Factors related to adverse mental health condition of demented family caregivers: A study in West Bengal, India

Authors

  • Ipsita Basu Biological Anthropology Unit, Indian Statistical Institute, Kolkata, India
  • Susmita Mukhopadhyay Biological Anthropology Unit, Indian Statistical Institute, Kolkata, India

DOI:

https://doi.org/10.2478/anre-2019-0028

Keywords:

dementia caregivers, mental health, stress, anxiety, socio-demographic factors

Abstract

Dementia caregiving is a unique and the caregivers faces extreme challenges which affect caregiver’s mental health adversely. Family caregiving towards elderly individuals with dementia is becoming widespread. The study aims to evaluate the mental health status of dementia family caregivers and some related factors that affect their mental health condition. Present cross sectional study includes a total of 134 family caregivers. Socio-demographic and caregiving related data were collected using pre-tested questionnaires. Standardized questionnaires were used to collect data on caregivers’ mental health traits (measured in terms of level of stress and anxiety), level of psychosocial distress, support they provided and the care recipient’s behavioural symptoms associated with dementia. Mean age of the caregivers was 61.64 years (SD 13.89) while the care recipients were above 70 years of age. Mean age of care recipients was 75.46±7.26 years. Alzheimer’s type of dementia was the most common type found among them. Higher level of stress and anxiety was prevalent among the caregivers. Level of education, being a spouse, psychological distress has strong relationship with caregivers’ mental health condition. Behavioural abnormalities of care recipients were also responsible for poor mental health conditions of caregivers. Family caregiving is becoming the most suitable option nowadays and it associated with caregivers’ psychological distress and other health issues. Present study also revealed distressed mental health conditions of caregivers. Since care recipients remain dependent mostly on their family caregivers, it is necessary that caregivers should be fit mentally as well as physically. Therefore, proper support and management is needed for caregivers in near future.

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References

Akpınar B, Küçükgüçlü Ö, Yener G. 2011. Effects of gender on burden among caregivers of Alzheimer’s patients. J Nurs Scholarsh 43(3):248–54.
View in Google Scholar

Algase DL, Son GR, Beattie E, Song JA, Leitsch S, Yao L. 2004. The interrelatedness of wandering and wayfinding in a community sample of persons with dementia. Dement Geriatr Cogn Disord, 17(3):231–39.
View in Google Scholar

Alzheimer’s Disease International. 2015. World Alzheimer Report 2015: The Global Impact of Dementia an analysis of prevalence, incidence, and trends. London, UK
View in Google Scholar

Alzheimer’s Disease International. 2009. World Alzheimer Report: The Global Prevalence of Dementia. Available at: https://www.alz.co.uk/research/world-report-2009 [Accessed on November 5, 2018].
View in Google Scholar

Alzheimer’s Disease International. 2013. World Alzheimer Report: An analysis of long-term care for dementia. Available at: https://www.alz.co.uk/research/world-report-2013 [Accessed on November 5, 2018].
View in Google Scholar

Andrieu S, Balardy L, Gillette-Guyonnet S, Bocquet H, Cantet C, Albarede JL, Vellas B, Grand A. 2003. Burden experienced by informal caregivers assisting Alzheimer’s patients in the REAL.FR study. Rev Med Interne 24:351s–59s.
View in Google Scholar

Aneshensel CS, Botticello AL, Yamamoto-Mitani N. 2004. When caregiving ends: the course of depressive symptoms after bereavement. J Health Soc Behav 45(4):422–40.
View in Google Scholar

Arno PS, Levine C, Memmott MM. 1999. The economic value of informal caregiving”. Health Aff 18:182–88.
View in Google Scholar

Arango-Lasprilla JC, Lehan TJ, Drew A, Lemos M. 2010. Health-Related Quality of Life in Caregivers of Individuals with Dementia from Colombia. Am J Alzheimers Dis Other Demen 25:556–61.
View in Google Scholar

Bharath S, Dias A. 2010. Prevalence , impact , costs and services for dementia A report prepared for the Alzheimer’s and Related Disorders Society of India. Available at: https://www.semanticscholar.org/paper/THE-DEMENTIA-INDIA-REPORT-2010-Prevalence-%2C-impactBharathDias/4293238f0f89c5b16c43697e51a3475759c8829e [Accessed June, 2019].
View in Google Scholar

Boutoleau-Bretonnière C, Vercelletto M, Volteau C, Renou P, Lamy E. 2008. Zarit burden inventory and activities of daily living in the behavioral variant of frontotemporal dementia. Dement Geriatr Cogn Disord 25(3):272–77.
View in Google Scholar

Brodaty H, Green A. 2002. Defining the role of the caregiver in Alzheimer’s disease treatment. Drugs Aging 19:891–98.
View in Google Scholar

Campbell P, Wright J, Oyebode J, Job D, Crome P, Bentham P, Jones L, Lendon C. 2008. Determinants of burden in those who care for someone with dementia. Int J Geriatr Psychiatry 23(10):1078–85.
View in Google Scholar

Carretero S, Garcés J, Ródenas F, Sanjosé V. 2009. The informal caregiver’s burden of dependent people: Theory and empirical review. Arch Gerontol Geriatr 49:74–79.
View in Google Scholar

Chiu YC, Lee YN, Wang PC, Chang TH, Li CL, Hsu WC, Lee SH. 2014. Family caregivers’ sleep disturbance and its associations with multilevel stressors when caring for patients with dementia. Aging Ment Health 18:92–101.
View in Google Scholar

Chou KR, LaMontagne LL, Hepworth JT. 1999. Burden experienced by caregivers of relatives with dementia in Taiwan. Nurs Res 48:206–14.
View in Google Scholar

Cohen S, Kamarck T, Mermelstein R. 1983. A global measure of perceived stress. J Health Soc Behav 24:385–96.
View in Google Scholar

Contador I, Fernández-Calvo B, Palenzuela DL, Miguéis S, Ramos F. 2012. Prediction of burden in family caregivers of patients with dementia: A perspective of optimism based on generalized expectancies of control. Aging Ment Health 16:675–82.
View in Google Scholar

Cova I, Travi N, Maggiore L, Cucumo V, Mariani C, Pomati S. 2018. What are the caregivers’ needs on dementia care? An integrated qualitative and quantitative assessment. Neurol Sci 39(6):1085–91.
View in Google Scholar

Covinsky KE, Eng C, Lui LY. 2001. Reduced employment in caregivers of frail elders: impact of ethnicity, patient clinical characteristics, and caregiver characteristics. J Gerontol A Biol Sci Med Sci 56:M707–13.
View in Google Scholar

Cummings JL, Schneider LS, Pierre N, Tariot PRK, Yuan W. 2004. Reduction of Behavioral Disturbances and Caregiver Distress by Galantamine in Patients with Alzheimer’s Disease. Am J Psychiatry, 161:532–38.
View in Google Scholar

Das S, Hazra A, Ray BK, Ghosal M, Banerjee TK, Roy T, Chaudhuri A, Raut DK, Das SK. 2010. Burden among stroke caregivers: results of a community-based study from Kolkata, India. Stroke 41:2965–68.
View in Google Scholar

Das SK, Pal S, Ghosal MK. 2012. Dementia: Indian scenario. Neurol India, 60:618–24.
View in Google Scholar

Etters L, Goodall D, Harrison BE. 2008. Caregiver burden among dementia patient caregivers: A review of the literature. J Am Assoc Nurse Pract 20:423–28.
View in Google Scholar

Ferrara M, Langiano E, Di Brango T, De Vito E, Di Cioccio L, Bauco C. 2008. Prevalence of stress, anxiety and depression in with Alzheimer caregivers. Health Qual Life Outcomes 6:1–5.
View in Google Scholar

Folstein MF, Folstein SE, McHugh PR. 1997. Mini-mental state A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12:189–98.
View in Google Scholar

Fried LP, Guralnik JM. 1997. Disability in older adults: evidence regarding significance, etiology, and risk. J Am Geriatr Soc 45:92–100.
View in Google Scholar

Gallicchio L, Siddiqui N, Langenberg P, Baumgarten M. 2002. Gender differences in burden and depression among informal caregivers of demented elders in the community. Int J Geriatr Psychiatry 17:154–63.
View in Google Scholar

Garcia-Alberca JM, Lara JP, Berthier ML. 2011. Anxiety and depression in caregivers are associated with patient and caregiver characteristics in Alzheimer’s Disease. Int J Geriatr Psychiatry Med 41:57–69.
View in Google Scholar

Gaugler JE, Davey A, Pearlin LL, Zarit SH. 2000. Modelling Caregiver Adaptation over Time: The Longitudinal Impact of Behavior Problems. Psychol Aging 15:437–50.
View in Google Scholar

Goldberg DP, Hillier VF. 1979. A scaled version of the General Health Questionnaire. Psychol Med 9(1):139–45.
View in Google Scholar

Gottlieb BH, Wolfe J. 2002. Coping with family caregiving to persons with dementia: A critical review. Aging Ment Health 6:325–42.
View in Google Scholar

Hamilton M. 1959. The assessment of anxiety states by rating. Br J Med Psychol 32:50–55.
View in Google Scholar

Joling KJ, van Marwijk HWJ, Veldhuijzen AE, van der Horst HE, Scheltens P, Smit F, van Hout HPJ. 2015. The two-year incidence of depression and anxiety disorders in spousal caregivers of persons with dementia: Who is at the greatest risk? Am J Geriatr Psychiatry 23:293–303.
View in Google Scholar

Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW. 1963. Studies of illness in the aged: the index of ADL: a standarized measure of biological and psychosocial function. J Am Med Assoc 185:914–19.
View in Google Scholar

Kiecolt-Glaser JK, Preacher KJ, MacCallum RC, Atkinson C, Malarkey WB, Glaser R. 2003. Chronic stress and age-related increases in the proinflammatory cytokine IL-6. Proc Natl Acad Sci U S A. 100(15):9090–95.
View in Google Scholar

Kim H, Chang M, Rose K, Kim S. 2012. Predictors of caregiver burden in caregivers of individuals with dementia. J AdvNurs 68(4):846–55.
View in Google Scholar

Kneebone I, Martin P. 2003. Coping and caregivers of people with dementia. Br J Health Psychol 8:1–17.
View in Google Scholar

Küçükgüçlü Ö, Söylemez BA, Yener G, Barutcu CD, Akyol MA. 2017. Examining factors affecting caregiver burden: a comparison of frontotemporal dementia and Alzheimer’s disease. Am J Alzheimers Dis Other Demen 32(4):200–6.
View in Google Scholar

Laks J, Goren A, Dueñas H, Novick D, Kahle-Wrobleski K. 2016. Caregiving for patients with Alzheimer’s disease or dementia and its association with psychiatric and clinical comorbidities and other health outcomes in Brazil. Int J Geriatr Psychiatry 31(2):176–85.
View in Google Scholar

Leggett AN, Zarit S, Taylor A, Galvin JE. 2011. Stress and burden among caregivers of patients with Lewy Body Dementia. Gerontologist 51:76–85.
View in Google Scholar

Mahoney R, Regan C, Katona C, Livingston G. 2005. Anxiety and depression in family caregivers of people with Alzheimer disease: the LASER-AD study. Am J Geriatr Psychiatry 13(9):795–801.
View in Google Scholar

Manton KG, Corder LS, Stallard E. 1993. Estimates of change in chronic disability and institutional incidence and prevalence rates in the US elderly population from the 1982,1984, and 1989 National Long Term Care Survey. J of gerontology, 48:S153–66.
View in Google Scholar

Mioshi E, Bristow M, Cook R, Hodges JR. 2009. Factors underlying caregiver stress in frontotemporal dementia and Alzheimer’s disease. Dement Geriatr Cogn Disord 27(1):76–81.
View in Google Scholar

Molyneux GJ, McCarthy GM, McEniff S, Cryan M, Conroy RM. 2008. Prevalence and predictors of carer burden and depression in carers of patients referred to an old age psychiatric service. Int Psychogeriatr 20:1193–202.
View in Google Scholar

Nagatomo I, Akasaki Y, Uchida M Tominaga M, Hashiguchi W, Takigawa M. 1999. Gender of demented patients and specific family relationship of caregiver to patients influence mental fatigue and burdens on relatives as caregivers. Int J Geriatr Psychiatry 14:618–25.
View in Google Scholar

Ory MG, Hoffman RR, Yee JL, Tennstedt S, Schulz R. 1999. Prevalence and impact of caregiving: A detailed comparison between dementia and nondementia caregivers. Gerontologist 39(2):177–85.
View in Google Scholar

Papastavrou E, Tsangari H, Karayiannis G, Papacostas S, Efstathiou G, Sourtzi P. 2011. Caring and coping: the dementia caregivers. Aging Ment Health 15(6):702–11.
View in Google Scholar

Pearlin LI, Mullan JT, Semple SJ, Skaff MM. 1990. Caregiving and the Stress Process: An Overview of Concepts and Their Measures. Gerontologist, 30:583–94.
View in Google Scholar

Pinquart M, Sorensen S. 2003. Differences between caregivers and noncaregivers in psychological health and physical health: A meta-analysis. Psychol Aging18:250–67.
View in Google Scholar

Pinquart M, Sorensen S. 2006. Gender differences in caregiving stressors, social resources and health: An updated meta-analysis. J Gerontol 61B:P33–P45.
View in Google Scholar

Rinaldi P, Spazzafumo L, Mastriforti R, Mattioli P, Marvardi M, Polidori MC, and others and Study Group on Brain Aging of the Italian Society of Gerontology and Geriatrics. 2005. Predictors of high level of burden and distress in caregivers of demented patients: results of an Italian multicenter study. Int J Geriatr Psychiatry 20(2):168–74.
View in Google Scholar

Rymer S, Salloway S, Norton L, Malloy P, Correia S, Monast D. 2002. Impaired awareness, behavior disturbance, and caregiver burden in Alzheimer disease. Alzheimer Dis Assoc Disord 16(4):248–53.
View in Google Scholar

Schulz R, Mendelsohn AB, Haley WE, Mahoney D, Allen RS, Zhang S, Thompson L, Belle SH. 2003. Resources for enhancing Alzheimer’s caregiver health investigators. End-of-life care and the effects of bereavement on family caregivers of persons with dementia. N Engl J Med 349(20):1936–42.
View in Google Scholar

Schulz R, Martire LM. 2004. Family caregiving of persons with dementia: prevalence, health effects, and support strategies. Am J Geriatr Psychiatry 12(3):240–49.
View in Google Scholar

Schulz R, Sherwood PR. 2008. Physical and mental health effects of family caregiving. Am J Nurs 108(9 Suppl):23–27.
View in Google Scholar

Serrano-Aguilar PG, Lopez-Bastida J, Yanes-Lopez V. 2006. Impact on health-related quality of life and perceived burden of informal caregivers of individuals with Alzheimer’s disease. Neuroepidemiology 27(3):136–42.
View in Google Scholar

Shaji KS, Reddy MS. 2012. Caregiving: a public health priority. Indian J Psychol Med 34:303–5.
View in Google Scholar

Teri L. 1997. Behavior and caregiver burden: behavioural problems in patients with Alzheimer’s disease and its association with caregiver distress. Alzheimer Dis Assoc Disord 11 (Suppl. 4):35–38.
View in Google Scholar

Tomoko M, Schreiner AS, Asano H. 2003. Caregiver burden and health-related quality of life among Japanese stroke caregivers. Age Ageing 32:218–23.
View in Google Scholar

Vitaliano PP, Young HM, Zhang J. 2004. Is caregiving a risk factor for illness?. Curr Dir Psychol Sci 13(1):13–16.
View in Google Scholar

Waite LM, Grayson DA, Piquet O, Creassey H, Bennett HP, Broe GA. 2005. Gait slowing as a predictor of incident dementia: 6-year longitudinal data from the Sydney older persons study. J Neurol Sci 222:89–93.
View in Google Scholar

Wallace M, Shelkey M. 2007. Hartford Institute for Geriatric Nursing. Katz Index of Independence in activities of daily living (ADL). Urol Nurs 27:93–94.
View in Google Scholar

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Published

2019-12-30

How to Cite

Basu, I., & Mukhopadhyay, S. (2019). Factors related to adverse mental health condition of demented family caregivers: A study in West Bengal, India. Anthropological Review, 82(4), 373–388. https://doi.org/10.2478/anre-2019-0028

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