caregiver stress (caregiver burden, caregiver burnout)
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Etiology
- inadequate daily help with tasks (primary factor)[4]
- no association with
- duration of disability
- degree of disability,
- socioeconomic status[4]
- caregiver risk factors[3]
- female sex
- low educational attainment
- residence with the care recipient
- higher number of hours spent caregiving
- depression
- social isolation
- financial stress
- lack of choice in being a caregiver
- white caregivers at greater risk than black caregivers[1]
- patient risk factors
Epidemiology
- caregivers of patients with dementia
Pathology
- impaired immunity
- higher incidence of:
- depression (50%)
- acute illness (especially respiratory tract)
- anxiety
Laboratory
- diminished titers in influenza vaccine
- increased serum IL-6
Complications
- increased mortality among stressed caregivers[2]
- caregiver support will likely have little effect on the course of a patient's illness[1]
Management
- assess level of caregiver distress before providing personal care services when assisting disabled elderly to remain in his/her home (GRS11)[1]
- respite care
- caregiver support group[3][5]
- cognitive behavioral therapy[3][6]
More general terms
Additional terms
References
- ↑ Jump up to: 1.0 1.1 1.2 1.3 Geriatrics Review Syllabus, American Geriatrics Society, 5th edition, 2002-2004
Geriatric Review Syllabus, 9th edition (GRS9) Medinal-Walpole A, Pacala JT, Porter JF (eds) American Geriatrics Society, 2016
Geriatric Review Syllabus, 11th edition (GRS11) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2022 - ↑ Jump up to: 2.0 2.1 Kiecolt-Glaser JK et al, PNAS 100:9090, 2003
- ↑ Jump up to: 3.0 3.1 3.2 3.3 Adelman RD, Tmanova LL, Delgado D, et al. Caregiver burden: a clinical review. JAMA. 2014;311(10):1052-1060 PMID: https://www.ncbi.nlm.nih.gov/pubmed/24618967
- ↑ Jump up to: 4.0 4.1 4.2 Garlo K, O'Leary JR, Van Ness PH, Fried TR. Burden in caregivers of older adults with advanced illness. J Am Geriatr Soc 2010 Dec; 58(12):2315-2322. PMID: https://www.ncbi.nlm.nih.gov/pubmed/21087225
- ↑ Jump up to: 5.0 5.1 Keiro Senior Health Care Benefits of a Support Group for Caregivers http://www.keiro.org/caregivers-support-group
- ↑ Jump up to: 6.0 6.1 Livingston G et al Long-term clinical and cost-effectiveness of psychological intervention for family carers of people with dementia: a single-blind, randomised, controlled trial. The Lancet Psychiatry. 19 November 2014 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/26361313 <Internet> http://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366%2814%2900073-X/abstract
- ↑ Jump up to: 7.0 7.1 Chiari A, Pistoresi B, Galli C et al Determinants of Caregiver Burden in Early-Onset Dementia. Dement Geriatr Cogn Dis Extra. 2021 Aug 13;11(2):189-197. PMID: https://www.ncbi.nlm.nih.gov/pubmed/34721497 PMCID: PMC8460976 Free PMC article.