Factors Affecting Depression and Life Satisfaction in Family Caregivers of Patients with Dementia

치매 환자 가족 부양자의 우울과 생활 만족도에 영향을 미치는 요인

Park, Kyung-Won;Kim, Soo-Young;Kim, Eung-Gyu;Kim, Jae-Woo;Kim, Tae-You;Sung, Sang-Min;Sohn, Tae-Hong;You, Bong-Goo;Yoon, Soo-Jin;Yoon, Sung-Min;Lee, Sang-Chan;Cheong, Hae-Kwan;Choi, Mun-Seong;Hong, Tae-Yong
박경원;김수영;김응규;김재우;김태유;성상민;손태홍;유봉구;윤수진;윤성민;이상찬;정해관;최문성;홍태용

  • Published : 2005.12.01

Abstract

Background: The purposes of this study were to examine the state of depression and life satisfaction of family caregivers and to find out which factors would be significant in determining depression and life satisfaction of caregivers for the elderly with dementia. Methods: Caregivers of patients with dementia who were registered at nine medical centers in Busan Metropolitan City and Gyeongnam Province were the major subjects of this study. Data was collected by face-to-face interviews. The final sample consisted of 144 cases after eliminating several incomplete questionnaires. Based on the collected data, the authors evaluated demographic findings, general characteristics, and factors influencing depression and life satisfaction of the caregivers using statistical analyses. Results: The severity of depression and the degree of life satisfaction in family caregivers were low. We found that caregiver's anxiety, monthly income, caregiver burden, non-relative network, self-confidence of caregiving, and the degree of the Barthel index of activity of daily living (B-ADL) were significant factors in determining depression of the caregivers (p<0.05). The following two variables were significant factors in determining the caregiver's level of life satisfaction: burden of caregiving costs and patient's Korean mini-mental state examination (K-MMSE) score (p<0.05). Conclusions: Our results showed that the level of anxiety, caregiver burden and social support, rather than the conditions of dementia patients, influenced depression and life satisfaction for the caregivers of patients with dementia. Therefore, in order to improve the quality of life for caregivers, we should consider psychosocial factors as well as patient's medical factors in influencing depression and life satisfaction.

Keywords

References

  1. Kim DH. Epidemiology of dementia in Korea. J Korean Med Assoc 2002;45:356-360
  2. Population projections for Korea: 2000-2050: based on the 2000 census. Daejeon: National Statistical Office, 2001
  3. Schulz R, O'Brien AT, Bookwala J, Fleissner K. Psychiatric and physical morbidity effects of dementia caregiving: prevalence, correlates, and causes. Gerontologist 1995;35:771-791 https://doi.org/10.1093/geront/35.6.771
  4. Haley WE, West CA, Wadley VG, Ford GR, White FA, Barrett JJ, et al. Psychological, social, and health impact of caregiving: a comparison of black and white dementia family caregivers and noncaregivers. Psychol Aging 1995;10:540-552 https://doi.org/10.1037/0882-7974.10.4.540
  5. Wright LK, Clipp EC, George LK. Health consequences of caregiver stress. Medicine, Exercise, Nutrition, and Health 1993;2:181-195
  6. Youn G, Knight BG, Jeong HS, Benton D. Differences in familism values and caregiving outcomes among Korean, Korean American, and White American dementia caregivers. Psychol Aging 1999;14:355-364 https://doi.org/10.1037/0882-7974.14.3.355
  7. Kim SY, Yoon HS, Kim JS, Haley WE. Factors affecting life satisfaction and depression of caregivers of the elderly with dementia: a comparative study of Korean and American caregivers. Journal of the Korea Gerontological Society 2003;23:193-221
  8. American Psychiatric Association Committee on Nomenclature and Statistics. Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Fourth Edition. Washington DC: American Psychiatric Association, 1994
  9. McKhann G, Drachman D, Folstein M, Katzman R, Price D, Stadlan EM. Clinical diagnosis of Alzheimer's disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer's Disease. Neurology 1984;34:939-944. https://doi.org/10.1212/WNL.34.7.939
  10. Roman GC, Tatemichi TK, Erkinjuntti T, Cummings JL, Masdeu JC, Garcia JH, et al. Vascular dementia: diagnostic criteria for research studies. Report of the NINDS-AIREN International Workshop. Neurology 1993;43:250-260 https://doi.org/10.1212/WNL.43.2.250
  11. Kang YW, Na DL, Hahn SH. A validity study on the Korean Mini-Mental State Examination (K-MMSE) in dementia patients. J Korean Neurol Assoc 1997;15:300-307
  12. Choi SH, Na DL, Lee BH, Hahm DS, Jeong JH, Yoon SJ, et al. Estimating the validity of the Korean Version of the Korean Version of Expanded Clinical Dementia Rating Scale (CDR). J Korean Neurol Assoc 2001;19:585-591
  13. Choi SH, Na DL, Kwon HM, Yoon SJ, Jeong JH, Ha CK. The Korean version of the neuropsychiatric inventory: a scoring tool for neuropsychiatric disturbance in dementia patients. J Korean Med Sci 2000;15:609-615
  14. Choi SH. Introduction of dementia questionnaire, activity of daily living (ADL), neuropsychiatric inventory. J Korean Neurol Assoc 1999;2:14-20
  15. Kang SJ, Choi SH, Lee BH, Kwon JC, Na DL, Han SH, et al. The reliability and validity of the Korean instrumental activity of daily living (K-IADL). J Korean Neurol Assoc 2002;20(1):8-14
  16. Zarit SH, Reever KE, Bach-Peterson J. Relatives of the impaired elderly: correlates of feelings of burden. Gerontologist 1980;20:649-655 https://doi.org/10.1093/geront/20.6.649
  17. Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol 1988;56:893-897 https://doi.org/10.1037/0022-006X.56.6.893
  18. Sarason IG, Sarason BR, Shearin EN, Pierce GR. A brief measure of social support: Practical and theoretical implications. J Soc Pers Relat 1987;4:569-578
  19. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961;4:561-571 https://doi.org/10.1001/archpsyc.1961.01710120031004
  20. Wood V, Wylie ML, Sheafor B. An analysis of a short self-report measure of life satisfaction: correlation with rater judgments. J Gerontol 1969;24:465-469 https://doi.org/10.1093/geronj/24.4.465
  21. Han HM, Yeum TH, Sin YW, Kim KH, Yoon DJ, Jeong KJ. A standardization study of Beck depression inventory in Korea. J Korean Neuropsychiatr Assoc 1986;25:487-502
  22. Shin MS, Kim ZS, Park KB. The cut-off score for the Korean version of Beck depression inventory. The Korean Journal of Clinical Psychology 1993;12:71-81
  23. Radloff LS. The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement 1977;1:385-401 https://doi.org/10.1177/014662167700100306
  24. Haley WE, Roth DL, Coleton MI, Ford GR, West CA, Collins RP, et al. Appraisal, coping, and social support as mediators of well-being in black and white family caregivers of patients with Alzheimer's disease. J Consult Clin Psychol 1996;64:121-129 https://doi.org/10.1037/0022-006X.64.1.121
  25. Kim SY, Kim JS, Youn HS. Predictors of depression and life satisfaction among family caregivers for demented elderly. Journal of the Korea Gerontological Society 2004;24:111-128
  26. Lee HJ, Kim YS, Kim KR, Kim JS, Seo JM. Predictors of depression among family caregivers of older adults with dementia. J Korean Acad Nurs 2003;33:936-944