Caregiver burden in caregivers of older persons
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Abstract
Worldwide, the geriatric population has rapidly increased. Many older adults live with multiple comorbidities such as cancer, cerebrovascular disease and dementia which contribute to impaired activity of daily living and increased dependence. Therefore, caregiver play a major role in long-term supporting and caring these susceptible persons, leading to increased caregiver burden in caregivers. The prevalence of caregiver burden is 20% to 80% based on population setting. The most common risk factors of caregiver burden are financial problem and patients’ severe physical and psycho-behavioral problems. The burden results in adverse consequences including increased health deterioration, and diminish care provision and quality of life. Caregiver burden is usually underdiagnosed; hence, comprehensive assessment and suitable instruments should be applied for accurate diagnosis in clinical practice. Non-pharmacological treatment such as psychoeducation and cognitive-behavioral therapy play important roles in the reduction of caregiver burden. Therefore, we aimed to update the diverse points of caregiver burden in caregivers of older persons such as definition, prevalence, risk factors, consequences, diagnosis and management.
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References
Foundation of Thai Gerontology Research and Development institute (TGRI). Situation of the Thai Older Persons 2021. Nakhon Pathom: Institute for Population and Social Research, Mahidol University;2021.
The 2021 Survey of The Older Persons in Thailand. Bangkok: National Statistical Office Ministry of Digital Economy and Society;2022.
Watanabe O, Chompikul J, Kawamori M, Pimpisan N, Visanuyothin S. Predicators of Family Caregiver Burden in Caring for Older People in the Urban District of Nakhon Ratchasima Province, Thailand. J Int Health. 2019;34(4):217-228.
Limpawattana P, Theeranut A, Chindaprasirt J, Sawanyawisuth K, Pimporm J. Caregivers burden of older adults with chronic illnesses in the community: a cross-sectional study. J Community Health. 38(1):40-5.
Ageing and health. World Health Organization. World Health Organization [Internet] 2022 [cited 2023 Apr 14]. Available from: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health
National Alliance for Caregiving and AARP Public Policy Institute. Caregiving in the U.S. [Internet] 2020 [cited 21 Mar 2023]. Available from https://www.caregiving.org/wp-content/uploads/2021/01/full-report-caregiving-in-the-united-states-01-21.pdf
Being a Caregiver: Johns Hopkins Medicine [Internet] [cited 2023 Apr 14]. Available from:https://www.hopkinsmedicine.org/health/caregiving/being-a-caregiver.
Burden. Cambridge Dictionary [Internet] [cited 2023 Apr 13]. Available from: https://dictionary.cambridge.org/dictionary/english/burden
Zarit SH, Reever KE, Bach-Peterson J. Relatives of the impaired elderly: correlates of feelings of burden. Gerontologist. 1980;20(6):649-55.
Suksatan W, Tankumpuan T, Davidson PM. Heart Failure Caregiver Burden and Outcomes: A Systematic Review. J Prim Care Community Health. 2022;13:21501319221112584.
Henao Piedrahita N, Idarraga Arroyave MM, Londoño Restrepo N, López Ceballos JJ, Ramírez Serna MA, Serna Arango PA, et al. Prevalence of caregiver burden syndrome in formal caregivers of institutionalised patients with psychiatric illness. Rev Colomb Psiquiatr (Engl Ed). 2021;50(2):101-7.
Loo YX, Yan S, Low LL. Caregiver burden and its prevalence, measurement scales, predictive factors and impact: a review with an Asian perspective. Singapore Med J. 2022;63(10):593-603.
Putri YSE, Putra IGNE, Falahaini A, Wardani IY. Factors Associated with Caregiver Burden in Caregivers of Older Patients with Dementia in Indonesia. Int J Environ Res Public Health. 2022;19(19):12437.
Perkins M, Howard VJ, Wadley VG, et al. Caregiving strain and all-cause mortality: evidence from the REGARDS study. J Gerontol B Psychol Sci Soc Sci. 2013;68(4):504-12.
Jansen T, Rademakers J, Waverijn G, Verheij R, Osborne R, Heijmans M. The role of health literacy in explaining the association between educational attainment and the use of out-of-hours primary care services in chronically ill people: a survey study. BMC Health Serv Res. 2018;18(1):394.
Inthai P, Khrueapaeng P, Choksomngam Y, Yingchankul N. Prevalence and factors associated with caregiver burden in caregivers of elderly dependents in San Pa Tong District, Chiang Mai. Chiang Mai Med J. 2021;60(3):383-94.
Yadav N, Jain S, Jain R. A study for comparison of caregiver burden and behavioral and psychotic symptoms in frontotemporal dementia and alzheimer’s dementia. Int J Med Biomed Stud. 2020;4(2):183-5.
Baharudin AD, Din NC, Subramaniam P, Razali R. The associations between behavioral-psychological symptoms of dementia (BPSD) and coping strategy, burden of care and personality style among low-income caregivers of patients with dementia. BMC Public Health. 2019;19(Suppl 4):447.
Del-Pino-Casado R, Frías-Osuna A, Palomino-Moral PA, Ruzafa-Martínez M, Ramos-Morcillo AJ. Social support and subjective burden in caregivers of adults and older adults: A meta-analysis. PLoS One. 2018;13(1):e0189874.
Orfila F, Coma-Solé M, Cabanas M, Cegri-Lombardo F, Moleras-Serra A, Pujol-Ribera E. Family caregiver mistreatment of the elderly: prevalence of risk and associated factors. BMC Public Health. 2018;18(1):167.
Spitzer RL, Kroenke K, Williams JBW, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006;166(10):1092-7.
Wongpakaran N, Wongpakaran T, Van Reekum R. The Use of GDS-15 in Detecting MDD: A Comparison Between Residents in a Thai Long-Term Care Home and Geriatric Outpatients. J Clin Med Res. 2013;5(2):101-11.
Silpakit O, Silpakit C, Chomchuen R. Psychometric study of the Thai version of Zarit Burden Interview in psychiatric caregivers. J Ment Health Thai. 2015;23(1):12-24.
Psychoeducation - the cognitive and Research Center of New Jersey. CRCNJ [Internet] 2020 [cited 2023 Apr 18]. Available from:
https://thecrcnj.com/psychoeducation/
Overview - Cognitive behavioural therapy (CBT). NHS choices. NHS [Internet] 2022 [cited 2023 Apr 24]. Available from: https://www.nhs.uk/mental- health/talking-therapies-medicine-treatments/talking-therapies-and-counselling/cognitive-behavioural-therapy-cbt/overview/
Mikkola TM, Kautiainen H, Mänty M, von Bonsdorff MB, Koponen H, Kröger T, et al. Use of antidepressants among Finnish family caregivers: a nationwide register-based study. Soc Psychiatry Psychiatr Epidemiol. 2021;56(12):2209-16.
Camargos EF, Souza AB, Nascimento AS, Morais-E-Silva AC, Quintas JL, Louzada LL,
et al. Use of psychotropic medications by caregivers of elderly patients with dementia: is this a sign of caregiver burden? Arq Neuropsiquiatr. 2012;70(3):169-74.