The role of mind theory in patients affected by neurodegenerative disorders and impact on caregiver burden |
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| Institution: | 1. IRCCS Centro Neurolesi “Bonino Pulejo”, Messina, Italy;2. Biomedical Department of Internal Medicine and Medical Specialties, University of Palermo, Italy;1. Unité de neuropsychologie, CMRR, service de neurologie, hôpitaux universitaires de Strasbourg, 1, avenue Molière, 67000 Strasbourg, France;2. Équipe IMIS/Neurocrypto, fédération de médecine translationnelle de Strasbourg (FMTS), laboratoire ICube, université de Strasbourg et CNRS, 1, place de l’Hôpital, 67000 Strasbourg, France;1. Yong Loo Lin School of Medicine, National University of Singapore, 1E Kent Ridge Road, Level 11, Singapore 119228, Singapore;2. Division of Neurosurgery, Department of Surgery, National University Hospital, National University Health System, 1E Kent Ridge Road, Level 11, Singapore 119228, Singapore;3. Department of Neurosurgery, Khoo Teck Puat Hospital, Alexandra Health Private Limited, National University Health System, 90 Yishun Central, Singapore 768828, Singapore;4. Neurosurgery Service, Ng Teng Fong General Hospital, Jurong Health Campus, National University Health System, 1 Jurong East Street 21, Singapore 609606, Singapore;5. Department of Neurosurgery, Addenbrooke’s Hospital, University of Cambridge, Hills Rd, Cambridge CB2 0QQ, United Kingdom;1. The George Washington University School of Medicine and Health Sciences, Department of Neurology, United States |
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| Abstract: | BackgroundTheory of Mind (ToM) is defined as the ability to understand mental and emotional state. This ability is assessed also in neurodegenerative disease. Few studies have investigated the impact that social cognition of patients could have on caregiver burden. The aim of this study was to investigate a possible correlation in level of social cognition impairment between patients with different neurodegenerative disorders and their caregivers with possible impact on caregivers burden.Methodswe enrolled 48 patients with dementia divided in different groups: Fronto-Temporal Dementia (FTD), Alzheimer Disease (AD), and Mild Cognitive Impairment (MCI) and also the three groups of their respective caregivers. All subjects were submitted to ToM tests, and the caregiver groups also to Caregiver Burden Inventory (CBI) to evaluate level of burden.ResultsOur results showed that ToM was more impaired in FTD patients and in their caregivers In addition, FTD group showed more impaired performances in tasks related to emotional skills.ConclusionsWe suggested that ToM impairment of patients are related to ToM impairment of caregivers with differences of scores in caregiver groups. The caregiver difficulties to understand, attribute and describe emotional and mental states of their relatives develop distress and inability in burden management and disorders relative to neurodegenerative disease. |
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| Keywords: | Theory of mind Caregiver Dementia Alzheimer disease Fronto-temporal dementia Mild cognitive impairment |
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