Hispanic culture and family care of Alzheimer's patients.

Caring for Alzheimer's patients places tremendous burdens and strain on families. This study examined the ways cultural values and norms influence the experiences of Hispanic caregivers. The results revealed relationships between attitudes toward caregiving and a sense of burden and depression among the caregivers, with depression being related to stronger adherence to norms of filial support. Factors associated with increased burden include lack of time for oneself, dependency needs of the patient, and belief that one could be doing a better job as caregiver. Problems common to other groups of caregivers--feelings of anger, relationship and financial strain, and isolation--were not apparent. Although relatives provide affective support, the burden of instrumental assistance rests on the primary caregiver. These findings, as well as a reluctance to discuss problems outside of the family, call for active social work interventions.