The association between subjective caregiver burden and depressive symptoms in carers of older relatives: A systematic review and meta-analysis

BACKGROUND: Family carers are an important source of care for older people. Although several studies have reported that subjective caregiver burden is related to depressive symptoms there are no systematic reviews quantifying this association. OBJECTIVE: To establish the extent to which subjective c...

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Autores: Del-Pino-Casado, Rafael, Rodriguez Cardosa, Marta, Lopez-Martinez, Catalina, Orgeta, Vasiliki
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2019
País:España
Institución:Universidad de Jaén
Repositorio:RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaén
OAI Identifier:oai:ruja.ujaen.es:10953/3705
Acceso en línea:https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0217648
https://hdl.handle.net/10953/3705
Access Level:acceso abierto
Palabra clave:family carers
subjective caregiver burden
depressive symptoms
systematic review
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spelling The association between subjective caregiver burden and depressive symptoms in carers of older relatives: A systematic review and meta-analysisDel-Pino-Casado, RafaelRodriguez Cardosa, MartaLopez-Martinez, CatalinaOrgeta, Vasilikifamily carerssubjective caregiver burdendepressive symptomssystematic reviewBACKGROUND: Family carers are an important source of care for older people. Although several studies have reported that subjective caregiver burden is related to depressive symptoms there are no systematic reviews quantifying this association. OBJECTIVE: To establish the extent to which subjective caregiver burden is associated with depressive symptoms and whether this association would vary by study or care characteristics. METHODS: We searched major databases such as PubMed, CINAHL, PsycINFO, Scopus and ISI Proceedings up to March 2018, and conducted a meta-analysis of included studies. Summary estimates of the association were obtained using a random-effects model to improve generalisation of findings. RESULTS: After screening of 4,688 articles, 55 studies were included providing a total of 56 independent comparisons with a total of 9,847 carers from data across 20 countries. There was a large, positive association between subjective caregiver burden and depressive symptoms ([Formula: see text] = 0.514; 95% CI = 0.486, 0.541), with very low heterogeneity amongst individual studies (I2 = 8.6%). Sensitivity analyses showed no differences between cross-sectional or repeated measures ([Formula: see text] = 0.521; 95% CI = 0.491, 0.550; 51 samples) and longitudinal studies ([Formula: see text] = 0.454; 95% CI = 0.398, 0.508; 6 samples). We found a higher effect size for those caring for people living with dementia compared to those caring for frail older people, and stroke survivors. Carer sex, age and kinship did not change the estimate of the effect. CONCLUSIONS: Subjective caregiver burden is a significant risk factor for depressive symptoms in carers of older people and may precipitate clinical depression. Those caring for people with dementia experience greater burden. There is a need for longitudinal evaluations examining the effects of potential mediators of the association of subjective burden and depressive symptoms. Future interventions should test whether minimizing subjective burden may modify the risk of developing depression in carers of older relatives.Public Library of Science202520252019info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0217648https://hdl.handle.net/10953/3705reponame:RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaéninstname:Universidad de JaénInglésPlos OneAtribución-NoComercial-SinDerivadas 3.0 Españahttp://creativecommons.org/licenses/by-nc-nd/3.0/es/info:eu-repo/semantics/openAccessoai:ruja.ujaen.es:10953/37052026-06-24T12:41:07Z
dc.title.none.fl_str_mv The association between subjective caregiver burden and depressive symptoms in carers of older relatives: A systematic review and meta-analysis
title The association between subjective caregiver burden and depressive symptoms in carers of older relatives: A systematic review and meta-analysis
spellingShingle The association between subjective caregiver burden and depressive symptoms in carers of older relatives: A systematic review and meta-analysis
Del-Pino-Casado, Rafael
family carers
subjective caregiver burden
depressive symptoms
systematic review
title_short The association between subjective caregiver burden and depressive symptoms in carers of older relatives: A systematic review and meta-analysis
title_full The association between subjective caregiver burden and depressive symptoms in carers of older relatives: A systematic review and meta-analysis
title_fullStr The association between subjective caregiver burden and depressive symptoms in carers of older relatives: A systematic review and meta-analysis
title_full_unstemmed The association between subjective caregiver burden and depressive symptoms in carers of older relatives: A systematic review and meta-analysis
title_sort The association between subjective caregiver burden and depressive symptoms in carers of older relatives: A systematic review and meta-analysis
dc.creator.none.fl_str_mv Del-Pino-Casado, Rafael
Rodriguez Cardosa, Marta
Lopez-Martinez, Catalina
Orgeta, Vasiliki
author Del-Pino-Casado, Rafael
author_facet Del-Pino-Casado, Rafael
Rodriguez Cardosa, Marta
Lopez-Martinez, Catalina
Orgeta, Vasiliki
author_role author
author2 Rodriguez Cardosa, Marta
Lopez-Martinez, Catalina
Orgeta, Vasiliki
author2_role author
author
author
dc.subject.none.fl_str_mv family carers
subjective caregiver burden
depressive symptoms
systematic review
topic family carers
subjective caregiver burden
depressive symptoms
systematic review
description BACKGROUND: Family carers are an important source of care for older people. Although several studies have reported that subjective caregiver burden is related to depressive symptoms there are no systematic reviews quantifying this association. OBJECTIVE: To establish the extent to which subjective caregiver burden is associated with depressive symptoms and whether this association would vary by study or care characteristics. METHODS: We searched major databases such as PubMed, CINAHL, PsycINFO, Scopus and ISI Proceedings up to March 2018, and conducted a meta-analysis of included studies. Summary estimates of the association were obtained using a random-effects model to improve generalisation of findings. RESULTS: After screening of 4,688 articles, 55 studies were included providing a total of 56 independent comparisons with a total of 9,847 carers from data across 20 countries. There was a large, positive association between subjective caregiver burden and depressive symptoms ([Formula: see text] = 0.514; 95% CI = 0.486, 0.541), with very low heterogeneity amongst individual studies (I2 = 8.6%). Sensitivity analyses showed no differences between cross-sectional or repeated measures ([Formula: see text] = 0.521; 95% CI = 0.491, 0.550; 51 samples) and longitudinal studies ([Formula: see text] = 0.454; 95% CI = 0.398, 0.508; 6 samples). We found a higher effect size for those caring for people living with dementia compared to those caring for frail older people, and stroke survivors. Carer sex, age and kinship did not change the estimate of the effect. CONCLUSIONS: Subjective caregiver burden is a significant risk factor for depressive symptoms in carers of older people and may precipitate clinical depression. Those caring for people with dementia experience greater burden. There is a need for longitudinal evaluations examining the effects of potential mediators of the association of subjective burden and depressive symptoms. Future interventions should test whether minimizing subjective burden may modify the risk of developing depression in carers of older relatives.
publishDate 2019
dc.date.none.fl_str_mv 2019
2025
2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0217648
https://hdl.handle.net/10953/3705
url https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0217648
https://hdl.handle.net/10953/3705
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Plos One
dc.rights.none.fl_str_mv Atribución-NoComercial-SinDerivadas 3.0 España
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Atribución-NoComercial-SinDerivadas 3.0 España
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Public Library of Science
publisher.none.fl_str_mv Public Library of Science
dc.source.none.fl_str_mv reponame:RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaén
instname:Universidad de Jaén
instname_str Universidad de Jaén
reponame_str RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaén
collection RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaén
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