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Comprehensive analysis of patient and caregiver predictors for caregiver burden, anxiety and depression in Alzheimer's disease

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  • Qing Lou
  • Shuling Liu
  • Ya Ruth Huo
  • Mengyuan Liu
  • Shuai Liu
  • Yong Ji

Abstract

Aims and objectives The primary aim of this study was to examine the correlations between patient and caregiver characteristics with caregiver burden, anxiety and depression in Alzheimer's Disease. Secondary aim was to determine which behavioural and psychological symptoms had the greatest impact on caregiver burden, anxiety and depression in Alzheimer's Disease. Background Caregivers of individuals with Alzheimer's Disease experience high levels of burden, both psychologically and physically. Previous studies have examined caregiver burden, anxiety and depression separately. However, no paper has examined these three psychological conditions simultaneously. Design A cross‐sectional design. Methods A total of 310 patients with probable Alzheimer's Disease and their primary caregivers were assessed. Cognitive impairment and neuropsychiatric symptoms were assessed with the Mini Mental State Examination, Montreal Cognitive Assessment, Clock Drawing Test and Neuropsychiatric Inventory, respectively. Caregiver burden, anxiety and depression were assessed with the ZBI, Generalised Anxiety Disorder Scale‐7 and Patient Health Questionnaire‐9, respectively. Results All 12 neuropsychiatric symptoms in the Neuropsychiatric Inventory were significantly correlated with caregiver burden, anxiety and depression, with the top three neuropsychiatric predictors being depression, apathy and anxiety. Furthermore, higher levels of caregiver anxiety were associated with a longer duration of being a caregiver. Within caregivers, higher levels of depression were independently associated with higher numbers of additional caregivers, lower educational background and being the spouse of the patient. Higher levels of burden were associated with a longer duration of being a caregiver and being the spouse of the patient. Caregiver burden, anxiety or depression were not significantly correlated with hours/day of caring for the patient. Conclusions Caregiver burden, anxiety and depression were significantly correlated with different neuropsychiatric symptoms in the Neuropsychiatric Inventory. Relevance to clinical practice Practitioners are able to identify caregivers at risk for burden, anxiety and depression. Understanding which Neuropsychiatric Inventory symptom is more closely associated with distress in caregivers will help practitioners to be more specific and effective in detecting caregiver distress.

Suggested Citation

  • Qing Lou & Shuling Liu & Ya Ruth Huo & Mengyuan Liu & Shuai Liu & Yong Ji, 2015. "Comprehensive analysis of patient and caregiver predictors for caregiver burden, anxiety and depression in Alzheimer's disease," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(17-18), pages 2668-2678, September.
  • Handle: RePEc:wly:jocnur:v:24:y:2015:i:17-18:p:2668-2678
    DOI: 10.1111/jocn.12870
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    Cited by:

    1. Khai Pin Tan & Jin Kiat Ang & Eugene Boon Yau Koh & Nicholas Tze Ping Pang & Zanariah Mat Saher, 2023. "Relationship of Psychological Flexibility and Mindfulness to Caregiver Burden, and Depressive and Anxiety Symptoms in Caregivers of People with Dementia," IJERPH, MDPI, vol. 20(5), pages 1-30, February.
    2. Kristina M. Kokorelias & Rachelle Ashcroft, 2020. "How Dementia Caregivers Make Health Service Decisions: A Scoping Review and Implications for Grounded Theory Studies," SAGE Open, , vol. 10(1), pages 21582440209, March.
    3. Haitham Al-shareef & Abd Alhadi Hasan & Hussein Tumah, 2019. "Depression Level and Burden of Care Among Family Caregivers of Older People With Physical and Mental Disability in Makkah City KSA," Global Journal of Health Science, Canadian Center of Science and Education, vol. 11(5), pages 1-41, May.
    4. Kiah L Evans & Jeannine Millsteed & Janet E Richmond & Marita Falkmer & Torbjorn Falkmer & Sonya J Girdler, 2016. "Working Sandwich Generation Women Utilize Strategies within and between Roles to Achieve Role Balance," PLOS ONE, Public Library of Science, vol. 11(6), pages 1-23, June.

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