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Caregiver burden, as assessed by questionnaire items relating to increased daytime urinary frequency, nocturia, urinary incontinence, and difficulty cleaning the toilet, demonstrated statistically significant associations with J-ZBI scores (0.52, 0.65, 0.79, and 0.83, respectively). The patient group exhibiting moderate to severe AD frequently experienced difficulties such as being unable to clean the toilet, the unpleasant odor of excrement, the need for assistance