Predictors of Caregiver Burden of Patients with Alzheimer Disease Attending Day-Care Centres

Int J Environ Res Public Health. 2021 Oct 12;18(20):10707. doi: 10.3390/ijerph182010707.

Abstract

Nowadays, there are plenty of programs and resources to prevent caregiver burden of patients with Alzheimer's disease. In spite of that, many caregivers suffer high levels of burden and stress, which leads to an earlier institutionalization of patients. This study aimed to explore the predictors of burden in relative caregivers of patients attending day-care centers and the moderating role of caregiver kinship in these associations. A sample of a hundred and two patient-caregiver dyads was recruited. Burden was measured with a Zarit Burden Interview. Measures of patients' cognition, insight, depression, behavioral disturbances, functional ability and overall physical health were considered as predictors. We found that apathy, irritability and delusions and, patients' mobility are the main determinants of caregivers' burden. The strength of relationship between delusions and irritability was higher in spouse caregivers. Interventions to reduce burden should be adapted to the specific needs of a particular type caregiver.

Keywords: Alzheimer’s disease; burden; caregivers; kinship; neuropsychiatric symptoms.

MeSH terms

  • Activities of Daily Living
  • Alzheimer Disease*
  • Caregiver Burden
  • Caregivers
  • Cost of Illness
  • Humans