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Burden, perceived health status, and mood among caregivers of Parkinson's disease patients.
Mov Disord. 2008 Sep 15; 23(12):1673-80.MD

Abstract

The objective of this study is to describe the characteristics of the caregivers of patients with Parkinson's disease (PD) and to analyze the association between these characteristics and caregiver burden, perceived health and mood status, and identify their predictors. A multicenter, nationwide, observational, cross-sectional study that included 289 patient-caregiver pairs was conducted. Caregiver self-assessments were the Hospital Anxiety and Depression Scale (HADS), EuroQol (EQ), and Zarit Caregiver Burden Inventory (ZCBI). Most caregivers in the study were women aged 60 years or thereabouts. Over two thirds were gainfully employed or housewives, 75% were patients' spouses, and the majority (96.5%) had been permanently taking care of the patient for 6 +/- 5.4 years. Less than 5% of patients were in the most advanced stages of disease, and direct costs were 6,350 euros per patient per year. Caregivers had more mood disorders and worse health-related quality of life (HRQol; EQ-Tariff) than did the general population. Caregiver HADS and EuroQol scores displayed a weak correlation (r(S) = 0.01-0.28) with patient-related variables (disease duration, HY, SCOPA-Motor, SCOPA-AUT, HADS, PPRS, and CISI-PD) whereas the ZCBI correlated moderately (r(S) = 0.27-0.47). Among caregivers, the EQ-Tariff was significantly lower and the HADS-Anxiety scores significantly higher for women. ZCBI and HADS-depression, though not EuroQol and HADS-anxiety, scores significantly increased with increasing PD severity levels. Caregivers' affective status proved the most important factor influencing their burden and perceived health, whereas patient-related variables influenced caregiver burden and mood but not health status. In PD, prevalence of affective disorders among patients' caregivers is high and influences both burden and HRQoL.

Authors+Show Affiliations

Department of Applied Epidemiology, National Center for Epidemiology, and Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas (CIBERNED), Carlos III Institute of Health, Madrid, Spain. pmartinez@isciii.esNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18709684

Citation

Martinez-Martin, Pablo, et al. "Burden, Perceived Health Status, and Mood Among Caregivers of Parkinson's Disease Patients." Movement Disorders : Official Journal of the Movement Disorder Society, vol. 23, no. 12, 2008, pp. 1673-80.
Martinez-Martin P, Arroyo S, Rojo-Abuin JM, et al. Burden, perceived health status, and mood among caregivers of Parkinson's disease patients. Mov Disord. 2008;23(12):1673-80.
Martinez-Martin, P., Arroyo, S., Rojo-Abuin, J. M., Rodriguez-Blazquez, C., Frades, B., & de Pedro Cuesta, J. (2008). Burden, perceived health status, and mood among caregivers of Parkinson's disease patients. Movement Disorders : Official Journal of the Movement Disorder Society, 23(12), 1673-80. https://doi.org/10.1002/mds.22106
Martinez-Martin P, et al. Burden, Perceived Health Status, and Mood Among Caregivers of Parkinson's Disease Patients. Mov Disord. 2008 Sep 15;23(12):1673-80. PubMed PMID: 18709684.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Burden, perceived health status, and mood among caregivers of Parkinson's disease patients. AU - Martinez-Martin,Pablo, AU - Arroyo,Susana, AU - Rojo-Abuin,Jose Manuel, AU - Rodriguez-Blazquez,Carmen, AU - Frades,Belen, AU - de Pedro Cuesta,Jesus, AU - ,, PY - 2008/8/19/pubmed PY - 2009/4/9/medline PY - 2008/8/19/entrez SP - 1673 EP - 80 JF - Movement disorders : official journal of the Movement Disorder Society JO - Mov Disord VL - 23 IS - 12 N2 - The objective of this study is to describe the characteristics of the caregivers of patients with Parkinson's disease (PD) and to analyze the association between these characteristics and caregiver burden, perceived health and mood status, and identify their predictors. A multicenter, nationwide, observational, cross-sectional study that included 289 patient-caregiver pairs was conducted. Caregiver self-assessments were the Hospital Anxiety and Depression Scale (HADS), EuroQol (EQ), and Zarit Caregiver Burden Inventory (ZCBI). Most caregivers in the study were women aged 60 years or thereabouts. Over two thirds were gainfully employed or housewives, 75% were patients' spouses, and the majority (96.5%) had been permanently taking care of the patient for 6 +/- 5.4 years. Less than 5% of patients were in the most advanced stages of disease, and direct costs were 6,350 euros per patient per year. Caregivers had more mood disorders and worse health-related quality of life (HRQol; EQ-Tariff) than did the general population. Caregiver HADS and EuroQol scores displayed a weak correlation (r(S) = 0.01-0.28) with patient-related variables (disease duration, HY, SCOPA-Motor, SCOPA-AUT, HADS, PPRS, and CISI-PD) whereas the ZCBI correlated moderately (r(S) = 0.27-0.47). Among caregivers, the EQ-Tariff was significantly lower and the HADS-Anxiety scores significantly higher for women. ZCBI and HADS-depression, though not EuroQol and HADS-anxiety, scores significantly increased with increasing PD severity levels. Caregivers' affective status proved the most important factor influencing their burden and perceived health, whereas patient-related variables influenced caregiver burden and mood but not health status. In PD, prevalence of affective disorders among patients' caregivers is high and influences both burden and HRQoL. SN - 1531-8257 UR - https://www.unboundmedicine.com/medline/citation/18709684/Burden_perceived_health_status_and_mood_among_caregivers_of_Parkinson's_disease_patients_ DB - PRIME DP - Unbound Medicine ER -