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Factors contributing to caregivers' stress and burden in Parkinson's disease.
Acta Neurol Scand. 2015 Apr; 131(4):203-10.AN

Abstract

BACKGROUND AND OBJECTIVE

To analyze the main determinants of burden and stress in caregivers of Spanish Parkinson's disease (PD) patients.

METHODS

One-hundred and twenty-one non-demented patients with PD (57.9% males; 70.9 ± 8.2 years old) were included in this cross-sectional, monocenter, evaluation study. Caregivers (n = 121; 71.9% females; 60.2 ± 15 years old) were assessed using the Zarit Caregiver Burden Inventory (ZCBI) and Caregiver Strain Index (CSI). Multiple linear regression methods were used to evaluate factors contributing to caregivers' stress and burden: (i) PD motor dysfunction (ON-state Hoehn & Yahr/Unified Parkinson's Disease Rating Scale [UPDRS] part III and motor complications [UPDRS part IV]); (ii) Mood (Beck Depression Inventory [BDI]); (iii) Non-motor symptoms (Non-Motor Symptoms Scale [NMSS]); (iv) Disability (Schwab & England Activities of Daily Living Scale [ADLS]); and (v) Socio-demographic and other disease-related variables.

RESULTS

Zarit Caregiver Burden Inventory and CSI mean scores were 16 ± 13.9 and 2.1 ± 2.3, respectively. High correlation was found between ZCBI and CSI (r = 0.819; P < 0.0001). Moderate to severe burden (ZCBI > 40) was present in 9.1% of caregivers; 5.8% had high levels of stress (CSI ≥ 7). Moderate to strong correlations were observed between patient-related variables (Hoehn&Yahr, UPDRS-III, UPDRS-IV, BDI, NMSS, and ADLS) and ZCBI and CSI (P < 0.0001). Linear regression methods showed that ADLS had the strongest influence on ZCBI and CSI, followed by BDI on ZCBI.

CONCLUSIONS

Disability (ADLS) and mood (BDI) of patients with PD are the main factors contributing to burden and stress in caregivers.

Authors+Show Affiliations

Section of Neurology, Complejo Hospitalario Universitario de Ferrol (CHUF), Hospital A. Marcide, Ferrol, Spain.No affiliation info available

Pub Type(s)

Journal Article
Observational Study

Language

eng

PubMed ID

25212106

Citation

Santos-García, D, and R de la Fuente-Fernández. "Factors Contributing to Caregivers' Stress and Burden in Parkinson's Disease." Acta Neurologica Scandinavica, vol. 131, no. 4, 2015, pp. 203-10.
Santos-García D, de la Fuente-Fernández R. Factors contributing to caregivers' stress and burden in Parkinson's disease. Acta Neurol Scand. 2015;131(4):203-10.
Santos-García, D., & de la Fuente-Fernández, R. (2015). Factors contributing to caregivers' stress and burden in Parkinson's disease. Acta Neurologica Scandinavica, 131(4), 203-10. https://doi.org/10.1111/ane.12305
Santos-García D, de la Fuente-Fernández R. Factors Contributing to Caregivers' Stress and Burden in Parkinson's Disease. Acta Neurol Scand. 2015;131(4):203-10. PubMed PMID: 25212106.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Factors contributing to caregivers' stress and burden in Parkinson's disease. AU - Santos-García,D, AU - de la Fuente-Fernández,R, Y1 - 2014/09/12/ PY - 2014/08/13/accepted PY - 2014/9/13/entrez PY - 2014/9/13/pubmed PY - 2015/8/4/medline KW - Parkinson's disease KW - burden KW - caregiver KW - daily living activities KW - depression KW - quality of life SP - 203 EP - 10 JF - Acta neurologica Scandinavica JO - Acta Neurol Scand VL - 131 IS - 4 N2 - BACKGROUND AND OBJECTIVE: To analyze the main determinants of burden and stress in caregivers of Spanish Parkinson's disease (PD) patients. METHODS: One-hundred and twenty-one non-demented patients with PD (57.9% males; 70.9 ± 8.2 years old) were included in this cross-sectional, monocenter, evaluation study. Caregivers (n = 121; 71.9% females; 60.2 ± 15 years old) were assessed using the Zarit Caregiver Burden Inventory (ZCBI) and Caregiver Strain Index (CSI). Multiple linear regression methods were used to evaluate factors contributing to caregivers' stress and burden: (i) PD motor dysfunction (ON-state Hoehn & Yahr/Unified Parkinson's Disease Rating Scale [UPDRS] part III and motor complications [UPDRS part IV]); (ii) Mood (Beck Depression Inventory [BDI]); (iii) Non-motor symptoms (Non-Motor Symptoms Scale [NMSS]); (iv) Disability (Schwab & England Activities of Daily Living Scale [ADLS]); and (v) Socio-demographic and other disease-related variables. RESULTS: Zarit Caregiver Burden Inventory and CSI mean scores were 16 ± 13.9 and 2.1 ± 2.3, respectively. High correlation was found between ZCBI and CSI (r = 0.819; P < 0.0001). Moderate to severe burden (ZCBI > 40) was present in 9.1% of caregivers; 5.8% had high levels of stress (CSI ≥ 7). Moderate to strong correlations were observed between patient-related variables (Hoehn&Yahr, UPDRS-III, UPDRS-IV, BDI, NMSS, and ADLS) and ZCBI and CSI (P < 0.0001). Linear regression methods showed that ADLS had the strongest influence on ZCBI and CSI, followed by BDI on ZCBI. CONCLUSIONS: Disability (ADLS) and mood (BDI) of patients with PD are the main factors contributing to burden and stress in caregivers. SN - 1600-0404 UR - https://www.unboundmedicine.com/medline/citation/25212106/Factors_contributing_to_caregivers'_stress_and_burden_in_Parkinson's_disease_ L2 - https://doi.org/10.1111/ane.12305 DB - PRIME DP - Unbound Medicine ER -