Predictors of burden and depression among caregivers of relapsing-remitting MS patients in Spain: MS Feeling study

Neurodegener Dis Manag. 2016 Aug;6(4):277-87. doi: 10.2217/nmt-2016-0014. Epub 2016 Aug 2.

Abstract

Aim: To assess potential predictors for burden and depression among caregivers of relapsing-remitting multiple sclerosis patients in Spain. Family functioning and social support were also assessed.

Patients & methods: Multicenter and cross-sectional study in relapsing-remitting multiple sclerosis adult patients and their respective informal caregivers (n = 180). Assessment performed: Zarit Scale (Burden), Center for Epidemiologic Studies Depression-7 Scale (depression), Family APGAR (Adaptation, Partnership, Growth, Affection, Resolve) Questionnaire (family functioning) and Duke UNC-11 Functional Social Support Questionnaire (social support). Multivariate logistic regression analysis assessed burden and depression predictors among caregivers.

Results: Caregivers suffered burden (19.4%) and depression (20.6%) and perceived poor social support (9.4%) and family dysfunction (10.6%). Burden predictors were patient's degree of disability, caregiver time and number of medications administered to patient. Depression predictors were patient's age and daily caregiving time.

Conclusion: The factors reported here could help clinicians to identify caregiver groups particularly at risk of burden and depression for timely intervention.

Keywords: burden; caregivers; depression; family functioning; multiple sclerosis; social support.

Publication types

  • Multicenter Study
  • Observational Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Caregivers / psychology*
  • Cost of Illness
  • Cross-Sectional Studies
  • Depressive Disorder / diagnosis
  • Depressive Disorder / etiology*
  • Disability Evaluation
  • Emotions
  • Female
  • Humans
  • Male
  • Middle Aged
  • Multiple Sclerosis, Relapsing-Remitting / economics
  • Multiple Sclerosis, Relapsing-Remitting / epidemiology
  • Multiple Sclerosis, Relapsing-Remitting / nursing*
  • Predictive Value of Tests
  • Psychiatric Status Rating Scales
  • Quality of Life
  • Retrospective Studies
  • Spain / epidemiology
  • Surveys and Questionnaires