Caregiving burden and mental health problems among family caregivers of people with dementia in rural Uganda
Date
2020
Journal Title
Journal ISSN
Volume Title
Publisher
Cambridge University Press
Abstract
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 bur den 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 anx iety 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 demen tia. The key measured variables of interest were caregiving burden (Zarit Burden Index) and
symptoms of depression and anxiety (Depression Anxiety Stress Scales). We fitted multivari able 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
Description
Keywords
Alzheimer’s disease, anxiety, caregiving burden, dementia, depression, sub-Saharan Africa, Uganda
Citation
cambridge.org/gmh