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Factors contributing to caregivers' stress and burden in Parkinson's disease
Author(s) -
SantosGarcía D.,
FuenteFernández R.
Publication year - 2015
Publication title -
acta neurologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.967
H-Index - 95
eISSN - 1600-0404
pISSN - 0001-6314
DOI - 10.1111/ane.12305
Subject(s) - caregiver burden , mood , activities of daily living , beck depression inventory , perceived stress scale , depression (economics) , parkinson's disease , physical therapy , disease , rating scale , medicine , psychology , psychiatry , gerontology , dementia , stress (linguistics) , anxiety , linguistics , philosophy , developmental psychology , economics , macroeconomics
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.