Ji Won Han1, Hyeon Jeong2, Jae Young Park1, Tae Hui Kim3, Dong Young Lee4, Dong Woo Lee5, Seung-Ho Ryu6, Shin-Kyeom Kim7, Jong Chul Yoon8, JinHyeong Jhoo9, Jeong Lan Kim10, Seok Bum Lee11, Jung Jae Lee11, Kyung Phil Kwak12, Bong-Jo Kim13, Joon Hyuk Park14, Ki Woong Kim1. 1. Department of Neuropsychiatry,Seoul National University Bundang Hospital,Seongnam,South Korea. 2. Department of Psychiatry,Mirae Hospital,Gimje,South Korea. 3. Department of Psychiatry,Yonsei University Wonju Severance Christian Hospital,Wonju,South Korea. 4. Department of Neuropsychiatry,Seoul National University Hospital,Seoul,South Korea. 5. Department of Neuropsychiatry,Inje University Sanggye Paik Hospital,Seoul,South Korea. 6. Department of Psychiatry,School of Medicine,Konkuk University,Konkuk University Medical Center,Seoul,South Korea. 7. Department of Neuropsychiatry,Soonchunhyang University Bucheon Hospital,Bucheon,South Korea. 8. Department of Neuropsychiatry,Kyunggi Provincial Hospital for the Elderly,Yongin,South Korea. 9. Department of Neuropsychiatry,Kangwon National University Hospital,Chuncheon,South Korea. 10. Department of Psychiatry,Chungnam National University Hospital,Daejeon,South Korea. 11. Department of Psychiatry,Dankook University Hospital,Cheonan,South Korea. 12. Department of Psychiatry,Dongguk Medical Center,Gyeongju,South Korea. 13. Department of Psychiatry,Gyeongsang National University,School of Medicine,Jinju,South Korea. 14. Department of Neuropsychiatry,Jeju National University Hospital,Jeju,South Korea.
Abstract
BACKGROUND: Social support programs for dementia caregivers were widely used in order to reduce care burden. We investigated which types of social supports can reduce psychological and non-psychological burdens of dementia caregivers, and explored the mechanism of those social supports. METHODS: We evaluated 731 community-dwelling dementia patients and their caregivers from the National Survey of Dementia Care in South Korea. We investigated the five types of social supports (emotional support, informational support, tangible support, positive social interaction, affectionate support) using the Medical Outcomes Study Social Support Survey in each caregiver. The mechanisms of specific types of social support on psychological/non-psychological burden were examined using path analysis. RESULTS: Positive social interaction and affectionate support reduced psychological burden via direct and indirect paths. Tangible support reduced the non-psychological burden via direct and indirect paths. Informational support and emotional support were not helpful for reducing psychological or non-psychological burden. A maximum of 20% of psychological burden could be relieved by positive social interaction and 10.3% of that could be reduced by affectionate support. Tangible support was associated with a 15.1% maximal improvement in non-psychological burden. CONCLUSIONS: In order to reduce caregiver burden in dementia effectively, psychosocial interventions should be tailored to target type of caregiver burden.
BACKGROUND: Social support programs for dementia caregivers were widely used in order to reduce care burden. We investigated which types of social supports can reduce psychological and non-psychological burdens of dementia caregivers, and explored the mechanism of those social supports. METHODS: We evaluated 731 community-dwelling dementiapatients and their caregivers from the National Survey of Dementia Care in South Korea. We investigated the five types of social supports (emotional support, informational support, tangible support, positive social interaction, affectionate support) using the Medical Outcomes Study Social Support Survey in each caregiver. The mechanisms of specific types of social support on psychological/non-psychological burden were examined using path analysis. RESULTS: Positive social interaction and affectionate support reduced psychological burden via direct and indirect paths. Tangible support reduced the non-psychological burden via direct and indirect paths. Informational support and emotional support were not helpful for reducing psychological or non-psychological burden. A maximum of 20% of psychological burden could be relieved by positive social interaction and 10.3% of that could be reduced by affectionate support. Tangible support was associated with a 15.1% maximal improvement in non-psychological burden. CONCLUSIONS: In order to reduce caregiver burden in dementia effectively, psychosocial interventions should be tailored to target type of caregiver burden.
Authors: María Dolores Ruiz-Fernández; José Manuel Hernández-Padilla; Rocío Ortiz-Amo; Cayetano Fernández-Sola; Isabel María Fernández-Medina; José Granero-Molina Journal: Int J Environ Res Public Health Date: 2019-10-07 Impact factor: 3.390
Authors: Hannah L Christie; Sara L Bartels; Lizzy M M Boots; Huibert J Tange; Frans J J Verhey; Marjolein E de Vugt Journal: Internet Interv Date: 2018-07-07