Factors Affecting Caregiver Burden in Family Caregivers of Patients with Dementia

Oh Dae Kwon; Tae Wan Kim; Mee Young Park; Sang-Doe Yi; Hyon-Ah Yi; Ho Won Lee

doi:10.12779/dnd.2013.12.4.107

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Kwon, Kim, Park, Yi, Yi, Lee, and Daegu-Kyungpook Dementia Association: Factors Affecting Caregiver Burden in Family Caregivers of Patients with Dementia

Original Article

Dementia and Neurocognitive Disorders 2013; 12(4): 107-113.

Published online: 31 December 2013

DOI: https://doi.org/10.12779/dnd.2013.12.4.107

Factors Affecting Caregiver Burden in Family Caregivers of Patients with Dementia

Oh Dae Kwon, M.D.^*, Tae Wan Kim, M.D.^†, Mee Young Park, M.D.^‡, Sang-Doe Yi, M.D.^§, Hyon-Ah Yi, M.D.^∥, Ho Won Lee, M.D.^¶; Daegu-Kyungpook Dementia Association

^*Department of Neurology, School of Medicine, Catholic University of Daegu, Daegu, Korea.

^†Department of Neurology, Daegu Fatima Hospital, Daegu, Korea.

^‡Department of Neurology, College of Medicine, Yeungnam University, Daegu, Korea.

^§Yi Sang-Doe Neurology Clinic, Daegu, Korea.

^∥Department of Neurology, School of Medicine, Keimyung University, Daegu, Korea.

^¶Department of Neurology, School of Medicine, Kyungpook National University, Daegu, Korea.

Address for correspondence: Oh Dae Kwon, M.D. Department of Neurology, Daegu Catholic University Medical Center, School of Medicine, Catholic University of Daegu, 33 Duryugongwon-ro 17-gil, Nam-gu, Daegu 705-718, Korea. Tel: +82-53-650-4298, Fax: +82-53-654-9786, dolbaeke@cu.ac.kr

Received 11 November 2013 Revised 26 December 2013 Accepted 26 December 2013

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background

This study aimed to know the state of caregiver burden of family caregivers of patients with dementia and also to know factors associated with the severity of caregiver burden.

Methods

Family caregivers of dementia patients were enrolled from five general hospitals in Daegu Metropolitan city, Korea. The participants analyzed in the present study were 199 subjects who were 24 to 86 years old, living in Daegu or Kyungsang Bukdo province. Demographic features, general characteristics, characteristics of caring patients were collected and Burden Interview was done by a psychologist. Factors affecting caregiver burden were assessed using statistical analyses.

Results

The average severity of caregiver burden of family caregivers were between mild and moderate. Factors affecting the severity of caregiver burden were caregiving days per week among caregiver's characteristics and Neuropsychiatric Inventory and Geriatric Depression Scale among patient characteristics by multiple regression linear analysis. Caregiving cost shows marginal significance. Interestingly, cognitive scales like Mini-Mental State Examination, Clinical Dementia Rating, Physical and Instrumental Activities of Daily Living did not affect caregiver burden of family caregivers.

Conclusions

This study showed that caregiving days per week of caregivers and neuropsychiatric symptoms including depressive mood of patients are closely related with caregiver burden of family caregivers of patients with dementia in Korea.

Keywords: Caregivers, Dementia, Burden interview

Figures and Tables

Table 1

Clinical characteristics of dementia in the patients

AD, Alzheimer's disease; VD, vascular dementia; PDD, Parkinson disease dementia; K-MMSE, Korean version of mini-mental state examination; CDR, clinical dementia rating; CDR-SB, clinical dementia rating sum of boxes; K-NPI, Korean version of neuropsychiatric inventory; GDepS, geriatric depression scale.

Table 2

Characteristics of family caregivers and caregiving situation

Table 3

Correlations between Burden Interview and other variables

p values are by correlation coefficient analysis.

N, number of patients; B-ADL, barthel activities of daily living; GDS, geriatric deterioration scale; CDR-SB, clinical dementia rating sum of boxes; K-NPI, Korean version of neuropsychiatric inventory; CDR, clinical dementia rating; S-IADL, Seoul instrumental activities of daily living.

Table 4

Correlations between Burden Interview and other variables

p values are by simple linear regression analysis.

K-NPI, Korean version of neuropsychiatric inventory; CDR-SB, clinical dementia rating sum of boxes; S-IADL, Seoul instrumental activities of daily living; B-ADL, barthel activities of daily living.

Table 5

Correlations between Burden Interview and other variables

p values are by multiple linear regression analysis.

^*p<0.05.

B-ADL, barthel activities of daily living; GDS, geriatric deterioration scale; CDR-SB, clinical dementia rating sum of boxes; K-NPI, Korean version of neuropsychiatric inventory; CDR, clinical dementia rating; S-IADL, Seoul instrumental activities of daily living.

Notes

This work was supported by the grant of Research Institute of Medical Science, Catholic University of Daegu (2012).

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