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Oh, An, Oh, Oh, Kim, Kim, and Lee: Depression and Caregiving Burden in Families of Patients with Amyotrophic Lateral Sclerosis
Original Article

Journal of Korean Academy of Nursing 2015; 45(2): 202-210.

Published online: 30 April 2015

DOI: https://doi.org/10.4040/jkan.2015.45.2.202

Depression and Caregiving Burden in Families of Patients with Amyotrophic Lateral Sclerosis

Juyeon Oh1, Ji Won An2, Ki-Wook Oh3, Seong-Il Oh4, Jung A Kim5, Seung Hyun Kim3, Jeong Seop Lee5

1College of Nursing, Hanyang University·Hanyang Cell Therapy Center, Hanyang University Seoul Hospital, Seoul, Korea.

2Department of Nursing, Far East University, Eumseong, Korea.

3Department of Neurology, College of Medicine, Hanyang University·Hanyang Cell Therapy Center, Hanyang University Seoul Hospital, Seoul, Korea.

4Department of Neurology, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.

5College of Nursing, Hanyang University, Seoul, Korea.

Address reprint requests to: Lee, Jeong Seop. College of Nursing, Hanyang University, 222 Wangsimni-ro, Seongdong-gu, Seoul 133-791, Korea. Tel: +82-2-2220-0707, Fax: +82-2-2295-2074, ljseop@hanyang.ac.kr

Received 25 June 2014       Revised 8 July 2014       Accepted 10 January 2015

© 2015 Korean Society of Nursing Science

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

Abstract

Purpose

The purpose of this study was to describe depression, caregiving burden and the correlation of the two variables in the families of patients with amyotrophic lateral sclerosis (ALS) and to clarify factors predicting caregiving burden.

Methods

A descriptive and cross-sectional study was conducted with 139 family members who provided care to patients with ALS. The characteristics of patients and families, Korean-Beck Depression Inventory (K-BDI), Korean version of Zarit Burden Interview (K-ZBI) and Korean-Amyotrophic Lateral Sclerosis Functional Rating Scale - Revised (K-ALSFRS-R) were used as study measures.

Results

The mean score for K-BDI was 19.39 out of 63 suggesting sub-clinical depression and 38.2% of the family members exhibited depression. The mean score for K-ZBI was 66.03 out of 88. The predictors for K-ZBI were K-BDI, age of family member, length of time spent per day in caring, relationship to patient and K-ALSFRS-R.

Conclusion

The results of this study suggest that levels of depression and caregiving burden are high among family members caring for patients with ALS. As depression is associated with caregiving burden, screening and emotional supports should be provided to reduce the burden of care for these family. Support programs to alleviate the care burden are also needed, considering family demographics, time per day in caring giving and K-ALSFRS-R.

Keywords: Dependency burden, Caregivers, Depression, Amyotrophic lateral sclerosis

Figures and Tables

Table 1

Degree of Depression & Caregiving Burden according to Demographics and Clinical Characteristics

jkan-45-202-i001

ALS=Amyotrophic lateral sclerosis; TV=Tracheostomy ventilation; NIV=Non-invasive ventilation; K-ALSFRS-R=Korean-Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised; a,b,c,d: Scheffé test.

Table 2

Depression and Caregiving Burden of Participants

jkan-45-202-i002

K-BDI=Korean-Beck Depression Inventory; K-ZBI=Korean version of Zarit Burden Inter-view.

Table 3

Correlation between Depression and Caregiving Burden

jkan-45-202-i003

K-BDI=Korean-Beck Depression Inventory; K-ZBI=Korean version of Zarit Burden Interview.

Table 4

Predictors of Caregiving Burden among Families of Patients with Amyotrophic Lateral Sclerosis

jkan-45-202-i004

K-BDI=Korean-Beck Depression Inventory; K-ALSFRS-R=Korean-Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised.

Notes

This study was supported by a grant from the Korean Health Technology R&D Project, Ministry for Health & Welfare, Republic of Korea (No. A101712 & A120182).

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