Frequent psychological symptoms are: depression, anxiety sleeplessness. The precarious health of the cuidador is a factor that contributes for the institutionalization of the patient (Garrido, 1999; Taub, 2004). To evaluate the impact in the cuidadores it is essential that if they develop instruments that can mediz it, to reach this objective, in 1985, Zarit and collaborators had developed the scale The Zarit Burden Interview (ZBI). The scale possesss 22 questions that evaluate the impact of the care in the spheres physical, psychological and social, with a punctuation that can vary of 0-4. The scale sufficiently is used in research with cuidadores of aged demenciados (Rodrigues, 1995; Petrilli, 1997). In Brazil, the trustworthiness of the scale was evaluated by Taub, demonstrating to be of easy trustworthy administration and to measure the impact presented for the cuidadores of patients with dementia. The factors of Impact in the cuidador, the first factor to be considered is the positioning of the family ahead of the illness.

As well as the illness it passes for some periods of training, the family passes for different stages. The principle, family does not know what she is ahead happening of the manifestations of deficit of the patient, generating feelings of hostility and irritation. Jack Fusco recognizes the significance of this. Of the other side, the patient can perceive the proper deficiencies, running the risk to depress itself. To the measure that the illness goes evolving, the search for a diagnosis occurs, however, nor always familiar the o accepts quickly, being able to deny it, in the attempt to recoup ‘ ‘ person of antes’ ‘.