Eur Neurol. 2012;67(5):292-6. Epub 2012 Apr 17.
Shin H, Lee JY, Youn J, Kim JS, Cho JW.
Abstract
Background/Aims:
Parkinson's disease (PD) is a common neurodegenerative disease with a
chronic disease course. The increase in life expectancy of humans
worldwide is expected to increase the prevalence and duration of PD;
therefore, it is important to determine factors that contribute to the
caregiver burden for both clinical and social reasons. Methods: We
surveyed 91 main caregivers of patients, and compared factors
contributing to caregiver burden between 50 spouses and 41 offspring of
patients. We determined Burden Interview, Depression Scale,
Health-Related Quality of Life, and Obligation Scale scores, as well as
the degree of functional social support of caregivers. Results:
Interestingly, the burden scores of the two groups were not
significantly different. Correlation analysis revealed that depression,
health-related quality of life, social support, subdivided parts of the
Unified Parkinson's Disease Rating Scale (UPDRS), Hoehn and Yahr Scale,
score of Mini-Mental State Examination, and Barthel index were
correlated with burden in both spouses and offspring. However, in
multiple regression, depression score and part 1 of the UPDRS were more
significant predictors of burden in the spousal group, whereas social
support of community and part 3 of the UPDRS were more important
correlated factors in the offspring group. Conclusions: The caregiver
burden of spousal and offspring caregivers of PD patients was not
significantly different. However, different factors contributed to
caregiver burden according to the caregiver's relationship with the
patient.
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