The experience of burnout among home caregivers of patients with dementia: relations to depression and quality of life.

Caregivers of patients with dementia often experience chronic and emotional strains, which may lead to emotional exhaustion and burnout. The objective of this study was to examine the relationships between burnout, depression, and quality of life in home caregivers of patients with dementia. The participants were 84 home caregivers (39 male; 45 female), and they were asked to complete three questionnaires: the Beck Depression Inventory Second Edition (BDI-II), the WHO Quality of Life 26 (WHO-QOL26), and the Pines Burnout Measure (BM). Results from a bivariate correlation showed that BM scores significantly correlated with the scores on BDI-II and WHO-QOL26. Results from ANOVA comparing the level of burnout with the scores on BDI-II and WHO-QOL26 revealed that there were differences between the burnout groups and the scores on BDI-II and WHO-QOL26. The higher levels of burnout were found to correspond to higher levels of depressive symptoms and lower QOL. These findings suggest that caregiver intervention to reduce burnout might benefit from strategies to reduce depression and increase QOL.

[1]  F. Inaoka [Burnout. Commentary: burnout phenomena and burnout scales]. , 1988, Kango kenkyu. The Japanese journal of nursing research.

[2]  C. Adams Quality of life for caregivers and stroke survivors in the immediate discharge period. , 2003, Applied nursing research : ANR.

[3]  J. Kiecolt-Glaser,et al.  Psychoneuroimmunology: psychological influences on immune function and health. , 2002, Journal of consulting and clinical psychology.

[4]  Hitoshi Miyaoka,et al.  Depression and associated factors of informal caregivers versus professional caregivers of demented patients , 2005, Psychiatry and clinical neurosciences.

[5]  G. Naglie Quality of Life in Dementia , 2007, Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques.

[6]  L. Hubbell,et al.  The burnout risk for male caregivers in providing care to spouses afflicted with Alzheimer's disease. , 2002, Journal of health and human services administration.

[7]  Mrc Psych,et al.  Consensus guidelines for the clinical and pathologic diagnosis of dementia with Lewy bodies (DLB): Report of the consortium on DLB international workshop , 1996 .

[8]  G. C. Román,et al.  Vascular dementia , 1993, Neurology.

[9]  S. Jones,et al.  The association between objective and subjective caregiver burden. , 1996, Archives of psychiatric nursing.

[10]  B. Winblad,et al.  Caring for a demented elderly person--burden and burnout among caregiving relatives. , 1997, Journal of advanced nursing.

[11]  M. Torem Burnout: From Tedium to Personal Growth , 1982 .

[12]  T. Patterson,et al.  Interventions for caregiving in dementia: physical outcomes , 2003 .

[13]  Elliot Aronson,et al.  Career burnout: Causes and cures. , 1988 .

[14]  Y. Kuroda,et al.  Burnout and work environments of public health nurses involved in mental health care , 2004, Occupational and Environmental Medicine.

[15]  K. Kosaka,et al.  Consensus guidelines for the clinical and pathologic diagnosis of dementia with Lewy bodies (DLB) , 1996, Neurology.

[16]  M. Folstein,et al.  Clinical diagnosis of Alzheimer's disease , 1984, Neurology.

[17]  Christina Maslach,et al.  Burnout: The Cost of Caring , 1982 .

[18]  M. Zencir,et al.  Effects of a comprehensive educational program on quality of life and emotional issues of dementia patient caregivers. , 2005, Geriatric nursing.

[19]  E. Hanson,et al.  Chronic Stress Affects Blood Pressure and Speed of Short-Term Memory , 2000, Perceptual and motor skills.

[20]  Pierre-Marie Preux,et al.  Dementia patients caregivers quality of life: the PIXEL study , 2006, International journal of geriatric psychiatry.

[21]  Barbara L. Knight,et al.  Assessing Alzheimer's support group particpation: A retrospective follow-up , 1999 .

[22]  M. Folstein,et al.  Clinical diagnosis of Alzheimer's disease: Report of the NINCDS—ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer's Disease , 2011, Neurology.

[23]  K. Hooker,et al.  Mental and physical health of spouse caregivers: the role of personality. , 1992, Psychology and aging.

[24]  Makoto Kawai,et al.  Cross-cultural validation of the Beck Depression Inventory-II in Japan , 2002, Psychiatry Research.

[25]  Diagnosis and treatment of Alzheimer’s disease , 2005, Neurology.

[26]  D. Roth,et al.  Psychological, social, and health impact of caregiving: a comparison of black and white dementia family caregivers and noncaregivers. , 1995, Psychology and aging.