Condition of informal caregivers in long-term care of people with dementia

Paweł Kleka 4,  
Ewa Mojs 3,  
Department of Rheumatology and Rehabilitation, Poznan Univeristy of Medical Sciences, Orthopedic-Rehabilitation Clinical Hospital in Poznan, Poland
Department of Social Sciences, Poznan University of Medical Sciences, Poland
Depertment of Clinical Psychology, Poznan Univeristy of Medical Science, Poland
Adam Mickiewicz University, Institute of Psychology, Poznan, Poland
Ann Agric Environ Med 2016;23(3):491–494
Caregivers of demented relatives devote their time and attention in order to help the beloved members of the family. Those who are informal caregivers require support in order to avoid being overburdened. Many such caregivers may suffer from chronic health problems, for instance, depression.

The aim was to assess the factors of depression in caregivers, and to discover the determinants of depression among informal family caregivers of demented individuals.

Material and Methods:
Forty-one caregivers in the research group were administered a questionnaire which included the caregivers’ demographics. Caregiver’s level of depression was measured by the scale of the Centre for Epidemiology Scale for Depression. The relationship between depression and demographic features was analyzed. Data were analyzed using STATISTICA 8.1 (StatSoft). Analysis of the results was performed using the Kolmogorov-Smirnov test of normality. Pearson correlation coefficient was also used.

Referring to The Centre for Epidemiology Scale for Depression, the average score in the study group was 18 ± 7.49. There was no statistically significant relationship between the level of depression and such factors as caregiver’s age, time of care of demented relative, and type of kinship and pain.

Although there was no relationship between the level of depression and demographic features, the problem with quality of life, worries and grief which may appear, seemed to be sufficient reason for organizing the prevention of depression for all informal caregivers of persons with dementia.

Roksana Ewa Zofia Malak   
Department of Rheumatology and Rehabilitation, Poznan Univeristy of Medical Sciences, Orthopedic-Rehabilitation Clinical Hospital in Poznan, Poland
1. Kang HS, Myung W, Na DL, Kim SY, Lee JH, Han SH, Choi SH, Kim SY, Kim S, Kim DK. Factors Associated with Caregiver Burden in Patients with Alzheimer’s Disease. Psychiatry Investig. 2014; 11(2): 152–15.
2. Al-Qazzaz NK, Ali SH, Ahmad SA, Chellappan K, Islam MS, Escudero J. Role of EEG as Biomarker in the Early Detection and Classification of Dementia. ScientificWorldJournal. 2014; 2014: 906038.Published online Jun 30, 2014. 10.1155/2014/906038.
3. Razani J, Corona R, Quilici J, Matevosyan AA, Funes C, Larco AA, Miloyan B, Avila J, Chung J, Goldberg H, Lu P. The Effects of Declining Functional Abilities in Dementia Patients and Increases Psychological Distress on Caregiver Burden Over a One-Year Period. Clin Gerontol. 2014; 37(3): 235–252.
4. Allegri RF, Sarasola D, Serrano C,Taragano FE, Arizaga FL, Butman J, Lon L.Neuropsychiatric symptoms as a predictor of caregiver burden in Alzheimer’s disease. Neuropsychiatr Dis Treat. Mar 2006; 2(1): 105–110.
5. Katona C, Peveler R, DowrickCh, Wessely S, FeinmannCh, Gask L, Lloyd H, Williams ACC, Wager E. Pain symptoms in depression: definition and clinical significance. Clin Med. 2005;5:390–395.
6. Lan Guo L, Deng J, He Y, Deng X, Huang J, Huang G, Gao X, Lu C. Prevalence and correlates of sleep disturbance and depressive symptoms among Chinese adolescents: a cross-sectional survey study. BMJ Open. 2014; 4: e005517 doi:10.1136/bmjopen-2014–005517.
7. Marcus M, Yasamy MT, Ommeren M, Chisholm D, Saxena Sh. Depression A Global Public Health Concern Developed. WHO Department of Mental Health and Substance Abuse.http://www.who.int/mental_health/management/depression/who_paper_depression_wfmh_2012.pdf (access: 16.08.2014).
8. Zahodne LB, Stern Y, Manly JJ. Depressive Symptoms Precede Memory Decline, but Not Vice Versa, in Non-Demented Older Adults. J Am Geriat Soc. 2014; 62(1): 130 -134.
9. Puto G, Ocetkiewicz T, Zawisza K.Wpływ depresji i funkcji poznawczych na subiektywną ocenę jakości życia pacjentów z chorobą niedokrwienną serca po 80. roku życia. Influence of depression and cognitive function on subjective assessment of quality of life in patients over 80 years old with myocardial ischemia. Gerontol Pol. 2003; 15(3): 90–96.
10. Weiss Wiesel TR, Nelson CJ, Tew WP, Hardt M, Mohile SG, Owusu C, Klepin HD, Gross CP, Gajra A, Lichtman SM, Ramani R, Katheria V, Zavala L, Hurria A. On behalf of the Cancer Aging Research Group (CARG). The relationship between age, anxiety, and depression in older adults with cancer. Psychooncology. 2014; 6. doi: 10.1002/pon.3638.
11. Ornstein K, Gaugler JE, Zahodne L, Stern Y. The heterogeneous course of depressive symptoms for the dementia caregiver. Int J Aging Hum Dev. 2014; 78(2): 133–48.
12. Brown LJ, Bond MJ. Transition from the spouse dementia caregiver role: A change for the better? Dementia (London). 2014 Jun 16. pii: 1471301214539337. [Epub ahead of print].
13. Strivens E, Craig D. Managing dementia-related cognitive decline in patients and their caregivers. Aust Fam Physician. 2014 Apr; 43(4): 170–4.
14. Eichler T, Thyrian JR , Dreier A, Wucherer D, Köhler L, Fiß T, Böwing G, Michalowsky B, Hoffmann W . Dementia care management: going new ways in ambulant dementia care within a GP-based randomized controlled intervention trial. Int Psychogeriatr. 2014; 26(2): 247–56. doi: 10.1017/S1041610213001786. Epub 2013 Oct 23.
15. Prosser LA, Lamarand K, Gebremariam A, Wittenberg E. Measuring Family HRQoL Spillover Effects Using Direct Health Utility Assessment. Med Decis Making XXXX;XX:xx–xx. PUBLISHED 23 July 2014.DOI: 10.1177/0272989X14541328.
16. Romero-Moreno R, Losada A, Marquez M, Laidlaw K, Fernández-Fernández V, Nogales-González C, López J. Leisure, gender, and kinship in dementia caregiving: psychological vulnerability of caregiving daughters with feelings of guilt. J Gerontol B Psychol Sci Soc Sci. 2014; 69(4): 502–13.
17. Sparks MB, Farran CJ, Donner E, Keane-Hagerty ESch Inq Nurs Pract. Wives, husbands, and daughters of dementia patients: predictors of caregivers’ mental and physical health. 1998; 12(3): 221–234; discussion 235–238.
18. Chumbler NR, Grimm JW, Cody M, Beck C. Gender, kinship and caregiver burden: the case of community-dwelling memory impaired seniors. Int J Geriatr Psychiatry. 2003; 18(8): 722–32.
19. Riedijk SR, De Vugt ME, Duivenvoorden HJ, Niermeijer MF, Van Swieten JC, Verhey HRJ, Tibben A. Caregiver Burden, Health-Related Quality of Life and Coping in Dementia Caregivers: A Comparison of Frontotemporal Dementia and Alzheimer’s Disease. Dement Geriatr Cogn Disord. 2006; 22(5–6): 405–412.
20. Hébert R, Lévesque L, Vézina J, Lavoie JP, Ducharme F, Gendron C, Préville M, Voyer L, Dubois MFJ. Efficacy of a psychoeducative group program for caregivers of demented persons living at home: a randomized controlled trial. Gerontol B Psychol Sci Soc Sci. 2003; 58(1): S58–67.
21. Perrin PB, Morgan M, Aretouli E, Sutter M, Snipes DJ, Hoyos GR, Buraye JA, Arango-Lasprilla JC. Connecting health-related quality of life and mental health in dementia caregivers from Colombia, South America. J Alzheimers Dis. 2014; 39(3): 499–509.
22. Kuo LM, Huang HL, Huang HL, Liang J, Chiu YC, Chen ST, Kwok YT, Hsu WC, Shyu YI. A home-based training program improves Taiwanese family caregivers’ quality of life and decreases their risk for depression: a randomized controlled trial. Int J Geriatr Psychiatry. 2013 May; 28(5): 504–13.
23. Murray TM, Sachs GA, Stocking C, Shega JW. The symptom experience of community-dwelling persons with dementia: self and caregiver report and comparison with standardized symptom assessment measures. Am J Geriatr Psychiatry. 2012; 20(4): 298–305.
24. Andrén S, Elmståhl S. The relationship between caregiver burden, caregivers’ perceived health and their sense of coherence in caring for elders with dementia. J Clin Nurs. 2008; 17(6): 790–9.
25. Reinhard SC, Given B, Petlick NH, Bemis A. Supporting Family Caregivers in Providing Care. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Agency for Healthcare Research and Quality (US); Rockville 2008.
26. Warchol Biedermann K, Mojs E, Gregersen R, Maibom K, José C, Millán-Calenti JC, Maseda A. What causes grief in dementia caregivers? Archiv Gerontol Geriatr. 2014; 59: 462–467.