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Cultural differences are reflected in variables associated with carer burden in FTD: a comparison study between India and Australia

There is great need to understand variables behind carer burden, especially in FTD. Carer burden is a complex construct, and its factors are likely to vary depending on the type of dementia, carer characteristics and cultural background. OBJECTIVE: The present study aimed to compare profiles and sev...

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Autores principales: Mekala, Shailaja, Alladi, Suvarna, Chandrasekar, Kammammettu, Fathima, Safiya, M.O.'Connor, Claire, McKinnon, Colleen, Hornberger, Michael, Piguet, Olivier, Hodges, John R., Mioshi, Eneida
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Associação de Neurologia Cognitiva e do Comportamento 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5619552/
https://www.ncbi.nlm.nih.gov/pubmed/29213826
http://dx.doi.org/10.1590/S1980-57642013DN70100016
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author Mekala, Shailaja
Alladi, Suvarna
Chandrasekar, Kammammettu
Fathima, Safiya
M.O.'Connor, Claire
McKinnon, Colleen
Hornberger, Michael
Piguet, Olivier
Hodges, John R.
Mioshi, Eneida
author_facet Mekala, Shailaja
Alladi, Suvarna
Chandrasekar, Kammammettu
Fathima, Safiya
M.O.'Connor, Claire
McKinnon, Colleen
Hornberger, Michael
Piguet, Olivier
Hodges, John R.
Mioshi, Eneida
author_sort Mekala, Shailaja
collection PubMed
description There is great need to understand variables behind carer burden, especially in FTD. Carer burden is a complex construct, and its factors are likely to vary depending on the type of dementia, carer characteristics and cultural background. OBJECTIVE: The present study aimed to compare profiles and severity of carer burden, depression, anxiety and stress in carers of FTD patients in India in comparison to Australia; to investigate which carer variables are associated with carer burden in each country. METHODS: Data of 138 participants (69 dyads of carers-patients) from India and Australia (India, n=31; Australia, n=38). Carer burden was assessed with the short Zarit Burden Inventory; carer depression, anxiety and stress were measured with the Depression, Anxiety and Stress-21. Dementia severity was determined with the Frontotemporal Dementia Rating Scale (FTD-FRS), and a range of demographic variables regarding the carer and patient were also obtained. RESULTS: Overall, levels of carer burden were not significantly different across India and Australia, despite more hours delivering care and higher dementia severity in India. Variables associated with burden, however, differed between countries, with carer depression, anxiety and stress strongly associated with burden in India. By contrast, depression, stress, and dementia severity were associated with burden in Australia. CONCLUSION: This study demonstrated that variables associated with carer burden in FTD differ between cultures. Consequently, cultural considerations should be taken into account when planning for interventions to reduce burden. This study suggests that addressing carers' skills and coping mechanisms are likely to result in more efficacious outcomes than targeting patient symptoms alone.
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spelling pubmed-56195522017-12-06 Cultural differences are reflected in variables associated with carer burden in FTD: a comparison study between India and Australia Mekala, Shailaja Alladi, Suvarna Chandrasekar, Kammammettu Fathima, Safiya M.O.'Connor, Claire McKinnon, Colleen Hornberger, Michael Piguet, Olivier Hodges, John R. Mioshi, Eneida Dement Neuropsychol Original Article There is great need to understand variables behind carer burden, especially in FTD. Carer burden is a complex construct, and its factors are likely to vary depending on the type of dementia, carer characteristics and cultural background. OBJECTIVE: The present study aimed to compare profiles and severity of carer burden, depression, anxiety and stress in carers of FTD patients in India in comparison to Australia; to investigate which carer variables are associated with carer burden in each country. METHODS: Data of 138 participants (69 dyads of carers-patients) from India and Australia (India, n=31; Australia, n=38). Carer burden was assessed with the short Zarit Burden Inventory; carer depression, anxiety and stress were measured with the Depression, Anxiety and Stress-21. Dementia severity was determined with the Frontotemporal Dementia Rating Scale (FTD-FRS), and a range of demographic variables regarding the carer and patient were also obtained. RESULTS: Overall, levels of carer burden were not significantly different across India and Australia, despite more hours delivering care and higher dementia severity in India. Variables associated with burden, however, differed between countries, with carer depression, anxiety and stress strongly associated with burden in India. By contrast, depression, stress, and dementia severity were associated with burden in Australia. CONCLUSION: This study demonstrated that variables associated with carer burden in FTD differ between cultures. Consequently, cultural considerations should be taken into account when planning for interventions to reduce burden. This study suggests that addressing carers' skills and coping mechanisms are likely to result in more efficacious outcomes than targeting patient symptoms alone. Associação de Neurologia Cognitiva e do Comportamento 2013 /pmc/articles/PMC5619552/ /pubmed/29213826 http://dx.doi.org/10.1590/S1980-57642013DN70100016 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Mekala, Shailaja
Alladi, Suvarna
Chandrasekar, Kammammettu
Fathima, Safiya
M.O.'Connor, Claire
McKinnon, Colleen
Hornberger, Michael
Piguet, Olivier
Hodges, John R.
Mioshi, Eneida
Cultural differences are reflected in variables associated with carer burden in FTD: a comparison study between India and Australia
title Cultural differences are reflected in variables associated with carer burden in FTD: a comparison study between India and Australia
title_full Cultural differences are reflected in variables associated with carer burden in FTD: a comparison study between India and Australia
title_fullStr Cultural differences are reflected in variables associated with carer burden in FTD: a comparison study between India and Australia
title_full_unstemmed Cultural differences are reflected in variables associated with carer burden in FTD: a comparison study between India and Australia
title_short Cultural differences are reflected in variables associated with carer burden in FTD: a comparison study between India and Australia
title_sort cultural differences are reflected in variables associated with carer burden in ftd: a comparison study between india and australia
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5619552/
https://www.ncbi.nlm.nih.gov/pubmed/29213826
http://dx.doi.org/10.1590/S1980-57642013DN70100016
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