Impact of the Pandemic Time on the Mental Health of People with Dementia and Their Family Caregivers in Brazil and Chile: One-Year Follow-Up

J Alzheimers Dis. 2024;98(2):691-698. doi: 10.3233/JAD-231310.

Abstract

Background: Previous studies reported the negative impact of social isolation on mental health in people with dementia (PwD) and their caregivers, butlongitudinal studies seem scarcer.

Objective: To describe a one-year follow-up impact of the COVID-19 pandemic on PwD and their caregivers in both Brazil and Chile.

Methods: This study analyzed the impact of the pandemic on the psychological and physical health of PwD and their family caregivers after one year of follow-up in three outpatient clinics in Brazil (n = 68) and Chile (n = 61).

Results: In both countries, PwD reduced their functional capacity after one year of follow-up (p = 0.017 and p = 0.009; respectively) and caregivers reported worse physical and mental health (p = 0.028 and p = 0.039). Only in Chile, caregivers reported more sadness associated with care (p = 0.001), and reduced time sleeping (p = 0.07).

Conclusions: In conclusion, the COVID-19 pandemic appears to have had a long-lasting impact on PwD and their caregivers. However, it is essential to acknowledge that the inherent progression of dementia itself may also influence changes observed over a year.

Keywords: Alzheimer’s disease; COVID-19; behavioral symptoms; caregiver; dementia; follow-up studies.

MeSH terms

  • Brazil / epidemiology
  • COVID-19* / epidemiology
  • Caregivers / psychology
  • Chile / epidemiology
  • Dementia* / epidemiology
  • Dementia* / psychology
  • Follow-Up Studies
  • Humans
  • Mental Health
  • Pandemics