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Conference Paper: A community study on burden and depressive symptoms among carers of demented relatives

TitleA community study on burden and depressive symptoms among carers of demented relatives
Authors
Issue Date2013
PublisherHong Kong Academy of Medicine Press. The Journal's web site is located at http://ajgg.org/
Citation
The Annual Scientific Meeting of The Hong Kong Geriatrics Society, Hong Kong, China, 29 June 2013. In Asian Journal of Gerontology and Geriatrics, 2013, v. 8 n. 2, p. 103 How to Cite?
AbstractBackground: Most mild to moderate demented patients are cared at home. Studies have shown that carers face increased stress and are prone to depression. In order to understand their needs, a collaboration study between District Board, Community Rehabilitation Network and local hospitals was done. Objective: (1) To understand care needs of demented patients and their carers in the family. (2) To assess difficulties faced by carers and evaluate their stress. (3) To find out which factors may aggravate or relieve carer stress. Method: The study was performed by interviewing 100 carers by questionnaire. Three main themes were studied: (1) presence of depression by Center for Epidemiological Studies Depression Scale (CES-D), (2) caregiver burden by Zarit Burden Interview (ZBI), patients’ memory and behavioural problems by Revised Memory and Behaviour Problems Checklist (RMBPC), patient ADL performance, and (3) carer coping abilities by Brief COPE and perceived social support by Multidimensional Scale of Perceived Social Support (MSPSS). Results: 49% of patients are in moderate to severe stage, with moderate to high ADL dependency level (mean ADL score: 62.4, with 40% of patients scoring 60 or below). On average carers spent 13.8 hours per day on their relative. 24% of carers have rated self-perceived health status as poor or very poor. 36% have little or no knowledge about the dementia illness. Regarding carer depression, 49% had CES-D score in the moderately and severely depressed range. Caregiver burden was high with ZBI score of 38.2 (>24 being highly associated with depression). Memory and behavioural symptoms were common with mean RMBPC 38.2. Carer coping abilities as measured by Brief COPE was 24.6. Perceived social support as measured by MSPSS was 56.2. Carer depression was found to be correlated with cognitive and behaviour problems as well as carer burden; whereas it was negatively correlated with social support. After multiple linear regression analysis, caregiver burden was the most significant factor contributing to caregiver depression (β=0.55, T=5.43, p<0.001). Conclusions: This cohort of carers, having spent long hours caring for their demented relatives had limited knowledge, poor perceived health and emotional problems. They had high burden and showed signs of depression. Caregiver depression was found to be associated with a higher level of burden.
Persistent Identifierhttp://hdl.handle.net/10722/187298
ISSN
2015 SCImago Journal Rankings: 0.116

 

DC FieldValueLanguage
dc.contributor.authorShum, YWen_US
dc.contributor.authorNg, Pen_US
dc.contributor.authorLou, VWen_US
dc.contributor.authorChan, Oen_US
dc.contributor.authorHo, JCen_US
dc.contributor.authorHung, Aen_US
dc.contributor.authorCheung, Men_US
dc.contributor.authorLeung Wong, EKSen_US
dc.contributor.authorChow, Pen_US
dc.contributor.authorWong, Jen_US
dc.date.accessioned2013-08-20T12:35:51Z-
dc.date.available2013-08-20T12:35:51Z-
dc.date.issued2013en_US
dc.identifier.citationThe Annual Scientific Meeting of The Hong Kong Geriatrics Society, Hong Kong, China, 29 June 2013. In Asian Journal of Gerontology and Geriatrics, 2013, v. 8 n. 2, p. 103en_US
dc.identifier.issn1819-1576-
dc.identifier.urihttp://hdl.handle.net/10722/187298-
dc.description.abstractBackground: Most mild to moderate demented patients are cared at home. Studies have shown that carers face increased stress and are prone to depression. In order to understand their needs, a collaboration study between District Board, Community Rehabilitation Network and local hospitals was done. Objective: (1) To understand care needs of demented patients and their carers in the family. (2) To assess difficulties faced by carers and evaluate their stress. (3) To find out which factors may aggravate or relieve carer stress. Method: The study was performed by interviewing 100 carers by questionnaire. Three main themes were studied: (1) presence of depression by Center for Epidemiological Studies Depression Scale (CES-D), (2) caregiver burden by Zarit Burden Interview (ZBI), patients’ memory and behavioural problems by Revised Memory and Behaviour Problems Checklist (RMBPC), patient ADL performance, and (3) carer coping abilities by Brief COPE and perceived social support by Multidimensional Scale of Perceived Social Support (MSPSS). Results: 49% of patients are in moderate to severe stage, with moderate to high ADL dependency level (mean ADL score: 62.4, with 40% of patients scoring 60 or below). On average carers spent 13.8 hours per day on their relative. 24% of carers have rated self-perceived health status as poor or very poor. 36% have little or no knowledge about the dementia illness. Regarding carer depression, 49% had CES-D score in the moderately and severely depressed range. Caregiver burden was high with ZBI score of 38.2 (>24 being highly associated with depression). Memory and behavioural symptoms were common with mean RMBPC 38.2. Carer coping abilities as measured by Brief COPE was 24.6. Perceived social support as measured by MSPSS was 56.2. Carer depression was found to be correlated with cognitive and behaviour problems as well as carer burden; whereas it was negatively correlated with social support. After multiple linear regression analysis, caregiver burden was the most significant factor contributing to caregiver depression (β=0.55, T=5.43, p<0.001). Conclusions: This cohort of carers, having spent long hours caring for their demented relatives had limited knowledge, poor perceived health and emotional problems. They had high burden and showed signs of depression. Caregiver depression was found to be associated with a higher level of burden.-
dc.languageengen_US
dc.publisherHong Kong Academy of Medicine Press. The Journal's web site is located at http://ajgg.org/-
dc.relation.ispartofAsian Journal of Gerontology and Geriatricsen_US
dc.rightsAsian Journal of Gerontology and Geriatrics. Copyright © Hong Kong Academy of Medicine Press.-
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.titleA community study on burden and depressive symptoms among carers of demented relativesen_US
dc.typeConference_Paperen_US
dc.identifier.emailLou, VW: wlou@hku.hken_US
dc.identifier.authorityLou, VW=rp00607en_US
dc.description.naturepublished_or_final_version-
dc.identifier.hkuros220902en_US
dc.identifier.volume8-
dc.identifier.issue2-
dc.identifier.spage103-
dc.identifier.epage103-
dc.publisher.placeHong Kongen_US

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