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Depressive symptoms in caregivers of patients with dementia: demographic variables and burden
OBJECTIVE: Individuals suffering from dementia are affected by a progressive and significant global deterioration and, consequently, might require longer assistance in the advanced stage of the illness. The illness is a great burden on the person who takes care of a patient, namely, the caregiver. T...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4494176/ https://www.ncbi.nlm.nih.gov/pubmed/26170648 http://dx.doi.org/10.2147/CIA.S74439 |
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author | De Fazio, Pasquale Ciambrone, Paola Cerminara, Gregorio Barbuto, Elvira Bruni, Antonella Gentile, Patrizia Talarico, Amalia Lacava, Roberto Gareri, Pietro Segura-García, Cristina |
author_facet | De Fazio, Pasquale Ciambrone, Paola Cerminara, Gregorio Barbuto, Elvira Bruni, Antonella Gentile, Patrizia Talarico, Amalia Lacava, Roberto Gareri, Pietro Segura-García, Cristina |
author_sort | De Fazio, Pasquale |
collection | PubMed |
description | OBJECTIVE: Individuals suffering from dementia are affected by a progressive and significant global deterioration and, consequently, might require longer assistance in the advanced stage of the illness. The illness is a great burden on the person who takes care of a patient, namely, the caregiver. This study aims to analyze the presence and relationship of specific sociodemographic variables, subjective burden, and depressive symptoms among caregivers of patients with dementia. METHODS: The participants of this study were caregivers at a health care unit for the elderly in southern Italy. An evaluation of the burden of patients with dementia on caregivers was carried out using the Caregiver Burden Inventory (CBI) and depressive symptoms using the Self-Rating Depression Scale (SDS). RESULTS: A total of 150 caregivers completed the study. In all, 83 (55%) caregivers showed a total CBI score ≥36, of whom 70% showed pathological depression scores in SDS. According to SDS, 28 (19%) caregivers showed a total CBI score from 24 to 36, of whom 32% were depressed. Depression was present in 5% of the caregivers whose CBI score was <24. Hence, an association between burden and depression was evident (χ(2)=47.446, P<0.001). A multiple linear regression analysis showed that depression (adjusted R(2)=0.622, F=50.123, P<0.001) was associated with higher physical (β=0.666, P=0.001) and developmental (β=0.712, P<0.001) burdens, lower socioeconomic status (β=−4.282; P=0.002), higher level of urbanicity (β=3.070; P=0.012), and advanced age (β=2.132; P=0.08). CONCLUSION: Our study confirms the presence of depressive symptoms in a large number of caregivers with high burden. Nevertheless, this study demonstrates that depressive symptoms are mainly associated with sociodemographic variables and, to a lesser degree, physical and developmental burdens. |
format | Online Article Text |
id | pubmed-4494176 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-44941762015-07-13 Depressive symptoms in caregivers of patients with dementia: demographic variables and burden De Fazio, Pasquale Ciambrone, Paola Cerminara, Gregorio Barbuto, Elvira Bruni, Antonella Gentile, Patrizia Talarico, Amalia Lacava, Roberto Gareri, Pietro Segura-García, Cristina Clin Interv Aging Original Research OBJECTIVE: Individuals suffering from dementia are affected by a progressive and significant global deterioration and, consequently, might require longer assistance in the advanced stage of the illness. The illness is a great burden on the person who takes care of a patient, namely, the caregiver. This study aims to analyze the presence and relationship of specific sociodemographic variables, subjective burden, and depressive symptoms among caregivers of patients with dementia. METHODS: The participants of this study were caregivers at a health care unit for the elderly in southern Italy. An evaluation of the burden of patients with dementia on caregivers was carried out using the Caregiver Burden Inventory (CBI) and depressive symptoms using the Self-Rating Depression Scale (SDS). RESULTS: A total of 150 caregivers completed the study. In all, 83 (55%) caregivers showed a total CBI score ≥36, of whom 70% showed pathological depression scores in SDS. According to SDS, 28 (19%) caregivers showed a total CBI score from 24 to 36, of whom 32% were depressed. Depression was present in 5% of the caregivers whose CBI score was <24. Hence, an association between burden and depression was evident (χ(2)=47.446, P<0.001). A multiple linear regression analysis showed that depression (adjusted R(2)=0.622, F=50.123, P<0.001) was associated with higher physical (β=0.666, P=0.001) and developmental (β=0.712, P<0.001) burdens, lower socioeconomic status (β=−4.282; P=0.002), higher level of urbanicity (β=3.070; P=0.012), and advanced age (β=2.132; P=0.08). CONCLUSION: Our study confirms the presence of depressive symptoms in a large number of caregivers with high burden. Nevertheless, this study demonstrates that depressive symptoms are mainly associated with sociodemographic variables and, to a lesser degree, physical and developmental burdens. Dove Medical Press 2015-07-01 /pmc/articles/PMC4494176/ /pubmed/26170648 http://dx.doi.org/10.2147/CIA.S74439 Text en © 2015 De Fazio et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Original Research De Fazio, Pasquale Ciambrone, Paola Cerminara, Gregorio Barbuto, Elvira Bruni, Antonella Gentile, Patrizia Talarico, Amalia Lacava, Roberto Gareri, Pietro Segura-García, Cristina Depressive symptoms in caregivers of patients with dementia: demographic variables and burden |
title | Depressive symptoms in caregivers of patients with dementia: demographic variables and burden |
title_full | Depressive symptoms in caregivers of patients with dementia: demographic variables and burden |
title_fullStr | Depressive symptoms in caregivers of patients with dementia: demographic variables and burden |
title_full_unstemmed | Depressive symptoms in caregivers of patients with dementia: demographic variables and burden |
title_short | Depressive symptoms in caregivers of patients with dementia: demographic variables and burden |
title_sort | depressive symptoms in caregivers of patients with dementia: demographic variables and burden |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4494176/ https://www.ncbi.nlm.nih.gov/pubmed/26170648 http://dx.doi.org/10.2147/CIA.S74439 |
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