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Analysis of burden in caregivers of people with Alzheimer’s disease using self-report and supervision hours

The Journal of nutrition, health & aging, 2014-07, Vol.18 (7), p.677-684 [Peer Reviewed Journal]

Serdi and Springer-Verlag France 2014 ;2015 INIST-CNRS ;ISSN: 1279-7707 ;ISSN: 1760-4788 ;EISSN: 1760-4788 ;DOI: 10.1007/s12603-014-0500-x ;PMID: 25226106

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Title:
Analysis of burden in caregivers of people with Alzheimer’s disease using self-report and supervision hours
Author: Haro, J. M ; Kahle-Wrobleski, Kristin ; Bruno, G ; Belger, M ; Dell’Agnello, G ; Dodel, R ; Jones, R. W ; Reed, C. C ; Vellas, B ; Wimo, A ; Argimon, J. M
Subjects: Activities of Daily Living ; Adult and adolescent clinical studies ; Aged ; Aging ; Alzheimer disease ; Alzheimer Disease - diagnosis ; Alzheimer Disease - economics ; Biological and medical sciences ; caregivers ; Caregivers - psychology ; Cost of Illness ; Cross-Sectional Studies ; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases ; Depression - epidemiology ; disease severity ; distress ; Feeding. Feeding behavior ; Female ; Follow-Up Studies ; France ; Fundamental and applied biological sciences. Psychology ; funding ; Geriatrics/Gerontology ; Germany ; Humans ; Linear Models ; Longitudinal Studies ; Male ; Medical sciences ; Medicin och hälsovetenskap ; Medicine ; Medicine & Public Health ; Middle Aged ; Multivariate Analysis ; Neurology ; Neurosciences ; Nutrition ; observational studies ; Organic mental disorders. Neuropsychology ; patients ; Primary Care Medicine ; Prospective Studies ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Quality of Life Research ; regression analysis ; Residence Characteristics ; Self Report ; United Kingdom ; Vertebrates: anatomy and physiology, studies on body, several organs or systems
Is Part Of: The Journal of nutrition, health & aging, 2014-07, Vol.18 (7), p.677-684
Description: OBJECTIVES: This study aimed to describe the baseline characteristics of informal carers of community-living Alzheimer’s disease (AD) patients by AD severity group and to identify factors associated with two measures of caregiver burden. DESIGN AND SETTING: GERAS is a prospective observational study in France, Germany, and the UK, designed to assess costs and resource use associated with AD, for patients and their caregivers, stratified by disease severity. PARTICIPANTS: 1497 community-dwelling AD patients and their primary caregivers. MEASUREMENTS: Subjective caregiver burden assessed using the Zarit Burden Interview [ZBI] and time spent supervising patients (an objective measure of burden recorded using the Resource Utilization in Dementia instrument) during the month before the baseline visit were recorded. Separate multiple linear regression analyses using ZBI total score and caregiver supervision time as dependent variables were performed to identify patient and caregiver factors independently associated with caregiver burden. RESULTS: Increasing AD severity was associated with both subjective caregiver burden (ZBI total score) and overall caregiver time, which includes supervision time (both p<0.001, ANOVA). Better patient functioning (on instrumental activities of daily living) was independently associated with both a lower ZBI total score and less supervision time, whereas higher levels of caregiver distress due to patient behavior were associated with greater caregiver burden. Other factors independently associated with an increased ZBI total score included younger caregiver age, caregiver self-reported depression, caring for a male patient, and longer time since AD diagnosis. Caregivers living with the patient, being a male caregiver, patient living in a rural location, higher patient behavioral problem subdomain scores for apathy and psychosis, more patient emergency room visits, not receiving food delivery and receiving financial support for caregiving were all associated with greater caregiver supervision time. CONCLUSION: Our results show that subjective caregiver burden and caregiver time are influenced by different factors, reinforcing the need to consider both aspects of caregiving when trying to minimize the burden of AD. However, interventions that minimize caregiver distress and improve patient functioning may impact on both subjective and objective burden.
Publisher: Paris: Springer-Verlag
Language: English
Identifier: ISSN: 1279-7707
ISSN: 1760-4788
EISSN: 1760-4788
DOI: 10.1007/s12603-014-0500-x
PMID: 25226106
Source: ProQuest One Psychology
MEDLINE
SWEPUB Freely available online
ProQuest Central

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Analysis of burden in caregivers of people with Alzheimer’s disease using self-report and supervision hours

Serdi and Springer-Verlag France 2014 ;2015 INIST-CNRS ;ISSN: 1279-7707 ;ISSN: 1760-4788 ;EISSN: 1760-4788 ;DOI: 10.1007/s12603-014-0500-x ;PMID: 25226106

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