Caregiving burden and mental health problems among family caregivers of people with dementia in rural Uganda.

Autor:	Ainamani HE; Mbarara University of Science and Technology, Mbarara, Uganda.; Bishop Stuart University, Mbarara, Uganda.; Kabale University School of Medicine, Kabale, Uganda., Alele PE; Mbarara University of Science and Technology, Mbarara, Uganda., Rukundo GZ; Mbarara University of Science and Technology, Mbarara, Uganda., Maling S; Mbarara University of Science and Technology, Mbarara, Uganda., Wakida EK; Mbarara University of Science and Technology, Mbarara, Uganda., Obua C; Mbarara University of Science and Technology, Mbarara, Uganda., Tsai AC; Mbarara University of Science and Technology, Mbarara, Uganda.; Center for Global Health and Mongan Institute, Massachusetts General Hospital, Boston, USA.; Harvard Medical School, Boston, USA.
Jazyk:	angličtina
Zdroj:	Global mental health (Cambridge, England) [Glob Ment Health (Camb)] 2020 May 26; Vol. 7, pp. e13. Date of Electronic Publication: 2020 May 26 (Print Publication: 2020).
DOI:	10.1017/gmh.2020.7
Abstrakt:	Background: Alzheimer's disease and related dementias are associated with increasing health burden in low- and middle-income countries. Less well-recognized is the potential health burden experienced by other affected individuals, such as family caregivers. In this study, we sought to profile the burden of care and its association with symptoms of depression and anxiety among informal caregivers of people living with dementia in rural southwestern Uganda. Method: We conducted a cross-sectional study of 232 family caregivers of people with dementia. The key measured variables of interest were caregiving burden (Zarit Burden Index) and symptoms of depression and anxiety (Depression Anxiety Stress Scales). We fitted multivariable regression models specifying depression and anxiety symptoms as the primary outcomes of interest and caregiving burden as the primary explanatory variable of interest. Results: Family caregivers of people with dementia experience significant caregiving burden, with each item on the Zarit Burden Index endorsed by more than 70% of study participants. Nearly half [108 (47%)] of caregivers had Zarit Burden Interview scores >60, suggestive of severe caregiving burden. In multivariable regression models, we estimated a statistically significant positive association between caregiving burden and symptoms of both depression [ b = 0.42; 95% confidence interval (CI) 0.34-0.49] and anxiety ( b = 0.37; 95% CI 0.30-0.45). Conclusion: Family caregivers of people with dementia in rural Uganda experience a high caregiving burden, which is associated with symptoms of depression and anxiety. Interventions aimed at reducing caregiving burden may have important collateral mental health benefits. Competing Interests: The authors declare that they have no competing interests. (© The Author(s) 2020.)
Databáze:	MEDLINE
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