Abstract
Aim of this study was to determine the predictors of caregiver burden among spouse caregivers of patients with Parkinson’s disease (PD). Forty consecutive PD patients and their spouse caregivers were included. Patients were assessed using the Unified Parkinson’s Disease Rating Scale (UPDRS), the Hoehn and Yahr scale (HY), the Mini-Mental State Examination (MMSE), the Neuropsychiatric Inventory (NPI), and the Geriatric Depression Scale (GDS). Stress and depressive symptoms among caregivers were evaluated using the Caregiver Burden Inventory (CBI) scale and the GDS. Only PD severity (HY) and mental symptoms (NPI) were significantly associated to caregiver distress. A major attention must be given to the early identification of factors generating stress in caregivers in order to improve caregiver quality of life and patient’s care.
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O’Reilly F, Finnan F, Allwright S et al (1996) The effects of caring for a spouse with Parkinson’s disease on social, psychological and physical well being. Br J Gen Prac 46:507–512
Miller E, Berrios GE, Politynska BE (1996) Caring for someone with Parkinson’s disease: factors that contribute to distress. Int J Ger Psychiatry 11:263–268
Aguglia E, Onor ML, Trevisiol M et al (2004) Stress in the caregivers of Alzheimer’s patients: an experimental investigation in Italy. Am J Alzheimers Dis Other Demen 19:248–252
Novak M, Guest CI (1989) Application of a multi-dimensional care-giver burden inventory. Gerontologist 29:798–803
Carter JH, Stewart BJ, Archbold PG et al (1998) Living with a person who has Parkinson’s disease: the spouse’s perspective by stage of disease. Mov Disord 13:20–28
Aarsland D, Larsen JP, Karlsen K et al (1999) Mental symptoms in parkinson’s disease are important contributors to caregiver distress. Int J Geriat Psychiatry 14:866–874
Meara J, Mitchelmore E, Hobson P (1999) Use of GDS-15 geriatric depression scale as a screening instrument for depressive symptomatology in patients with Parkinson disease and their carers in the community. Age Ageing 28:35–38
Happe S, Berger K (2002) The association between caregiver burden and sleep disturbances in partners of patients with Parkinson’s disease. Age Ageing 31:349–354
Thommessen B, Aarsland D, Braekhus A et al (2002) The psychosocial burden on spouses of the elderly with stroke, dementia and Parkinson’s disease. Int J Geriatr Psychiatry 17:78–84
Martinez-Martin P, Forjaz MJ, Frades-Payo B et al (2007) Caregiver burden in Parkinson’s disease. Mov Disord 22:924–931
Carter JH, Stewart BJ, Lyons KS et al (2008) Do motor and nonmotor symptoms in PD patients predict caregiver strain and depression? Mov Disord 23:1211–1216
Schrag A, Hovris A, Morley D et al (2006) Caregiver-burden in parkinson’s disease is closely associated with psychiatric symptoms, falls and disability. Parkinsonism Relat Disord 12:35–41
Aarsland D, Brønnick K, Ehrt U et al (2007) Neuropsychiatric symptoms in patients with Parkinson’s disease and dementia: frequency, profile and associated care giver stress. J Neurol Neurosurg Psychiatry 78:36–42
Pal PK, Thennarasu K, Fleming J et al (2004) Nocturnal sleep disturbances and daytime dysfunction in patients with Parkinson’s disease and in their caregivers. Parkinsonism Relat Disord 10:157–168
Edwards NE, Scheetz PS (2002) Predictors of burden for caregivers of patients with Parkinson’s disease. J Neurosci Nurs 34:184–190
Fernandez HH, Tabamo REJ, David RR et al (2001) Predictors of depressive symptoms among spouse caregivers in Parkinson’s disease. Mov Disord 16:1123–1125
Martínez-Martín P, Benito-León AlonsoF et al (2005) Quality of life of caregivers in Parkinson’s disease. Qual Life Res 14:463–472
Cifu DX, Carne W, Brown R et al (2006) Caregiver distress in Parkinsonism. J Rehabil Res Dev 43:499–508
Smith MC, Ellgring H, Oertel WH (1997) Sleep disturbances in Parkinson’s disease patients and spouses. J Am Geriatr Soc 45:194–199
Caap-Ahlgren M, Dehlin O (2002) Factors of importance to the caregiver burden experienced by family caregivers of Parkinson’s disease patients. Aging Clin Exp Res 14:371–377
Marvardi M, Mattioli P, Spazzafumo L et al (2005) Study Group on Brain Aging; Italian Society of gerontology and Geriatrics the Caregiver Burden Inventory in evaluating the burden of caregivers of elderly demented patients: results from a multicenter study. Aging Clin Exp Res 17:46–53
Schulz R, Beach SR (1999) Caregiving as a risk factor for mortality: the Caregiver Health Effects Study. JAMA 282:2215–2219
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M. D’Amelio and V. Terruso equally contributed to the study.
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D’Amelio, M., Terruso, V., Palmeri, B. et al. Predictors of caregiver burden in partners of patients with Parkinson’s disease. Neurol Sci 30, 171–174 (2009). https://doi.org/10.1007/s10072-009-0024-z
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DOI: https://doi.org/10.1007/s10072-009-0024-z