Predictors of the change in burden, strain, mood, and quality of life among caregivers of Parkinson's disease patients

Background and Objective: Caregiver burden in Parkinson's disease (PD) has been studied in many cross-sectional studies but poorly in longitudinal ones. The aim of the present study was to analyze the change in burden, strain, mood, and quality of life (QoL) after a 2-year follow-up in a cohort...

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Autores: Santos-Garcia, D, Fonticoba, TD, Bartolome, CC, Alvarado, MCI, Panceiras, MJF, Castro, ES, Canfield, H, Miro, CM, Jesus, S, Aguilar, M, Pastor, P, Planellas, L, Cosgaya, M, Caldentey, JG, Caballol, N, Legarda, I, Vara, JH, Cabo, I, Manzanares, LL, Aramburu, IG, Rivera, MAA, Mayordomo, VG, Nogueira, V, Puente, V, Garcia-Soto, JD, Borrue, C, Vila, BS, Sauco, MA, Vela, L, Escalante, S, Cubo, E, Padilla, FC, Castrillo, JCM, Alonso, PS, Losada, MGA, Ariztegui, NL, Gaston, I, Kulisevsky, J, Estrada, MB, Seijo, M, Martinez, JR, Valero, C, Kurtis, M, de Fabregues, O, Ardura, JG, Redondo, RA, Ordas, C, DiazL, LML, McAfee, D, Martinez-Martin, P, Mir, P
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p14013
Acceso en línea:https://fisabio.portalinvestigacion.com/publicaciones/14013
Access Level:acceso abierto
Palabra clave:burden
caregiver
mood
Parkinson's disease
strain
Descripción
Sumario:Background and Objective: Caregiver burden in Parkinson's disease (PD) has been studied in many cross-sectional studies but poorly in longitudinal ones. The aim of the present study was to analyze the change in burden, strain, mood, and quality of life (QoL) after a 2-year follow-up in a cohort of caregivers of patients with PD and also to identify predictors of these changes. Patients and Methods: PD patients and their caregivers who were recruited from January/2016 to November/2017 from 35 centers of Spain from the COPPADIS cohort were included in the study. They were evaluated again at 2-year follow-up. Caregivers completed the Zarit Caregiver Burden Inventory (ZCBI), Caregiver Strain Index (CSI), Beck Depression Inventory-II (BDI-II), and EUROHIS-QOL 8-item index (EUROHIS-Q0L8) at baseline (VO) and at 2-year follow-up (V2). General linear model repeated measure and lineal regression models were applied. Results: Significant changes, indicating an impairment, were detected on the total score of the ZCBI (p < 0.0001), CSI (p < 0.0001), BDI-11(p = 0.024), and EUROHIS-QOLB (p = 0.002) in 192 PD caregivers (58.82 +/- 11.71 years old; 69.3% were females). Mood impairment (BDI-11; beta = 0.652; p < 0.0001) in patients from VO to V2 was the strongest factor associated with caregiver's mood impairment after the 2-year follow-up, Caregiver's mood impairment was the strongest factor associated with an increase from VO to V2 on the total score of the ZCBI (beta = 0.416; p < 0.0001), CSI = 0.277; (beta = 0.001), and EUROHIS-QOL = 0.397; p = 0. Conclusion: Burden, strain, mood, and QoL were impaired in caregivers of PD patients after a 2-year follow-up. Mood changes in both the patient and the caregiver are key aspects related to caregiver burden increase.

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