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Quality of life and factors predictive of burden among primary caregivers of chronic liver disease patients
BACKGROUND: Chronic liver disease increases the socioeconomic and emotional burden on the patient’s caregiver. This is important because a patient’s adherence to therapy and transplant eligibility is dependent on the caregiver’s ability to handle these challenges. METHODS: This was a prospective, cr...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hellenic Society of Gastroenterology
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4289985/ https://www.ncbi.nlm.nih.gov/pubmed/25608915 |
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author | Nguyen, Douglas L. Chao, Daniel Ma, Grace Morgan, Timothy |
author_facet | Nguyen, Douglas L. Chao, Daniel Ma, Grace Morgan, Timothy |
author_sort | Nguyen, Douglas L. |
collection | PubMed |
description | BACKGROUND: Chronic liver disease increases the socioeconomic and emotional burden on the patient’s caregiver. This is important because a patient’s adherence to therapy and transplant eligibility is dependent on the caregiver’s ability to handle these challenges. METHODS: This was a prospective, cross-sectional study of 50 primary caregivers of patients with advanced liver disease. Caregivers completed the RAND 36-item (Short Form [SF-36]) Health Survey and the Zarit Burden Scale survey. Caregiver quality of life, based on the SF-36, was compared using t-tests with the scores of the National reference population as controls. RESULTS: In our cohort, the mean age of caregivers was 56.9±11.4 years, 40 (83.3%) were female, and 34 (70.8%) were spouses/significant others of the patient. Compared with the adjusted National norm data, caregivers scored substantially lower in categories of role limitations due to emotional problems (P<0.001), vitality (P=0.025), mental health (P=0.005), and social functioning (P=0.002). While the adjusted physical component score of the caregivers was comparable to the National mean, the mental component score (MCS) was lower than the National average (42.4±13.3 vs. 50.0±10, P<0.001). Though only 8 of 50 (16.0%) subjects reported a formal diagnosis of depression or anxiety, 23 (46.0%) had MCS <42, a strong predictor of clinical depression, based on previous studies. CONCLUSIONS: Primary caregivers of patients with advanced liver disease have significantly lower SF-36 mental health scores compared with the general population. Comparison of SF-36 scores to caregiver history suggests under recognition of mental health problems in this population. |
format | Online Article Text |
id | pubmed-4289985 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Hellenic Society of Gastroenterology |
record_format | MEDLINE/PubMed |
spelling | pubmed-42899852015-01-21 Quality of life and factors predictive of burden among primary caregivers of chronic liver disease patients Nguyen, Douglas L. Chao, Daniel Ma, Grace Morgan, Timothy Ann Gastroenterol Original Article BACKGROUND: Chronic liver disease increases the socioeconomic and emotional burden on the patient’s caregiver. This is important because a patient’s adherence to therapy and transplant eligibility is dependent on the caregiver’s ability to handle these challenges. METHODS: This was a prospective, cross-sectional study of 50 primary caregivers of patients with advanced liver disease. Caregivers completed the RAND 36-item (Short Form [SF-36]) Health Survey and the Zarit Burden Scale survey. Caregiver quality of life, based on the SF-36, was compared using t-tests with the scores of the National reference population as controls. RESULTS: In our cohort, the mean age of caregivers was 56.9±11.4 years, 40 (83.3%) were female, and 34 (70.8%) were spouses/significant others of the patient. Compared with the adjusted National norm data, caregivers scored substantially lower in categories of role limitations due to emotional problems (P<0.001), vitality (P=0.025), mental health (P=0.005), and social functioning (P=0.002). While the adjusted physical component score of the caregivers was comparable to the National mean, the mental component score (MCS) was lower than the National average (42.4±13.3 vs. 50.0±10, P<0.001). Though only 8 of 50 (16.0%) subjects reported a formal diagnosis of depression or anxiety, 23 (46.0%) had MCS <42, a strong predictor of clinical depression, based on previous studies. CONCLUSIONS: Primary caregivers of patients with advanced liver disease have significantly lower SF-36 mental health scores compared with the general population. Comparison of SF-36 scores to caregiver history suggests under recognition of mental health problems in this population. Hellenic Society of Gastroenterology 2015 /pmc/articles/PMC4289985/ /pubmed/25608915 Text en Copyright: © Hellenic Society of Gastroenterology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Nguyen, Douglas L. Chao, Daniel Ma, Grace Morgan, Timothy Quality of life and factors predictive of burden among primary caregivers of chronic liver disease patients |
title | Quality of life and factors predictive of burden among primary caregivers of chronic liver disease patients |
title_full | Quality of life and factors predictive of burden among primary caregivers of chronic liver disease patients |
title_fullStr | Quality of life and factors predictive of burden among primary caregivers of chronic liver disease patients |
title_full_unstemmed | Quality of life and factors predictive of burden among primary caregivers of chronic liver disease patients |
title_short | Quality of life and factors predictive of burden among primary caregivers of chronic liver disease patients |
title_sort | quality of life and factors predictive of burden among primary caregivers of chronic liver disease patients |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4289985/ https://www.ncbi.nlm.nih.gov/pubmed/25608915 |
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