Cent Eur J Nurs Midw 2018, 9(3):866-872 | DOI: 10.15452/CEJNM.2018.09.0017

Association between burden and depression in caregivers of dementia patients

Taťána Kršíková1,*, Renáta Zeleníková2
1 Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava, Czech Republic (student)
2 Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava, Czech Republic

Aim: The pilot study aimed to determine the association between burden and depression in caregivers caring for dementia patients.

Design: Quantitative research; a cross-sectional study.

Methods: Data were collected using a set of standardized questionnaires. Patients' performance in activities of daily living was assessed using the Barthel scale. The subset for caregivers included the Zarit Burden Interview, Caregiver Strain Index and Beck Depression Inventory.

Results: The pilot study sample comprised 100 lay caregivers of dementia patients. More than 50% of caregivers of patients with moderate to severe dementia experienced moderate to severe burden as compared with those caring for individuals with mild or minimal depression. The median burden scores were 54 and 38 in caregivers with and without depression, respectively. There was no statistically significant difference in burden scores with respect to depression. There were positive correlations between depression measured with the Beck Depression Inventory and both Zarit Burden Interview scores (0.4898) and Caregiver Strain Index scores (0.3379).

Conclusion: The pilot study results confirm that caregivers are at risk for the development of depression associated with burden of care for dementia patients. It is essential to pay attention to carers, testing them regularly to assess both caregiver burden and the development of depression.

Keywords: caregiver burden, caregiver depression, dementia patient

Received: November 15, 2017; Accepted: March 7, 2018; Published: September 30, 2018  Show citation

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Kršíková T, Zeleníková R. Association between burden and depression in caregivers of dementia patients. Central European Journal of Nursing and Midwifery. 2018;9(3):866-872. doi: 10.15452/CEJNM.2018.09.0017.
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References

  1. Aneshensel C, Pearlin L, Mullan J, Zarit S, Whitlatch C. Profiles in caregiving: the unexpected. 1st ed. Amsterdam: Elsevier; 2007.
  2. Atienza AA, Collins R, King AC. The mediating effects of situational control on social support and mood following a stressor: a prospective study of dementia caregivers in their natural environments. Journals of Gerontology: Series B Psychological Sciences and Social Sciences. 2001;56(3):S129-S139. Go to original source... Go to PubMed...
  3. Bártlová S. Postavení laických pečovatelů v péči o seniory a nemocné. Kontakt. 2006;2:235-239. (in Czech) Go to original source...
  4. Bayer A, Reban J. Alzheimer's disease and related conditions. 1st ed. Rudolfov: Medea Press; 2004.
  5. Beck AT, Steer RA, Brown GK. Beck AT, Steer RA, Brown GK. Beck Depression Inventory®-II (BDI®-II). San Antonio, TX: The Psychological Corporation; 1996. Go to original source...
  6. Bekhet AK. Effects of positive cognitions and resourcefulness on caregiver burden among caregivers of persons with dementia. International Journal of Mental Health and Nursing. 2013;22(4):340-346. Go to original source... Go to PubMed...
  7. Brodaty H, Donkin M. Family caregivers of people with dementia. Dialogues in Clinical Neuroscience. 2009;11(2):217-228. Go to original source...
  8. Ferrara M, Langiano E, Di Brango T, De Vito E, Di Cioccio L, Bauco C. Prevalence of stress, anxiety and depression in with Alzheimer caregivers. Health and Quality of Life Outcomes. 2008;6:93. Go to original source... Go to PubMed...
  9. Haškovcová H. Fenomén stáří. 2. vyd. Praha: Havlíček Brain Team; 2010. (in Czech)
  10. Joling KJ, Van Hout HPJ, Schellevis FG, Van Marwijk H. Incidence of depression and anxiety in the spouses of patients with dementia: a naturalistic cohort study of recorded morbidity with a 6 year follow-up. The American Journal of Geriatric Psychiatry. 2010;18(2):146-153. Go to original source... Go to PubMed...
  11. Mahoney F, Barthel D. Functional evaluation: the Barthel Index. Maryland State Medical Journal. 1965;14:61-65. Go to original source...
  12. Majerníková L, Ondriová I, Fertaľová T. Problém záťaže neprofesionálnych opatrovateľov v domácom prostredí. První linie. 2012;2(3):24-25. (in Slovak)
  13. Ondriová I, Fertaľová T. Starostlivosť o pacienta s demenciou v domácom prostredí v kontexte záťaže laických opatrovateľov. Geriatrie a Gerontologie. 2014;3(1):40-43. (in Slovak)
  14. Pidrman V. Demence. 1. vyd. Praha: Grada Publishing; 2007. (in Czech)
  15. Pinquart M, Sörensen S. Helping caregivers of persons with dementia: which interventions work and how large are their effects? International Psychogeriatrics. 2006;18(4):577-595. Go to original source... Go to PubMed...
  16. Robinson BC. Validation of a Caregiver Strain Index. Journal of Gerontology. 1983;38(3):344-348. Go to original source... Go to PubMed...
  17. Schoenmakers B, Buntinx F, DeLepeleire J. Supporting the dementia family caregiver: the effect of home care intervention on general well-being. Aging & Mental Health. 2010;14(1):44-56. Go to original source... Go to PubMed...
  18. Schulz R, Williamson GM. A 2-year longitudinal study of depression among Alzheimerʼs caregivers. Psychology and Aging. 1991;6(4):569-578. Go to original source... Go to PubMed...
  19. Schulz R, Beach SR. Caregiving as a risk factor for mortality: the Caregiver Health Effects Study. JAMA. 1999;282(23):2215-2219. Go to original source... Go to PubMed...
  20. Spruytte N, Van Audenhove Ch, Lammertyn F. Predictors of institutionalization of cognitively-impaired elderly cared for by their relatives. International Journal of Geriatric Psychiatry. 2001;16(12):1119-1128. Go to original source... Go to PubMed...
  21. Thompson EH Jr, Futterman AM, Gallagher-Thompson D, Rose JM, Lovett SB. Social support and caregiving burden in family caregivers of frail elders. Journal of Gerontology. 1993;48(5):S245-S254. Go to original source... Go to PubMed...
  22. Topinková E. Péče o staré v rodině. Lze identifikovat rizikové rodiny s vysokou mírou pečovatelské zátěže? Praktický lékař. 1995;75(7-8):366-369. (in Czech) Go to original source...
  23. Tremont G. Family caregiving in dementia. Medicine and Health Rhode Island. 2011;94(2):36-38. Go to PubMed...
  24. Zvěřová M. Alzheimerova demence a zátěž pečovatele. Česká a slovenská Psychiatrie. 2010;106(5):307-309. (in Czech)
  25. Zvěřová M. Alzheimerova demence a zátěž pečovatele. Disertační práce. Praha: Univerzita Karlova v Praze, 1. Lékařská fakulta, Psychiatrická klinika; 2013. (in Czech)
  26. Zvěřová M. Vliv Alzheimerovy demence na psychosociální zdraví pečující osoby. Česká a slovenská Psychiatrie. 2015;111(2):59-63. (in Czech)

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