Korean J Adult Nurs. 2015 Jun;27(3):283-293. Korean.
Published online Jun 30, 2015.
© 2015 Korean Society of Adult Nursing
Original Article

Factors Affecting Caregiver Burden in Caregivers of Patients with Parkinson's Disease

Dong Won Kim,1 and Eun Sook Bae2
    • 1Department of Nursing Science, Dong-A University, Busan, Korea.
    • 2Department of Nursing Science, Dong-Eui University, Busan, Korea.
Received February 24, 2015; Revised May 11, 2015; Accepted June 05, 2015.

Abstract

Purpose

Depression is a common sign of suffering among the patients with Parkinson's disease (PD). Frequent and severe neuropsychiatric symptoms lead to high levels of distress in patients and their caregivers, which results in the high levels of caregiver burden. The aim of this study was to determine the predictors of caregiver burden in caregivers of the patients with Parkinson's disease (PD).

Methods

The study included 183 consecutive PD patients and their caregivers. Patients were assessed using the Hoehn and Yahr scale, Mini Mental State Examination (MMSE), Beck Depression Inventory (BDI), and Schwab and England Activities of Daily Living Scale. Caregivers' depressive symptoms were evaluated using the Caregiver Burden Inventor (CBI), BDI, and World Health Organization Quality of Life Scale.

Results

All of the patients reported one or more neuropsychiatric symptoms. Patients' and caregivers' depressive symptoms, caregivers' age and education, time for caregiving, and quality of life were significantly associated with the increased caregiver burden. After controlling the level of education as a potential confounding variable, depression in both patients and caregivers, time for caregiving, and quality of life explained 45.6% of the variance in caregiver burden.

Conclusion

Substantial attention needs to be given to the early identification of depression in PD patients and their caregivers to improve caregivers' quality of life and burden.

Keywords
Parkinson's disease; Caregivers; Depression; Quality of life; Burden

Tables

Table 1
The General Characteristics of the Participants

Table 2
The Disease-related Characteristics of the Patients (N=183)

Table 3
The Descriptive Statistics of the Study Variables (N=183)

Table 4
Differences in Depression, Quality of Life and Burden by Caregiver's Characteristics (N=183)

Table 5
Factors Affecting Caregiver Burden by Multiple Regression Analysis (N=183)

References

    1. Dorsey ER, Constantinescu R, Thompson JP, Biglan KM, Holloway RG, Kieburtz K, et al. Projected number of people with Parkinson disease in the most populous nations, 2005 through 2030. Neurology 2007;68(5):384–386.
    1. Roland K, Johnson AM, Jenkinson ME. Identifying and managing caregiver burden among spouses of individuals with Parkinson's disease. J Curr Clin Care 2011:33–39.
    1. Martinez-Martin P, Rodriguez-Blazquez C, Forjaz MJ. Quality of life and burden in caregivers for patients with Parkinson's disease: concepts, assessment and related factors. Expert Rev Pharmacoecon Outcomes Res 2012;12:221–230.
    1. Kim KS, Choe MA, Hah YS, Yi MS, Kim BJ, Kim SR, et al. Depression and quality of life among family caregivers of patients with Parkinson's disease in South Korea. Korean J Rehabil Nurs 2007;10(2):90–98.
    1. Kim KS, Kim BJ, Kim KH, Choe MA, Yi MS, Hah YS, et al. Subjective and objective caregiver burden in Parkinson's disease. J Korean Acad Nurs 2007;37:242–248.
    1. Chambers M, Ryan AA, Connor SL. Exploring the emotional support needs and coping strategies of family carers. J Psychiatr Ment Health Nurs 2001;8(2):99–106. [doi: 10.1046/j.1365-2850.2001.00360.x]
    1. Cifu DX, Carne W, Brown R, Pegg P, Ong J, Qutubuddin A, et al. Caregiver distress in parkinsonism. J Rehabil R D 2006;43(4):499–508.
    1. Davey C, Wiles R, Ashburn A, Murphy C. Falling in Parkinson's disease: the impact on informal caregivers. Disabil Rehabil 2004;26(23):1360–1366. [doi: 10.1080/09638280400000195]
    1. Drutyte G, Forjaz MJ, Rodriguez-Blazquez C, Martinez-Martin P, Breen KC. What impacts on the stress symptoms of Parkinson's carers? Results from the Parkinson's UK Members' Survey. Disabil Rehabil 2014;36(3):199–204. [doi: 10.3109/09638288.2013.782363]
    1. Thommessen B, Aarsland D, Braekhus A, Oksengaard AR, Engedal K, Laake K. The psychosocial burden on spouses of the elderly with stroke, dementia and Parkinson's disease. Int J Geriatr Psychiatry 2002;17:78–84. [doi: 10.1002/gps.524]
    1. Dyck C. Who cares for the caregiver? Parkinsonism Relat Disord 2009;5(3):S118–S121. [doi: 10.1016/S1353-8020(09)70796-5]
    1. Morley D, Dummett S, Peters M, Kelly L, Hewitson P, Dawson J, et al. Factors influencing quality of life in caregivers of people with Parkinson's disease and implications for clinical guidelines. Parkinsonism Relat Disord 2012;2012:1–6. [doi: 10.1155/2012/190901]
    1. Goy ER, Carter J, Ganzini L. Neurologic disease at the end of life: caregiver description of Parkinson disease and amyotrophic lateral sclerosis. J Palliat Med 2008;11(4):548–554. [doi: 10.1089/jpm.2007.0258]
    1. Peters M, Fitzpatrick R, Doll H, Playford D, Jenkinson C. Does self-reported well-being of patients with Parkinson's disease influence caregiver strain and quality of life? Parkinsonism Relat Disord 2011;17:348–352. [doi: 10.1016/j.parkreldis.2011.02.009]
    1. Cochrane JJ, Goering PN, Rogers JM. The mental health of informal caregivers in Ontario: an epidemiological survey. Am J Public Health 2002;87(12):2002–2007.
    1. Caap-Ahlgren M, Dehlin O. Factors of importance to the caregiver burden experienced by family caregivers of Parkinson's disease patients. Aging Clin Exp Res 2002;14(5):370–377. [doi: 10.1016/j.parkreldis.2004.12.005]
    1. Heppe S, Berger K. The association between caregiver burden and sleep disturbances in partners of patients with Parkinson's disease. Age Ageing 2002;31(5):349–354. [doi: 10.1093/ageing/31.5.349]
    1. Glozman JM. Quality of life of caregivers. Neuropsychol Rev 2004;14:183–196. [doi: 10.1007/s11065-004-8158-5]
    1. Schrag A, Hovris A, Morley D, Quinn N, Jahanshahi M. Caregiver-burden in Parkinson's disease is closely associated with psychiatric symptoms, falls, and disability. Parkinsonism Relat Disord 2006;12:35–41. [doi: 10.1016/j.parkreldis.2005.06.011]
    1. Aarsland D, Larsen JP, Cummins JL, Laake K. Prevalence and clinical correlates of psychotic symptoms in Parkinson disease: a community-based study. Arch Neurol 1999;56:595–601.
    1. Behari A, Srivastava AK, Pandey RM. Quality of life in patients with Parkinson's disease. Parkinsonism Relat Disord 2005;11(4):221–226. [doi: 10.1016/j.parkreldis.2004.12.005]
    1. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power3.1: tests for correlation and regression analyses. Behav Res Methods 2009;41(4):1149–1160.
    1. Hoehn MM, Yahr MD. Parkinsonism: onset, progression, and mortality. Neurology 1967;17:427–442.
    1. Beck AT. In: Depression: clinical, experimental and theoretical aspects. New York: Haper & Row; 1967.
    1. Lee YH. In: The relations between attributional style, life events, event attribution, hopelessness and depression [dissertation]. [Seoul]: Seoul National University; 1992. pp. 142-150.
    1. Min SK, Lee C, Kim K, Suh S, Kim DK. Development of Korean version of World Health Organization Quality of Life Scale abbreviated version (WHOQOL-BREF). J Korean Neuropsychiatr Assoc 2000;39:571–579.
    1. Novak M, Guest C. Application of a multidimensional caregiver burden inventory. Gerontologist 1989;29:798–803.
    1. Agrawal V, Goyal V, Shukla G, Behari M. Predictors of caregiver's burden of Parkinson's disease in India: experience of a tertiary care center in India. J Parkinsonism Rest Legs Syndr 2012;2:59–65. [doi: 10.2147/JPRLS.S37448]
    1. Ellgring H, Gerlich C, Macht M, Schradi M. EduPark-Konsortium. In: Psycholosoziales training bei neurologischen erkrankungen-schwerpunkt Parkinson. Stuttgart: W. Kohlhammer; 2006.
    1. Kwon OD, Kim YW, Park MY, Yi SD, Yi HA, Lee HW, et al. Factors affecting caregiver burden in family caregivers of patients with dementia. Dement Neurocognitive Disord 2013;12:107–113. [doi: 10.12779/dnd.2013.12.4.107]

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