Factors Associated with Caregiver Burden among Caregivers of Terminally Ill Patients with Cancer

• DOI: 10.1177/082585970402000108
• Publication Date: 2019-04-09T05:29:35Z
• Authors: Nathan E. Goldstein; John Concato; Terri R. Fried; Stanislav V. Kasl; Rosemary Johnson-...; Elizabeth H. Bradley
• Keywords: Adult; Aged, 80 and over; Male; Analysis of Variance; Middle Aged; 3. Good health; Connecticut; 03 medical and health sciences; Cross-Sectional Studies; Hospice Care; Logistic Models; 0302 clinical medicine; Caregivers; Cost of Illness; Neoplasms; Activities of Daily Living; Adaptation, Psychological; Humans; Family; Female; Attitude to Health; Needs Assessment; Aged

Objective To identify factors associated with caregiver burden among those caring for terminally ill patients with cancer. Design Cross-sectional study of interviews with primary caregivers (n=206) of consecutive patients with cancer enrolled in the largest hospice in Connecticut. Methods Data were collected on the caregivers’ sociodemographic characteristics, social network index, and number of restrictions in their own activities due to their caregiving role. The outcome was a nine-item questionnaire adapted from the Zarit Burden Inventory. Results The highest burden was reported among caregivers with more limited social networks (OR 1.38, CI 1.02–1.87), more restrictions in their daily activities (OR 1.35, CI 1.13–1.61), and who were younger (OR 1.46, CI 1.10–1.93). Conclusions Variations exist in the intensity of caregiver burden based on subjective experiences and social support, rather than on the amount of assistance provided. Clinicians should consider factors such as these when targeting caregivers for interventions to alleviate burden.