TY - JOUR
T1 - The Caregiver Burden Inventory in evaluating the burden of caregivers of elderly demented patients
T2 - Results from a multicenter study
AU - Marvardi, Martina
AU - Mattioli, Paola
AU - Spazzafumo, Liana
AU - Mastriforti, Roberta
AU - Rinaldi, Patrizia
AU - Polidori, Maria Cristina
AU - Cherubini, Antonio
AU - Quartesan, Roberto
AU - Bartorelli, Luisa
AU - Bonaiuto, Salvatore
AU - Cucinotta, Domenico
AU - Di Iorio, Angelo
AU - Gallucci, Maurizio
AU - Giordano, Marcello
AU - Martorelli, Marina
AU - Masaraki, Giorgio
AU - Nieddu, Antonio
AU - Pettenati, Carla
AU - Putzu, Paolo
AU - Solfrizzi, Vincenzo
AU - Tammaro, Aldo Edoardo
AU - Tomassini, Pia Francesca
AU - Vergani, Carlo
AU - Senin, Umberto
AU - Mecocci, Patrizia
PY - 2005
Y1 - 2005
N2 - Background and aims: The burden perceived by caregivers of patients with dementia is a fundamental prognostic aspect in the history of the disease. The aim of this study was to demonstrate the internal consistency of the Caregiver Burden Inventory (CBI), a scale used to quantify burdens in different aspects of a caregiver's life, and the influence of patients' and caregivers' characteristics on its different dimensions. Methods: In this cross-sectional study, 419 demented patients and their caregivers were evaluated in 16 geriatric centers in Italy. Cognitive status and behavioral disturbances were assessed by the Mini Mental State Examination (MMSE) and Neuropsychiatric Inventory (NPI), respectively. Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) were also evaluated. Comorbidity was assessed by the Cumulative Illness Rating Scale (CIRS). The severity of dementia was evaluated by the Clinical Dementia Rating (CDR) score. Caregiver distress due to the behavioral problems of the patient was assessed by the Neuropsychiatric Inventory-Distress, a subscale of the NPI wich evaluates stress caused by each behavioral disturbance of the patient, and by the Brief Symptom Inventory wich evaluates anxiety and depression. Burden was evaluated by the CBI. Results: The CBI showed very high internal consistency (Cronbach's alpha value >0.80). Factor analysis showed that the items clustered into four dimensions, and not five as originally proposed. Multiple regression analysis revealed that patients' behavioral disturbances and disability were the major predictors of the time-dependent burden; the psychophysical burden was explained mainly by caregiver anxiety and depression. Conclusions: The CBI proved to be an effective multidimensional tool for evaluating the impact of burden on many aspects of caregivers' lives.
AB - Background and aims: The burden perceived by caregivers of patients with dementia is a fundamental prognostic aspect in the history of the disease. The aim of this study was to demonstrate the internal consistency of the Caregiver Burden Inventory (CBI), a scale used to quantify burdens in different aspects of a caregiver's life, and the influence of patients' and caregivers' characteristics on its different dimensions. Methods: In this cross-sectional study, 419 demented patients and their caregivers were evaluated in 16 geriatric centers in Italy. Cognitive status and behavioral disturbances were assessed by the Mini Mental State Examination (MMSE) and Neuropsychiatric Inventory (NPI), respectively. Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) were also evaluated. Comorbidity was assessed by the Cumulative Illness Rating Scale (CIRS). The severity of dementia was evaluated by the Clinical Dementia Rating (CDR) score. Caregiver distress due to the behavioral problems of the patient was assessed by the Neuropsychiatric Inventory-Distress, a subscale of the NPI wich evaluates stress caused by each behavioral disturbance of the patient, and by the Brief Symptom Inventory wich evaluates anxiety and depression. Burden was evaluated by the CBI. Results: The CBI showed very high internal consistency (Cronbach's alpha value >0.80). Factor analysis showed that the items clustered into four dimensions, and not five as originally proposed. Multiple regression analysis revealed that patients' behavioral disturbances and disability were the major predictors of the time-dependent burden; the psychophysical burden was explained mainly by caregiver anxiety and depression. Conclusions: The CBI proved to be an effective multidimensional tool for evaluating the impact of burden on many aspects of caregivers' lives.
KW - Burden
KW - Caregiver
KW - Dementia
KW - Evaluation
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M3 - Article
C2 - 15847122
AN - SCOPUS:21244468193
VL - 17
SP - 46
EP - 53
JO - Aging clinical and experimental research
JF - Aging clinical and experimental research
SN - 1594-0667
IS - 1
ER -