Open Access, Peer-reviewed
eISSN 2093-758X
    J Korean Acad Nurs. 2015 Apr;45(2):202-210. Korean.
    Published online Apr 30, 2015.
    https://doi.org/10.4040/jkan.2015.45.2.202
    © 2015 Korean Society of Nursing Science
    Original Article

    Depression and Caregiving Burden in Families of Patients with Amyotrophic Lateral Sclerosis

    Juyeon Oh,1 Ji Won An,2 Ki-Wook Oh,3 Seong-Il Oh,4 Jung A Kim,5 Seung Hyun Kim,3 and Jeong Seop Lee5
      • 1College of Nursing, Hanyang University·Hanyang Cell Therapy Center, Hanyang University Seoul Hospital, Seoul, Korea.
      • 2Department of Nursing, Far East University, Eumseong, Korea.
      • 3Department of Neurology, College of Medicine, Hanyang University·Hanyang Cell Therapy Center, Hanyang University Seoul Hospital, Seoul, Korea.
      • 4Department of Neurology, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.
      • 5College of Nursing, Hanyang University, Seoul, Korea.
    • Address reprint requests to: Lee, Jeong Seop. College of Nursing, Hanyang University, 222 Wangsimni-ro, Seongdong-gu, Seoul 133-791, Korea. Tel: +82-2-2220-0707, Fax: +82-2-2295-2074, Email: ljseop@hanyang.ac.kr
    Received June 25, 2014; Revised July 08, 2014; Accepted January 10, 2015.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

    Abstract

    Purpose

    The purpose of this study was to describe depression, caregiving burden and the correlation of the two variables in the families of patients with amyotrophic lateral sclerosis (ALS) and to clarify factors predicting caregiving burden.

    Methods

    A descriptive and cross-sectional study was conducted with 139 family members who provided care to patients with ALS. The characteristics of patients and families, Korean-Beck Depression Inventory (K-BDI), Korean version of Zarit Burden Interview (K-ZBI) and Korean-Amyotrophic Lateral Sclerosis Functional Rating Scale - Revised (K-ALSFRS-R) were used as study measures.

    Results

    The mean score for K-BDI was 19.39 out of 63 suggesting sub-clinical depression and 38.2% of the family members exhibited depression. The mean score for K-ZBI was 66.03 out of 88. The predictors for K-ZBI were K-BDI, age of family member, length of time spent per day in caring, relationship to patient and K-ALSFRS-R.

    Conclusion

    The results of this study suggest that levels of depression and caregiving burden are high among family members caring for patients with ALS. As depression is associated with caregiving burden, screening and emotional supports should be provided to reduce the burden of care for these family. Support programs to alleviate the care burden are also needed, considering family demographics, time per day in caring giving and K-ALSFRS-R.

    Keywords
    Dependency burden; Caregivers; Depression; Amyotrophic lateral sclerosis

    Tables

    Table 1
    Degree of Depression & Caregiving Burden according to Demographics and Clinical Characteristics

    Table 2
    Depression and Caregiving Burden of Participants

    Table 3
    Correlation between Depression and Caregiving Burden

    Table 4
    Predictors of Caregiving Burden among Families of Patients with Amyotrophic Lateral Sclerosis

    Notes

    This study was supported by a grant from the Korean Health Technology R&D Project, Ministry for Health & Welfare, Republic of Korea (No. A101712 & A120182).

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    MeSH Terms
    Adult
    Aged
    Amyotrophic Lateral Sclerosis/pathology
    Caregivers/psychology*
    Cross-Sectional Studies
    Depression/etiology
    Depression/psychology*
    Family
    Female
    Humans
    Male
    Middle Aged
    Psychiatric Status Rating Scales
    Quality of Life
    Surveys and Questionnaires
    Metrics
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