.7 | 57 (32.6) |
Aberrant motor | 111 (63.4) | 2.6 ± 0.6 | 105 (60.0) | 2.5 ± 1.7 | 105 (60.0) |
Nighttime behavior | 90 (51.4) | 2.4 ± 0.8 | 71 (40.6) | 2.6 ± 1.9 | 46 (26.3) |
Appetite/Eating | 118 (67.4) | 1.8 ± 0.7 | 77 (44.0) | 2.1 ± 1.8 | 49 (28.0) |
Study Variables | Pearson Correlation Coefficients | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | |
Age # (1) | 1 | |||||||||||
District location (2) | 0.14 | 1 | ||||||||||
Gender (3) | 0.12 | 0.01 | 1 | |||||||||
Level of education (4) | −0.33 ** | −0.16 * | 0.24 ** | 1 | ||||||||
Marital status (5) | 0.12 | 0.09 | −0.1 | −0.09 | 1 | |||||||
Employment status (6) | −0.05 | 0.07 | −0.20 ** | −0.47 ** | 0.06 | 1 | ||||||
Presence of chronic illness (7) | 0.33 ** | 0.22 ** | −0.04 | −0.17 * | 0.16 * | −0 | 1 | |||||
History of cigarette smoking (8) | 0.17 * | −0.07 | 0.08 | −0.1 | 0.08 | 0.1 | −0.06 | 1 | ||||
History of alcohol use (9) | 0.07 | −0.03 | 0.32 ** | −0.01 | −0.1 | 0 | −0.06 | 0.34 ** | 1 | |||
Total distress score # (10) | −0.11 | −0.22 ** | −0.18 | 0.03 | −0 | 0.1 | 0.09 | 0.08 | 0.03 | 1 | ||
Total severity score # (11) | −0.11 | −0.24 ** | −0.23 ** | 0.01 | 0.02 | 0.1 | 0.08 | 0.06 | 0.02 | 0.82 ** | 1 | |
Cumulative number of BPSD # (12) | −0.07 | −0.28 ** | −0.18 | −0.02 | 0.02 | 0.1 | 0.05 | 0.07 | 0.02 | 0.71 ** | 0.93 ** | 1 |
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Kamoga, R.; Mubangizi, V.; Owokuhaisa, J.; Muwanguzi, M.; Natakunda, S.; Rukundo, G.Z. Behavioral and Psychological Symptoms of Dementia: Prevalence, Symptom Severity, and Caregiver Distress in South-Western Uganda—A Quantitative Cross-Sectional Study. Int. J. Environ. Res. Public Health 2023, 20, 2336. https://doi.org/10.3390/ijerph20032336
Kamoga R, Mubangizi V, Owokuhaisa J, Muwanguzi M, Natakunda S, Rukundo GZ. Behavioral and Psychological Symptoms of Dementia: Prevalence, Symptom Severity, and Caregiver Distress in South-Western Uganda—A Quantitative Cross-Sectional Study. International Journal of Environmental Research and Public Health. 2023; 20(3):2336. https://doi.org/10.3390/ijerph20032336
Chicago/Turabian StyleKamoga, Ronald, Vincent Mubangizi, Judith Owokuhaisa, Moses Muwanguzi, Sylivia Natakunda, and Godfrey Zari Rukundo. 2023. "Behavioral and Psychological Symptoms of Dementia: Prevalence, Symptom Severity, and Caregiver Distress in South-Western Uganda—A Quantitative Cross-Sectional Study" International Journal of Environmental Research and Public Health 20, no. 3: 2336. https://doi.org/10.3390/ijerph20032336