Hostname: page-component-8448b6f56d-xtgtn Total loading time: 0 Render date: 2024-04-23T11:32:39.778Z Has data issue: false hasContentIssue false

An International Needs Assessment of Caregivers for Frontotemporal Dementia

Published online by Cambridge University Press:  18 February 2016

Tiffany W. Chow*
Affiliation:
Rotman Research Institute, Baycrest, University of Toronto, Toronto, Ontario Division of Neurology, University of Toronto, Toronto, Ontario
Fabricio J. Pio
Affiliation:
Rotman Research Institute, Baycrest, University of Toronto, Toronto, Ontario
Kenneth Rockwood
Affiliation:
Department of Medicine and Division of Geriatric Psychiatry, Department of Psychiatry, University of Toronto, Toronto, Ontario DGI Clinical, Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada
*
Rotman Research Institute, Baycrest, 3560 Bathurst Street, 8th Floor Brain Health Complex, Toronto, Ontario, M6A 2E1, Canada
Rights & Permissions [Opens in a new window]

Abstract:

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Objective:

To guide development of public awareness and caregiver support resources for frontotemporal dementia (FTD) syndromes.

Methods:

We used an online survey to explore their needs. The survey was self-administered by self-identified, English-speaking caregivers for patients with FTD in several countries.

Results:

Of 79 caregiver respondents, approximately half were caring for patients with behavioural variant FTD or semantic dementia. The most common initial symptoms were Changes in Thinking and Judgment. Half of the respondents identified “failure to recognize the early stage of illness as a dementia” as the most troublesome aspect. Accordingly, over 40% of respondents had difficulty obtaining an accurate diagnosis for the patient. Caregivers prioritized family counseling and the public educational message that dementia can affect young people.

Conclusion:

The largest international survey of FTD caregivers to-date showed that support is needed for all family members adapting to the shock of early-onset dementia, and this may be most readily provided online.

Type
Original Article
Copyright
Copyright © Canadian Neurological Sciences Federation 2011

References

1.Chow, TW, Boone, K, Mishkin, F, Miller, BL. Behavioral changes in subtypes of primary progressive aphasia and other frontotemporal dementias. Rotman Institute Frontal Lobes Meeting; 2000; Toronto, Canada,: Brain and Cognition; 2000.Google Scholar
2.Snowden, JS, Neary, D. Neuropsychiatrie aspects of frontotemporal dementias. Curr Psychiatry Rep. 1999;1:93–8.CrossRefGoogle Scholar
3.Mendez, MF, Chow, T, Ringman, J, Twitchell, G, Hinkin, CH. Pedophilia and temporal lobe disturbances. J Neuropsychiatry Clin Neurosci. 2000;12:71–6.CrossRefGoogle ScholarPubMed
4.Mendez, MF, Perryman, KM, Miller, BL, Swartz, JR, Cummings, JL. Compulsive behaviors as presenting symptoms of frontotemporal dementia. J Geriate Psychiatry Neurol. 1997;10(4): 154–7.CrossRefGoogle ScholarPubMed
5.Mioshi, E, Bristow, M, Cook, R, Hodges, JR. Factors underlying caregiver stress in frontotemporal dementia and Alzheimer’s disease. Dement Geriate Cogn Disord. 2009;27(1):7681.CrossRefGoogle ScholarPubMed
6.Grinberg, A, Lagunoff, J, Phillips, D, Stern, B, Goodman, M, Chow, TW. Multidisciplinary design and implementation of a day program specialized for the frontotemporal dementias. Am J Alzheimers Dis Other Demen. 2008;22:499506.CrossRefGoogle Scholar
7.Shinagawa, S, Ikeda, M, Fukuhara, R, Tanabe, H. Initial symptoms in frontotemporal dementia and semantic dementia compared with Alzheimer’s disease. Dement Geriatr Cogn Disord. 2006;21(2): 7480.CrossRefGoogle ScholarPubMed
8.Lindau, M, Almkvist, O, Kushi, J, et al.First symptoms-frontotemporal dementia versus Alzheimer’s disease. Dement Geriatr Cogn Disord. 2000 Sep-Oct;ll(5):286–93.CrossRefGoogle Scholar
9.Pijnenburg, YA, Gillissen, F, Jonker, C, Scheltens, P. Initial complaints in frontotemporal lobar degeneration. Dement Geri Cogn Disord. 2004;17(4):302–6.CrossRefGoogle ScholarPubMed
10.Rascovsky, K, Hodges, JR, Knopman, D, et al.Sensitivity of diagnostic criteria in autopsy-confirmed patients with behavioral variant frontotemporal dementia (bvFTD): First report of the International bvFTD Criteria Consortium. Neurology. 2011 ;76 (Supp 4):A262-3.Google Scholar
11.Speedily, CM, Bridges-Webb, C, Passmore, E. The pathway to dementia diagnosis. Med J Aust. 2008 Nov 3; 189(9):487–9.Google Scholar
12.Rosness, TA, Haugen, PK, Engedal, K. Support to family carers of patients with frontotemporal dementia. Aging Ment Health. 2008 Jul;12(4):462–6.CrossRefGoogle ScholarPubMed