Burden in Caregivers of Cognitively Impaired Elderly Adults at Time of Hospitalization: A Cross-Sectional Analysis
Article first published online: 6 FEB 2014
© 2014, Copyright the Authors Journal compilation © 2014, The American Geriatrics Society
Journal of the American Geriatrics Society
Volume 62, Issue 2, pages 276–284, February 2014
How to Cite
J Am Geriatr Soc 62:276–284, 2014.
- Issue published online: 12 FEB 2014
- Article first published online: 6 FEB 2014
- National Institute on Aging. Grant Number: R01 AG023116
- Marian S. Ware Alzheimer's Program at the University of Pennsylvania
- caregiver burden
To describe the factors associated with burden that caregivers of cognitively impaired older adults (dementia, delirium, or both) at the time of hospitalization experienced.
Cross-sectional data analyses.
Three hospitals—one academic tertiary hospital and two associated community hospitals.
Caregivers (N = 495) of cognitively impaired older adults at the time of hospital admission.
Multivariable linear regression was performed to analyze the effect of the independent variables (caregiver: demographic characteristics, depressive symptoms, self-efficacy; older adult: neuropsychiatric symptoms, delirium, functional deficits) on caregiver burden.
Higher burden was associated with younger caregiver age (P = .02), being a spouse (P = .03), depressive symptoms (P < .001), caregivers’ lower perceived self-efficacy in managing care recipient symptoms (P = .002), and limited finances at the end of the month (P = .01). Caregiver burden was also strongly associated with the care recipient factors distressing neuropsychiatric symptoms (P = .001), delirium (P = .001), and greater functional deficits in basic activities of daily living (P = .001).
These findings suggest that caregivers of older adults who were cognitively impaired at hospital admission experience burden. Understanding the factors that contribute to burden at the time of hospitalization for caregivers of persons with cognitive impairment can inform the development of interventions targeted throughout the hospitalization that have the potential to decrease burden.