{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T17:03:42Z","timestamp":1777395822871,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAD"],"published-print":{"date-parts":[[2021,9,14]]},"abstract":"<jats:p>Background: The impact of the new coronavirus disease (COVID-19) is deteriorating as time passes and the virus keeps spreading, with people with dementia and their caregivers being affected significantly. Objective: The aim of this study was to examine the effect of prolonged isolation because of the COVID-19 pandemic on people with dementia and their caregivers. Methods: Caregivers answered online questions regarding their own physical and psychological burden, and of the person they take care of. Participants were mostly members of online seminars of the Athens Alzheimer\u2019s Association. Questions referred to their own burden, the overall decline of the persons they take care of, and changes in specific domains as well. Further, participants were asked about any changes between the two major lockdown periods. Analysis was performed including the total sample and then, by three different stages of dementia. Results: A total of 339 caregivers took part in the study. Results indicated significant decline, both in an overall aspect of the people with dementia, and in specific domains (mostly communication and mood). Regarding the caregivers, they reported having significantly increased physical and psychological burden, and also, noticing an overall change between the two lockdown periods in their own burden. Analysis by dementia-stage group indicated that significant decline occurred both in the middle-stage and the late-stage group. Conclusion: An urgency for further support of both the people with neurodegenerative disorders and their caregivers is needed. Collaboration among care workers, online programs, governmental support, and day-care centers should be planned to ensure continuity of care for those in need during the pandemic.<\/jats:p>","DOI":"10.3233\/jad-210702","type":"journal-article","created":{"date-parts":[[2021,7,20]],"date-time":"2021-07-20T12:53:21Z","timestamp":1626785601000},"page":"907-913","source":"Crossref","is-referenced-by-count":13,"title":["The Effect of Prolonged Lockdown Due to COVID-19 on Greek Demented Patients of Different Stages and on Their Caregivers"],"prefix":"10.1177","volume":"83","author":[{"given":"Angeliki","family":"Tsapanou","sequence":"first","affiliation":[{"name":"Athens Alzheimer\u2019s Association, Athens, Greece"},{"name":"Cognitive Neuroscience Division, Columbia University, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Panagiota","family":"Zoi","sequence":"additional","affiliation":[{"name":"Athens Alzheimer\u2019s Association, Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Faidra","family":"Kalligerou","sequence":"additional","affiliation":[{"name":"Athens Alzheimer\u2019s Association, Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patra","family":"Blekou","sequence":"additional","affiliation":[{"name":"Athens Alzheimer\u2019s Association, Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paraskevi","family":"Sakka","sequence":"additional","affiliation":[{"name":"Athens Alzheimer\u2019s Association, Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","reference":[{"key":"10.3233\/JAD-210702_ref2","doi-asserted-by":"crossref","first-page":"1673","DOI":"10.1111\/jgs.16644","article-title":"Facing dementia during the COVID-19 outbreak","volume":"68","author":"Canevelli","year":"2020","journal-title":"J Am Geriatr Soc"},{"key":"10.3233\/JAD-210702_ref3","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1017\/ipm.2020.35","article-title":"COVID-19 pandemic: Challenges and opportunities for the Greek health care system","volume":"37","author":"Giannopoulou","year":"2020","journal-title":"Ir J Psychol Med"},{"key":"10.3233\/JAD-210702_ref12","doi-asserted-by":"crossref","first-page":"1190","DOI":"10.1016\/S0140-6736(20)30755-8","article-title":"Dementia care during COVID-19","volume":"395","author":"Wang","year":"2020","journal-title":"Lancet"},{"key":"10.3233\/JAD-210702_ref13","doi-asserted-by":"crossref","DOI":"10.1177\/2333721421999279","article-title":"Exploring changes in caregiver burden and caregiving intensity due to COVID-19","volume":"7","author":"Cohen","year":"2021","journal-title":"Gerontol Geriatr Med"},{"key":"10.3233\/JAD-210702_ref14","doi-asserted-by":"crossref","first-page":"e241","DOI":"10.1093\/geronb\/gbaa129","article-title":"Dementia caregiving during the \u201cstay-at-home\u201d phase of COVID-19 pandemic","volume":"76","author":"Savla","year":"2021","journal-title":"J Gerontol B Psychol Sci Soc Sci"},{"key":"10.3233\/JAD-210702_ref15","doi-asserted-by":"crossref","first-page":"1377","DOI":"10.1017\/S1041610220001593","article-title":"Living with dementia: Increased level of caregiver stress in times of COVID-19","volume":"32","author":"Cohen","year":"2020","journal-title":"Int Psychogeriatr"},{"key":"10.3233\/JAD-210702_ref16","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1002\/gps.5457","article-title":"The impact of COVID-19 pandemic on people with mild cognitive impairment\/dementia and on their caregivers","volume":"36","author":"Tsapanou","year":"2021","journal-title":"Int J Geriatr Psychiatry"},{"key":"10.3233\/JAD-210702_ref17","doi-asserted-by":"crossref","first-page":"625781","DOI":"10.3389\/fnagi.2020.625781","article-title":"The impact of COVID-19 quarantine on patients with dementia and family caregivers: A nation-wide survey","volume":"12","author":"Rainero","year":"2020","journal-title":"Front Aging Neurosci"},{"key":"10.3233\/JAD-210702_ref19","doi-asserted-by":"crossref","first-page":"27","DOI":"10.3390\/socsci10010027","article-title":"What about the \u201cSocial Aspect of COVID\u201d? Exploring the determinants of social isolation on the Greek population during the COVID-19 lockdown","volume":"10","author":"Anastasiou","year":"2021","journal-title":"Soc Sci"},{"key":"10.3233\/JAD-210702_ref20","doi-asserted-by":"crossref","first-page":"821","DOI":"10.3389\/fpsyt.2020.00821","article-title":"Psychological and behavioral responses to the COVID-19 pandemic in Greece","volume":"11","author":"Parlapani","year":"2020","journal-title":"Front Psychiatry"},{"key":"10.3233\/JAD-210702_ref21","doi-asserted-by":"crossref","first-page":"912","DOI":"10.1016\/S0140-6736(20)30460-8","article-title":"The psychological impact of quarantine and how to reduce it: Rapid review of the evidence","volume":"395","author":"Brooks","year":"2020","journal-title":"Lancet"},{"key":"10.3233\/JAD-210702_ref22","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1038\/s41531-020-00128-9","article-title":"Synergy of pandemics-social isolation is associated with worsened Parkinson severity and quality of life","volume":"6","author":"Subramanian","year":"2020","journal-title":"NPJ Parkinsons Dis"},{"key":"10.3233\/JAD-210702_ref23","doi-asserted-by":"crossref","first-page":"577427","DOI":"10.3389\/fpsyt.2020.577427","article-title":"The effects of COVID-19 among the elderly population: A case for closing the digital divide","volume":"11","author":"Martins Van Jaarsveld","year":"2020","journal-title":"Front Psychiatry"},{"key":"10.3233\/JAD-210702_ref24","doi-asserted-by":"crossref","DOI":"10.1177\/1533317520976720","article-title":"The effects of COVID-19 home confinement in dementia care: Physical and cognitive decline, severe neuropsychiatric symptoms and increased caregiving burden","volume":"35","author":"Borges-Machado","year":"2020","journal-title":"Am J Alzheimers Dis Other Demen"}],"container-title":["Journal of Alzheimer's Disease"],"original-title":[],"link":[{"URL":"https:\/\/content.iospress.com\/download?id=10.3233\/JAD-210702","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T10:06:51Z","timestamp":1777370811000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/full\/10.3233\/JAD-210702"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,14]]},"references-count":14,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.3233\/jad-210702","relation":{},"ISSN":["1387-2877","1875-8908"],"issn-type":[{"value":"1387-2877","type":"print"},{"value":"1875-8908","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,14]]}}}