Article

OBJECTIVE: To investigate the relationship between anxiety/depression and
caregiver burden in informal caregivers of stroke survivors with spasticity.
DESIGN: Data were collected via online surveys from informal caregivers 18 years
or older who cared for stroke survivors. SETTING: Internet-based survey.
PARTICIPANTS: 2007 through 2009 U.S. National Health and Wellness Survey database
or Lightspeed Research general panel respondents (N=153). INTERVENTIONS: Not
applicable. MAIN OUTCOME MEASURES: Anxiety and depression were self-reported by
the caregiver as a physician diagnosis. Depression severity was measured by the
Patient Health Questionnaire-9 (PHQ-9). Caregiver burden was measured by the
Oberst Caregiving Burden Scale (OCBS) and the Bakas Caregiving Outcomes Scale
(BCOS). Logistic regression analyses were conducted with anxiety, depression, and
the PHQ-9 depression severity categories as a result of each caregiver burden
scale. RESULTS: Data were analyzed for 153 informal caregivers; they were mostly
women (70.6%) and white (78.4%), with a mean age of 51.6 years. For every 1-point
increase in the OCBS Difficulty Scale, the odds of anxiety or depression were
2.57 times as great (P<.001) and 1.88 times as great (P=.007), respectively. The
odds of PHQ-9 severe depression versus all other categories combined were 2.48
times as great (P<.001). For every 1-point decrease in the BCOS, the odds of
anxiety or depression were 2.43 times as great (P<.001) and 2.27 times as great
(P=.002), respectively.
The odds of PHQ-9 severe depression versus all other
categories combined were 4.55 times as great (P<.001). CONCLUSIONS: As caregiver
burden increases, caregivers are more likely to have anxiety and depression.
Depression severity also increases. Providing treatment to stroke survivors with
spasticity that lessens the time and more importantly, the difficulty of
caregiving may lead to a reduction in caregiver anxiety and depression.
CI - Copyright (c) 2013 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS