Dementia caregivers often report feeling burdened by caretaking responsibilities. Caregiver burden is correlated with caregiver depression, but the interrelationship between burden and depression requires further investigation. This study hypothesized that persisting elevated burden results in subsequent depressive symptoms. Participants were 33 dementia caregivers divided into two groups based on their Zarit Burden Interview score. The outcome variable was the total score on the Geriatric Depression Scale after 12 months. Caregivers who had persisting high burden showed significantly worse depression scores after 12 months compared to those caregivers without persisting high burden. Regression analysis controlling for baseline depression also demonstrated burden as a significant predictor of subsequent depression. These data suggest that longitudinal burden may be predictive of higher depressive symptoms; therefore, reducing burden could decrease depressive symptoms in dementia caregivers.
AARP Caregiving in the U.S.: National Alliance for Caregiving; 2004, Available at: http://www.caregiving.org/data/04execsumm.pdf . Accessed July 1, 2008.
2.
National Alliance for Caregiving.Who Cares? Families Caring for Persons with Alzheimer's Disease. Bethesda, MD: National Alliance for Caregiving; 2003. Available at: http://www.caregiving.org/data/alzcaregivers04.pdf . Accessed July 1, 2008.
3.
Pinquart M., Sorensen S.Helping caregivers of persons with dementia: which interventions work and how large are their effects? Int Psychogeriatr. 2006;18:577-595.
4.
Schulz R., Martire LMFamily caregiving of persons with dementia: prevalence, health effects, and support strategies. Am J Geriatr Psychiatry. 2004;12:240-249.
5.
Ory M., Yee J., Tennstedt S., Schulz R.The extent and impact of dementia care: unique challenges experienced by family caregivers. In: Schulz R, ed. Handbook on Dementia Caregiving: Evidence-Based Interventions for Family Caregivers . New York: Springer Publishing Company Inc; 2000:1-32.
6.
Alspaugh ME, Stephens MA, Townsend AL, et al. Longitudinal patterns of risk for depression in dementia caregivers: objective and subjective primary stress as predictors. Psychol Aging. 1999;14:34-43.
7.
Schulz R., Williamson GMA 2-year longitudinal study of depression among Alzheimer's caregivers. Psychol Aging. 1991;6:569-578.
8.
Dura JR, Stukenberg KW, Kiecolt-Glaser JKChronic stress and depressive disorders in older adults. J Abnorm Psychol. 1990;99:284-290.
9.
Redinbaugh EM , MacCallum RC, Kiecolt-Glaser JKRecurrent syndromal depression in caregivers. Psychol Aging. 1995;10:358-368.
10.
Vitaliano PP , Young HM, Russo J.Burden: a review of measures used among caregivers of individuals with dementia. Gerontologist. 1991;31:67-75.
11.
George LK, Gwyther LPCaregiver well-being: a multidimensional examination of family caregivers of demented adults. Gerontologist. 1986;26:253-259.
12.
Clyburn LD, Stones MJ, Hadjistavropoulos T., Tuokko H.Predicting caregiver burden and depression in Alzheimer's disease. J Gerontol B Psychol Sci Soc Sci. 2000;55:S2-S13.
13.
Sherwood PR , Given CW, Given BA, von Eye A.Caregiver burden and depressive symptoms: analysis of common outcomes in caregivers of elderly patients. J Aging Health. 2005;17:125-147.
14.
Covinsky KE , Newcomer R., Fox P., et al. Patient and caregiver characteristics associated with depression in caregivers of patients with dementia. J Gen Intern Med. 2003;18:1006-1014.
15.
Garand L., Dew MA, Eazor LR, et al. Caregiving burden and psychiatric morbidity in spouses of persons with mild cognitive impairment. Int J Geriatr Psychiatry. 2005;20:512-522.
16.
Heru AM, Ryan CEFamily functioning in the caregivers of patients with dementia: one-year follow-up . Bull Menninger Clin. 2006;70:222-231.
17.
Rymer S., Salloway S., Norton L., et al. Impaired awareness, behavior disturbance, and caregiver burden in Alzheimer disease. Alzheimer Dis Assoc Disord. 2002;16:248-253.
18.
Schulz R., Belle SH, Czaja SJ, et al. Long-term care placement of dementia patients and caregiver health and well-being. JAMA. 2004;292:961-967.
19.
Schulz R., Boerner K., Shear K., et al. Predictors of complicated grief among dementia caregivers: a prospective study of bereavement. Am J Geriatr Psychiatry . 2006;14:650-658.
20.
Tremont G., Davis JD, Bishop DS, Fortinsky RHTelephone-delivered psychosocial intervention reduces burden in dementia caregivers . Dement Int J Soc Res Pract. IN PRESS.
21.
Yesavage JA , Brink TL, Rose TL, et al. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res. 1982;17: 37-49.
22.
Zarit SH, Reever KE, Bach-Peterson J.Relatives of the impaired elderly: correlates of feelings of burden. Gerontologist. 1980;20:649-655.
23.
Young RF, Kahana E.Specifying caregiver outcomes: gender and relationship aspects of caregiving strain. Gerontologist. 1989;29:660-666.
24.
Zarit SH, Anthony CR, Boutselis M.Interventions with care givers of dementia patients: comparison of two approaches . Psychol Aging. 1987;2:225-232.
25.
Grant I., Adler KA, Patterson TL, et al. Health consequences of Alzheimer's caregiving transitions: effects of placement and bereavement. Psychosom Med. 2002;64: 477-486.
26.
Vitaliano PP , Russo J., Young HM, et al. Predictors of burden in spouse caregivers of individuals with Alzheimer's disease. Psychol Aging. 1991;6:392-402.
