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6 /6 (Pvalue <0/006). 21/7 (Pvalue <0/005) 27/8 25/6.(Pvalue<0/008). ( ) P Bivariate. 1/5 (P value<0/025).(pvalue<0/022) 1/7 3 (β) β 95 β t < 0/001 90/ / / / 346 (Constant) 0/228 0/ 137 4/ / 275 6/ 922 1/ 218 ( ) 0/232 0/ / 547 8/ / 929 1/ 206 0/372 0/ / 547 8/ 182 6/ 683 0/ 898 0/710 0/ / / 924 2/ 515 0/ 374 0/008 0/ / 166 7/ / 584 2/ 750 0/593 0/ / / 314 6/ 357 0/ 536 0/168 0/ / 891 5/ / 105 1/ 394 0/006 0/ / 999 6/ / 677 2/ 826 0/005 0/ / 877 8/ / 815 2/ 915 0/056 0/ 199 5/ 812 0/ 077 2/ 867 1/ 945 0/025 0/ 233 0/ 191 2/ 765 1/ 478 2/ 295 0/022 0/ 213 0/ 243 3/ 076 1/ 659 2/ 340 < 0/001 0/ / 141 4/ / 488 3/ 706

7 : 57/ Backward ) (. Variance Inflation Factor(VIF) ) VIF 3 3/6 1/7 (. (co linearity). 3. 0/542 ) (.(R 2 =0/542).(5). ) (....(21).(10).(16) 14/8 (411).(615) 85...(6710) Bivariate....» «.» «21/7 27/8. 13/1. ).(Pvalue=0/168).(19)

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9 59/ : Bruns A and Iliffe S. Alzheimer s disease BMJ, 2009; 338: Garre Olmo J, Herna ndez Ferra ndiz M and Lozano Gallego M. Burden and quality of life in carers of patients with Alzheimer type dementia. Rev Neurol. 2000; 31: Alzheimer s Association Report 2010, Alzheimer s disease facts and gures Alzheimer s Association, Alzheimer s & Dementia. 2010; 6: CondeSala JL, GarreOlmo J, Turro Garriga O, Lo pez Pousa S and VilaltaFranch J. Factors related to perceived quality of life in patients with Alzheimer s disease: the patient s perception compared with that of caregivers, Int J Geriatr Psychiatry 2009; 24: SerranoAguilar PG, Lopez BJ and YanesLopez V. Impact on HealthRelated Quality of Life and Perceived Burden of Informal Caregivers of Individuals with Alzheimer s Disease. Neuro epidemiology 2006; 27 : Allegri RF, Sarasola D, Serrano CM, Taragano FE, Arizaga RL, Butman J, et al. Neuropsychiatric symptoms as a predictor of caregiver burden in Alzheimer s disease, Neuropsychiatric Disease and Treatment 2006; 2: Daniel I, Kaufer MD, et al. Assessing the Impact of Neuropsychiatric Symptoms in Alzheimer's Disease: The Neuropsychiatric Inventory Caregiver Distress Scale, Journal of the American Geriatrics Society. 1998; 46: Cummings JL, Victoroff JI. Noncognitive neuropsychiatric syndromes in Alzheimer's disease. Neuropsychiatry Neuropsychol Behav Neurol 1990; 3: Mendez MF, Martin RJ, Smyth KA, et al. Psychiatric symptoms associated with Alzheimer's disease. J Neuropsychiatry Clin Neurosci, 1993; 2: Jeffrey L and Cummings MD. The Neuropsychiatric Inventory: Assessing psychopathology in dementia patients, Neurology,1997; Aarsland D, Jeffrey L. Cummings and Jan PL. Neuropsychiatricdiferencesbetweenparkinson sdisease withdementiaandalzheimer's Disease, Int. J. Geriatr. Psychiatry,2001; 16 : Aarsland D, Brønnick K, Ehrt U, De Deyn PP, Tekin S, Emre M. et al. Neuropsychiatric symptoms in patients with Parkinson s disease and dementia: frequency, profile and associated. care giver stress, J. Neurol. Neurosurg. Psychiatry 2007; 78: Steele C, Rovner B, Chase GA and Folstein M. Psychiatric problems and nursing home placement of patients with Alzheimer's disease. Am J Psychiatry. 1990; 147: Mangone CA, Sanguinetti RM, Baumann PD et al. Influence of feelings of burden on the caregiver's perception of the patient's functional status. Dementia. 1993; 4: Choi SH et al, The Korean version of the Neuropsychiatric Inventory: A scoring tool for Neuropsychiatric Disturbance in Dementia Patient, J Korean Med Sci ; 15: Gauthier S, Wirth Y and Mobius HJ. Effects of memantineon behavioural symptoms in Alzheimer s disease patients: an analysis of the Neuropsychiatric Inventory () data of two randomised, controlled studies, Int J Geriatr Psychiatry. 2005; 20: Abdollahpour I, Nedjat S, Noroozian M, Golestan B and Majdzadeh R. Development of a Caregiver Burden Questionnaire for the Patients with Dementia in Iran, Int J Prev Med. 2010; 1: Neuropsychiatric Inventory, Available at: lc2rkzvhdt0%3d Accessed: 15/12/ Karlikaya G, Yukse G and Varlibas F. Caregiver Burden In Dementia: A Study In The Turkish Population. The Internet Journal of Neurology. 2005; Papastavrou E, Kalokerinou A, Savvas S. Papacostas, Tsangari H and Sourtzi P. Caring for a relative with dementia: family caregiver burden. journal of Advanced Nursing. 58; 5: Ana MG, Mingot M, Gomez X, Soler T, Torres G, Sacristan O, et al. Use of the Zarit Scale for assessing caregiver burden and collapse in caregiving at home in dementias. Int. J. Geriatr. Psychiatry 2007; 22: Annerstedt L, Elmstahl S, Ingvad B and Samuelsson SM. Family Caregiving in Dementia:An Analysis of the Caregiver's Burden and the "BreakingPoint" When Home Care Becomes Inadequate,Scand J Public Health. 2000; 28: 2331.

10 8 / Abstracts Iranian Journal of Epidemiology 2011; 7(2): Original Article Psychiatric Symptoms in Patients with Dementia: Prevalence and their Relationship with Caregiver Burden Abdollahpour I 1, Noroozian M 2, Nedjat S 3, Majdzadeh R 4 1 Master of epidemiology, Boukan Health Network. Urmia University of Medical Science, PhD Candidate in Epidemiology, Epidemiology and Biostatistics Department of Public Health School, Tehran University of Medical Sciences, Tehran, Iran 2 Associate Professor of Neurology, Tehran University of Medical Science, Tehran, Iran 3 Epidemiology and Biostatistics Department of Public Health School, Knowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran 4 Professor, Epidemiology and Biostatistics Department of Public Health School, Knowledge Utilization Research Center, Tehran University of Medical Science, Tehran, Iran Corresponding author: Abdollahpour I., ebrahemen@gmail.com Background & Objectives: Although it is important to study the association between caregiver burden and individual with dementia, a little has been paid attention to this issue in Iranian population therefore the aim of study was to investigate the frequency of psychiatric symptoms and patients with dementia and caregiver burden associated with individual with dementia. Methods: In this study 84 patients who had referred to Iran Alzheimer s Association, along with their caregivers were included in our study. Iranian Version of Caregiver Burden and questionnaires were employed. Factors affecting factors on burden was analyzed by multivariate linear regression. Results: Our findings showed that there was at least one psychiatric disorder in all patients. Among all psychiatric symptoms delusion and elation had the highest and lowest rates with 39.3 and 2.4 percentages, respectively. Linear regression indicated that indifference and irritability symptoms were the effective psychiatric symptoms on the amount of burden placed on the caregivers. Conclusion: The symptom frequency of irritability and other symptoms showed a statistically significant positive correlation with caregiver's D score. These findings suggest that improvement of treatments for delusions, irritability among dementia patients may reduce caregiver burden. Keywords: Dementia, Psychiatric symptoms, Caregiver burden, Prevalence, Iran

. Neuropsychiatric Inventory (NPI) :

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