Feeling of burden, psychological distress, and anxiety among primary caregivers of children with home enteral nutrition

J Pediatr Psychol. 2011 Mar;36(2):188-95. doi: 10.1093/jpepsy/jsq069. Epub 2010 Aug 18.

Abstract

Objective: To examine the relationship between several psychological factors and the feeling of burden experienced by caregivers of children with home enteral nutrition.

Methods: Fifty-six mothers of pediatric patients with chronic diseases requiring long-term home enteral nutrition were recruited. They were asked to respond to specific questionnaires about their anxiety symptoms (State-Trait Anxiety Inventory), psychological distress (SCL-90-R) and feeling of burden (Zarit-scale).

Results: Caregivers' feeling of burden was found to be statistically associated to psychological distress (r = .516, p < .001) and trait anxiety (r = .376, p = .005). No significant differences were found between the type of diagnosis and caregiver burden. Regression analysis indicated psychological distress has a partial mediational effect in the relationship between trait anxiety and caregivers' burden.

Conclusions: Psychological distress and anxiety show a positive correlation with caregivers' feeling of burden, and may disrupt family well-being. Early identification of high-risk situations is essential in order to plan specific psychosocial aid efficiently.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological
  • Adolescent
  • Adult
  • Anxiety / psychology*
  • Caregivers / psychology*
  • Child
  • Child, Preschool
  • Emotions*
  • Enteral Nutrition / psychology*
  • Female
  • Humans
  • Infant
  • Male
  • Middle Aged
  • Prospective Studies
  • Psychiatric Status Rating Scales
  • Quality of Life / psychology
  • Stress, Psychological / psychology*
  • Surveys and Questionnaires