Burden, perceived health status, and mood among caregivers of Parkinson's disease patients
Identifieur interne : 002965 ( Main/Exploration ); précédent : 002964; suivant : 002966Burden, perceived health status, and mood among caregivers of Parkinson's disease patients
Auteurs : Pablo Martinez-Martin [Espagne] ; Susana Arroyo [Espagne] ; Jose Manuel Rojo-Abuin [Espagne] ; Carmen Rodriguez-Blazquez [Espagne] ; Belen Frades [Espagne] ; Jesus De Pedro Cuesta [Espagne]Source :
- Movement Disorders [ 0885-3185 ] ; 2008-09-15.
English descriptors
- KwdEn :
- Adult, Affect (physiology), Aged, Aged, 80 and over, Caregivers (psychology), Cost of Illness, Cross-Sectional Studies, Factor Analysis, Statistical, Female, Health Status, Humans, Linear Models, Male, Middle Aged, Observation, Parkinson Disease (nursing), Parkinson Disease (psychology), Parkinson's disease, Quality of Life, Questionnaires, assessment, caregiver burden, caregiver health status, direct costs, mood.
- MESH :
- nursing : Parkinson Disease.
- physiology : Affect.
- psychology : Caregivers, Parkinson Disease.
- Adult, Aged, Aged, 80 and over, Cost of Illness, Cross-Sectional Studies, Factor Analysis, Statistical, Female, Health Status, Humans, Linear Models, Male, Middle Aged, Observation, Quality of Life, Questionnaires.
Abstract
The objective of this study is to describe the characteristics of the caregivers of patients with Parkinson's disease (PD) and to analyze the association between these characteristics and caregiver burden, perceived health and mood status, and identify their predictors. A multicenter, nationwide, observational, cross‐sectional study that included 289 patient–caregiver pairs was conducted. Caregiver self‐assessments were the Hospital Anxiety and Depression Scale (HADS), EuroQol (EQ), and Zarit Caregiver Burden Inventory (ZCBI). Most caregivers in the study were women aged 60 years or thereabouts. Over two thirds were gainfully employed or housewives, 75% were patients' spouses, and the majority (96.5%) had been permanently taking care of the patient for 6 ± 5.4 years. Less than 5% of patients were in the most advanced stages of disease, and direct costs were 6,350 euros per patient per year. Caregivers had more mood disorders and worse health‐related quality of life (HRQol; EQ‐Tariff) than did the general population. Caregiver HADS and EuroQol scores displayed a weak correlation (rS = 0.01–0.28) with patient‐related variables (disease duration, HY, SCOPA‐Motor, SCOPA‐AUT, HADS, PPRS, and CISI‐PD) whereas the ZCBI correlated moderately (rS = 0.27–0.47). Among caregivers, the EQ‐Tariff was significantly lower and the HADS‐Anxiety scores significantly higher for women. ZCBI and HADS‐depression, though not EuroQol and HADS‐anxiety, scores significantly increased with increasing PD severity levels. Caregivers' affective status proved the most important factor influencing their burden and perceived health, whereas patient‐related variables influenced caregiver burden and mood but not health status. In PD, prevalence of affective disorders among patients' caregivers is high and influences both burden and HRQoL. © 2008 Movement Disorder Society
Url:
DOI: 10.1002/mds.22106
Affiliations:
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Le document en format XML
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<author><name sortKey="Rodriguez Lazquez, Carmen" sort="Rodriguez Lazquez, Carmen" uniqKey="Rodriguez Lazquez C" first="Carmen" last="Rodriguez-Blazquez">Carmen Rodriguez-Blazquez</name>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Caregivers (psychology)</term>
<term>Cost of Illness</term>
<term>Cross-Sectional Studies</term>
<term>Factor Analysis, Statistical</term>
<term>Female</term>
<term>Health Status</term>
<term>Humans</term>
<term>Linear Models</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Observation</term>
<term>Parkinson Disease (nursing)</term>
<term>Parkinson Disease (psychology)</term>
<term>Parkinson's disease</term>
<term>Quality of Life</term>
<term>Questionnaires</term>
<term>assessment</term>
<term>caregiver burden</term>
<term>caregiver health status</term>
<term>direct costs</term>
<term>mood</term>
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<keywords scheme="MESH" qualifier="nursing" xml:lang="en"><term>Parkinson Disease</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Affect</term>
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<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Caregivers</term>
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<term>Aged</term>
<term>Aged, 80 and over</term>
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<term>Cross-Sectional Studies</term>
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<term>Female</term>
<term>Health Status</term>
<term>Humans</term>
<term>Linear Models</term>
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<term>Middle Aged</term>
<term>Observation</term>
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<front><div type="abstract" xml:lang="en">The objective of this study is to describe the characteristics of the caregivers of patients with Parkinson's disease (PD) and to analyze the association between these characteristics and caregiver burden, perceived health and mood status, and identify their predictors. A multicenter, nationwide, observational, cross‐sectional study that included 289 patient–caregiver pairs was conducted. Caregiver self‐assessments were the Hospital Anxiety and Depression Scale (HADS), EuroQol (EQ), and Zarit Caregiver Burden Inventory (ZCBI). Most caregivers in the study were women aged 60 years or thereabouts. Over two thirds were gainfully employed or housewives, 75% were patients' spouses, and the majority (96.5%) had been permanently taking care of the patient for 6 ± 5.4 years. Less than 5% of patients were in the most advanced stages of disease, and direct costs were 6,350 euros per patient per year. Caregivers had more mood disorders and worse health‐related quality of life (HRQol; EQ‐Tariff) than did the general population. Caregiver HADS and EuroQol scores displayed a weak correlation (rS = 0.01–0.28) with patient‐related variables (disease duration, HY, SCOPA‐Motor, SCOPA‐AUT, HADS, PPRS, and CISI‐PD) whereas the ZCBI correlated moderately (rS = 0.27–0.47). Among caregivers, the EQ‐Tariff was significantly lower and the HADS‐Anxiety scores significantly higher for women. ZCBI and HADS‐depression, though not EuroQol and HADS‐anxiety, scores significantly increased with increasing PD severity levels. Caregivers' affective status proved the most important factor influencing their burden and perceived health, whereas patient‐related variables influenced caregiver burden and mood but not health status. In PD, prevalence of affective disorders among patients' caregivers is high and influences both burden and HRQoL. © 2008 Movement Disorder Society</div>
</front>
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<affiliations><list><country><li>Espagne</li>
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<region><li>Communauté de Madrid</li>
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<tree><country name="Espagne"><region name="Communauté de Madrid"><name sortKey="Martinez Artin, Pablo" sort="Martinez Artin, Pablo" uniqKey="Martinez Artin P" first="Pablo" last="Martinez-Martin">Pablo Martinez-Martin</name>
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<name sortKey="Arroyo, Susana" sort="Arroyo, Susana" uniqKey="Arroyo S" first="Susana" last="Arroyo">Susana Arroyo</name>
<name sortKey="De Pedro Cuesta, Jesus" sort="De Pedro Cuesta, Jesus" uniqKey="De Pedro Cuesta J" first="Jesus" last="De Pedro Cuesta">Jesus De Pedro Cuesta</name>
<name sortKey="Frades, Belen" sort="Frades, Belen" uniqKey="Frades B" first="Belen" last="Frades">Belen Frades</name>
<name sortKey="Rodriguez Lazquez, Carmen" sort="Rodriguez Lazquez, Carmen" uniqKey="Rodriguez Lazquez C" first="Carmen" last="Rodriguez-Blazquez">Carmen Rodriguez-Blazquez</name>
<name sortKey="Rojo Buin, Jose Manuel" sort="Rojo Buin, Jose Manuel" uniqKey="Rojo Buin J" first="Jose Manuel" last="Rojo-Abuin">Jose Manuel Rojo-Abuin</name>
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