Depressive symptoms in caregivers of patients with dementia: demographic variables and burden

Pasquale De Fazio,1 Paola Ciambrone,1 Gregorio Cerminara,1 Elvira Barbuto,1 Antonella Bruni,1 Patrizia Gentile,1 Amalia Talarico,2 Roberto Lacava,2 Pietro Gareri,2 Cristina Segura-García11Psychiatric Unit, Department of Health Sciences, University Magna Graecia, Catanzaro, Italy; 2Unit fo...

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Autores principales:	De Fazio P, Ciambrone P, Cerminara G, Barbuto E, Bruni A, Gentile P, Talarico A, Lacava R, Gareri P, Segura-Garcia C
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Caregiver Dementia Depression Developmental burden Elderly Physical Burden. Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/961d75925c5547f8b4a92b3cac33da71
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spelling	oai:doaj.org-article:961d75925c5547f8b4a92b3cac33da712021-12-02T00:34:38ZDepressive symptoms in caregivers of patients with dementia: demographic variables and burden1178-1998https://doaj.org/article/961d75925c5547f8b4a92b3cac33da712015-07-01T00:00:00Zhttps://www.dovepress.com/depressive-symptoms-in-caregivers-of-patients-with-dementia-demographi-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Pasquale De Fazio,1 Paola Ciambrone,1 Gregorio Cerminara,1 Elvira Barbuto,1 Antonella Bruni,1 Patrizia Gentile,1 Amalia Talarico,2 Roberto Lacava,2 Pietro Gareri,2 Cristina Segura-García11Psychiatric Unit, Department of Health Sciences, University Magna Graecia, Catanzaro, Italy; 2Unit for the Elderly, ASP Catanzaro, Catanzaro, ItalyObjective: Individuals suffering from dementia are affected by a progressive and significant global deterioration and, consequently, might require longer assistance in the advanced stage of the illness. The illness is a great burden on the person who takes care of a patient, namely, the caregiver. This study aims to analyze the presence and relationship of specific sociodemographic variables, subjective burden, and depressive symptoms among caregivers of patients with dementia.Methods: The participants of this study were caregivers at a health care unit for the elderly in southern Italy. An evaluation of the burden of patients with dementia on caregivers was carried out using the Caregiver Burden Inventory (CBI) and depressive symptoms using the Self-Rating Depression Scale (SDS).Results: A total of 150 caregivers completed the study. In all, 83 (55%) caregivers showed a total CBI score ≥36, of whom 70% showed pathological depression scores in SDS. According to SDS, 28 (19%) caregivers showed a total CBI score from 24 to 36, of whom 32% were depressed. Depression was present in 5% of the caregivers whose CBI score was <24. Hence, an association between burden and depression was evident (χ2=47.446, P<0.001). A multiple linear regression analysis showed that depression (adjusted R2=0.622, F=50.123, P<0.001) was associated with higher physical (β=0.666, P=0.001) and developmental (β=0.712, P<0.001) burdens, lower socioeconomic status (β=-4.282; P=0.002), higher level of urbanicity (β=3.070; P=0.012), and advanced age (β=2.132; P=0.08).Conclusion: Our study confirms the presence of depressive symptoms in a large number of caregivers with high burden. Nevertheless, this study demonstrates that depressive symptoms are mainly associated with sociodemographic variables and, to a lesser degree, physical and developmental burdens.Keywords: caregiver, dementia, depression, developmental burden, elderly, physical burdenDe Fazio PCiambrone PCerminara GBarbuto EBruni AGentile PTalarico ALacava RGareri PSegura-Garcia CDove Medical PressarticleCaregiverDementiaDepressionDevelopmental burdenElderlyPhysical Burden.GeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 10, Pp 1085-1090 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Caregiver Dementia Depression Developmental burden Elderly Physical Burden. Geriatrics RC952-954.6
spellingShingle	Caregiver Dementia Depression Developmental burden Elderly Physical Burden. Geriatrics RC952-954.6 De Fazio P Ciambrone P Cerminara G Barbuto E Bruni A Gentile P Talarico A Lacava R Gareri P Segura-Garcia C Depressive symptoms in caregivers of patients with dementia: demographic variables and burden
description	Pasquale De Fazio,1 Paola Ciambrone,1 Gregorio Cerminara,1 Elvira Barbuto,1 Antonella Bruni,1 Patrizia Gentile,1 Amalia Talarico,2 Roberto Lacava,2 Pietro Gareri,2 Cristina Segura-García11Psychiatric Unit, Department of Health Sciences, University Magna Graecia, Catanzaro, Italy; 2Unit for the Elderly, ASP Catanzaro, Catanzaro, ItalyObjective: Individuals suffering from dementia are affected by a progressive and significant global deterioration and, consequently, might require longer assistance in the advanced stage of the illness. The illness is a great burden on the person who takes care of a patient, namely, the caregiver. This study aims to analyze the presence and relationship of specific sociodemographic variables, subjective burden, and depressive symptoms among caregivers of patients with dementia.Methods: The participants of this study were caregivers at a health care unit for the elderly in southern Italy. An evaluation of the burden of patients with dementia on caregivers was carried out using the Caregiver Burden Inventory (CBI) and depressive symptoms using the Self-Rating Depression Scale (SDS).Results: A total of 150 caregivers completed the study. In all, 83 (55%) caregivers showed a total CBI score ≥36, of whom 70% showed pathological depression scores in SDS. According to SDS, 28 (19%) caregivers showed a total CBI score from 24 to 36, of whom 32% were depressed. Depression was present in 5% of the caregivers whose CBI score was <24. Hence, an association between burden and depression was evident (χ2=47.446, P<0.001). A multiple linear regression analysis showed that depression (adjusted R2=0.622, F=50.123, P<0.001) was associated with higher physical (β=0.666, P=0.001) and developmental (β=0.712, P<0.001) burdens, lower socioeconomic status (β=-4.282; P=0.002), higher level of urbanicity (β=3.070; P=0.012), and advanced age (β=2.132; P=0.08).Conclusion: Our study confirms the presence of depressive symptoms in a large number of caregivers with high burden. Nevertheless, this study demonstrates that depressive symptoms are mainly associated with sociodemographic variables and, to a lesser degree, physical and developmental burdens.Keywords: caregiver, dementia, depression, developmental burden, elderly, physical burden
format	article
author	De Fazio P Ciambrone P Cerminara G Barbuto E Bruni A Gentile P Talarico A Lacava R Gareri P Segura-Garcia C
author_facet	De Fazio P Ciambrone P Cerminara G Barbuto E Bruni A Gentile P Talarico A Lacava R Gareri P Segura-Garcia C
author_sort	De Fazio P
title	Depressive symptoms in caregivers of patients with dementia: demographic variables and burden
title_short	Depressive symptoms in caregivers of patients with dementia: demographic variables and burden
title_full	Depressive symptoms in caregivers of patients with dementia: demographic variables and burden
title_fullStr	Depressive symptoms in caregivers of patients with dementia: demographic variables and burden
title_full_unstemmed	Depressive symptoms in caregivers of patients with dementia: demographic variables and burden
title_sort	depressive symptoms in caregivers of patients with dementia: demographic variables and burden
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/961d75925c5547f8b4a92b3cac33da71
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Depressive symptoms in caregivers of patients with dementia: demographic variables and burden

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