Coping Strategies and Distress in Patients and Caregivers Dealing with Neurocognitive Disorders

Background and Aims: Quality of life (QoL) is described as the individual’s perception of life in relation to the cultural context and value system in which they live, and their objectives, expectations and interests. The aim of the present study is to investigate the perceptions of QoL on the part of patients with Mild Cognitive Impairment (MCI) or mild dementia and on the part of their caregivers, by examining how they are influenced by factors such as anosognosia, coping strategies, perceived stress and caregiver burden. Methods: QoL was assessed in a sample of 30 patients with MCI or mild dementia and their caregivers using the QoL-AD. Other variables were measured with the AQ-D, PSS-10, COPE-NVI-25 and CBI instruments. We also assessed patients’ levels of cognitive impairment with the MMSE. Results: Patients’ QoL ratings were significantly higher than those of their respective caregivers. Patients’ perceptions of QoL were predicted by their caregiver’s avoidance coping strategy (β = -0.591, p < 0.01), whereas the caregivers’ perceptions of QoL were predicted by their perceived stress levels (β = -0.567, p < 0.01), the patient’s transcendent orientation (β = -0.369, p < 0.05) and the caregiver’s positive attitude coping strategy (β = 0.312, p < 0.05). Conclusions: This study shows that perception of QoL is mostly influenced by coping strategies and perceived stress, and that caregivers’ dysfunctional coping strategies can affect patients’ perceptions of QoL. Our data also highlight the crucial role of the caregiver in the treatment of neurocognitive disorders.