Exploratory and Confirmatory Factor Analysis of the Burden Scale for Family Caregivers-Short Form

Abstract

Caregiver burden describes the physical, psychological, social, and financial demands of providing care to others. Caregiver burden has been investigated in general, and off-time caregiving often specific to chronic, recurring conditions. Despite the substantial research attention to caregiving burden, there have been few studies aimed establishing the psychometric evaluation of measurement tools used to measure the construct ( Pendergrass et al., 2018). Accurate measurement of caregiving burden is essential for studying the myriad effects on caregivers’ mental, physical, financial, and relational health. To begin to fill this gap, we conducted an exploratory factor analysis and a confirmatory factor analysis of the Burden Scale for Family Caregivers ( Pendergrass et al., 2018) in two distinct samples. Results of an exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) indicated a one factor solution. Implications for these findings on the study of caregiver burden are included.

Keywords

caregivers caregiving burden substance use disorders factor analysis

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References

Benishek

L. A.

Kirby

K. C.

Dugosh

K. L.

(2011). Prevalence and frequency of problems of concerned family members with a substance using loved one. The American Journal of Drug and Alcohol Abuse, 37(2–3), 82–88. https://doi.org/10.3109/00952990.2010.540276

Biegel

D. E.

Katz-Saltzman

Meeks

Brown

Tracy

E. M.

(2010). Predictors of depressive symptomatology in family caregivers of women with substance use disorders or co-occurring substance use and mental disorders. Journal of Family Social Work, 13(1), 25–44. https://doi.org/10.1080/10522150903437458

Birkeland

Foster

Selbekk

A. S.

Høie

M. M.

Ruud

Weimand

(2018). The quality of life when a partner has substance use problems: A scoping review. Health and Quality of Life Outcomes, 16(1), 219. https://doi.org/10.1186/s12955-018-1042-4

Butler

Bauld

. (2005). The Parents’ Experience: Coping with drug use in the family. Drugs: Education, Prevention & Policy, 12(1), 35–45. APA PsycInfo. https://doi.org/10.1080/0968763042000275308

Denomme

W. J.

Benhanoh

(2017). Helping concerned family members of individuals with substance use and concurrent disorders: An evaluation of a family member-oriented treatment program. Journal of Substance Abuse Treatment, 79, 34–45. https://doi.org/10.1016/j.jsat.2017.05.012

Eapen

Guan

(2016). Parental quality of life in autism spectrum disorder: Current status and future directions. Acta Psychopathologica, 2(1), 31. https://doi.org/10.4172/2469-6676.100031

Edwards

V. J.

Bouldin

E. D.

Taylor

C. A.

Olivari

B. S.

McGuire

L. C.

(2020). Characteristics and health status of informal unpaid caregivers — 44 states, district of Columbia, and Puerto Rico, 2015–2017. MMWR Morbidity and Mortality Weekly Report, 69(7), 183–188. https://doi.org/10.15585/mmwr.mm6907a2externalicon

Falk

N. H.

Norris

Quinn

M. G.

(2014). The factors predicting stress, anxiety, and depression in the parents of children with autism. Journal of Autism and Developmental Disorders, 44(12), 3185–3203. https://doi.org/10.1007/s10803-014-2189-4

Bentler

P. M

. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 1–55. https://doi.org/10.1080/10705519909540118

10.

Karriker-Jaffe

K. J.

Greenfield

T. K.

(2018). Estimating mental health impacts of alcohol’s harms from other drinkers: Using propensity scoring methods with national cross-sectional data from the United States. Addiction, 113(10), 1826–1839. https://doi.org/10.1111/add.14283

11.

Lander

Howsare

Byrne

(2013). The impact of substance Use disorders on families and children: From theory to practice. Social Work in Public Health, 28(3-4), 194–205. https://doi.org/10.1080/19371918.2013.759005

12.

Lee

K. M. T.

Manning

Teoh

T. C.

Winslow

Lee

Subramaniam

Wong

K. E.

(2011). Stress-coping morbidity among family members of addiction patients in Singapore. Drug and Alcohol Review, 30, 441–447. https://doi.org10.1111/j.1465-3362.2011.00301.x

13.

Link

B. G.

Phelan

J. C.

(2006). Stigma and its public health implications. The Lancet, 367(9509), 528–529. https://doi.org/10.1016/S0140-6736(06)68184-1

14.

Luoma

J. B.

Twohig

M. P.

Waltz

Padilla

Fisher

(2007). An investigation of stigma in individuals receiving treatment for substance abuse. Addictive Behaviors, 32(7), 1331–1346. https://doi.org/10.3109/00952990.2014.901337

15.

Mattoo

S. K.

Sarkar

Gupta

Nebhinani

Parakh

Basu

. (2015). Stigma towards substance use: Comparing treatment seeking alcohol and opioid dependent men. International Journal of Mental Health and Addiction, 13(1), 73–81. https://doi.org/10.1007/s11469-014-9514-1

16.

Murphy

N. A.

Christian

Caplin

D. A.

Young

P. C.

(2006). The health of caregivers for children with disabilities: Caregiver perspectives. Child: Care, Health and Development, 33(2), 180–187. https://doi.org/10.1111/j.1365-2214.2006.00644.x.

17.

National Institute Drug Abuse (2021). Overdose Death Rates. Retrieved from https://www.drugabuse.gov/drug-topics/trends-statistics/overdose-death-rates.

18.

Neugebauer

Mastergeorge

A. M.

(2021). The family stress model in the context of pediatric cancer: A systematic review. Journal of Child and Family Studies. https://doi-org.ezproxy.lib.uconn.edu/10.1007/s10826-021-01928-0

19.

Orford

Velleman

Copello

Templeton

Ibanga

(2010). The experiences of affected family members: A summary of two decades of qualitative research. Drugs: Education, Prevention and Policy, 17(sup1), 44–62. https://doi.org/10.3109/09687637.2010.514192

20.

Park

(2014). Family stigma: A concept analysis. Asian Nursing Research, 8(3), 165–171. https://doi.org/10.1016/j.anr.2014.02.006

21.

Pendergrass

Malnis

Graf

Engel

Graessel

(2018). Screening for caregivers at risk: Extended validation of the short version of the burden scale for family caregivers (BSFC-s) with a valid classification system for caregivers caring for an older person at home. BMC Health Services Research, 18(1). https://doi.org/10.1186/s12913-018-3047-4

22.

Pinquart

Sörensen

(2003). Associations of stressors and uplifts of caregiving with caregiver burden and depressive mood: A meta-analysis. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 58(2), 112–P128. https://doi.org/10.1093/geronb/58.2.p112

23.

Pinquart

Sörensen

(2006). Gender differences in caregiver stressors, social resources, and health: An updated meta-analysis. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 61(1), 33–45. https://doi.org/10.3109/00952990.2014.901337

24.

Quinn

D. M.

Chaudoir

S. R.

(2009). Living with a concealable stigmatized identity: The impact of anticipated stigma, centrality, salience, and cultural stigma on psychological distress and health. Journal of Personality and Social Psychology, 97(4), 634. https://doi.org/10.1037/a0015815

25.

Richter

Chatterji

Pierce

(2000). Perspectives on family substance abuse: The voices of long-term Al-anon members. Journal of Family Social Work, 4(4), 61–78. https://doi.org/10.1300/J039v04n04_06

26.

Roth

J. D

. (2010). Addiction as a family disease. Journal of Groups in Addiction & Recovery, 5, 1–3. https://doi.org/10.1080/15560350903547189

27.

Saatcioglu

Erim

Cakmak

. (2006). Role of family in alcohol and substance abuse. Psychiatry and Clinical Neurosciences, 60, 125–132. https://doi.org/10.1111/j.1440-1819.2006.01476.x

28.

Substance Abuse and Mental Health Services Administration (2020). Key substance use and mental health indicators in the United States: Results from the 2019 National Survey on Drug Use and Health (HHS Publication No. PEP20-07-01-001, NSDUH Series H-55). Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration. Retrieved from https://www.samhsa.gov/data/.

29.

Tabachnick

B. G.

, F., L. S. (n.d.). Using multivariate statistics, 6th Edition. Retrieved July 13, 2021, from https://www.pearson.com/content/one-dot-com/one-dot-com/us/en/higher-education/program.html

30.

Thomas

Morris

S. M.

Harman

J. C.

(2002). Companions through cancer: The care given by informal carers in cancer contexts. Social Science & Medicine, 54(4), 529–544. https://doi.org/10.1016/S0277-9536(01)00048-X

31.

Tyo

M. B.

McCurry

M. K.

(2020). An integrative review of measuring caregiver burden in substance Use disorder. Nursing Research, 69(5), 391–398. https://doi.org/10.1097/NNR.0000000000000442