Caregiver burden and quality of life of caregivers for patients with parkinson's disease treated with deep brain stimulation
Objective: This study aimed to identify caregiver burden (CB) and contributing factors to CB for Parkinson's disease (PD) patients under Subthalamic Nucleus Deep Brain Stimulation (STN-DBS) treatment, and investigation the factors, affecting the caregivers' quality of life (QoL). Methods:...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Annals of Indian Academy of Neurology |
| Subjects: | |
| Online Access: | http://www.annalsofian.org/article.asp?issn=0972-2327;year=2023;volume=26;issue=4;spage=530;epage=536;aulast=Güneş |
| _version_ | 1827783427112304640 |
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| author | Gökçe Yağmur Güneş Gencer Nazan Şimşek Erdem Lutfiye Ipek Sehur Sibel Özkaynak Tanju Uçar |
| author_facet | Gökçe Yağmur Güneş Gencer Nazan Şimşek Erdem Lutfiye Ipek Sehur Sibel Özkaynak Tanju Uçar |
| author_sort | Gökçe Yağmur Güneş Gencer |
| collection | DOAJ |
| description | Objective: This study aimed to identify caregiver burden (CB) and contributing factors to CB for Parkinson's disease (PD) patients under Subthalamic Nucleus Deep Brain Stimulation (STN-DBS) treatment, and investigation the factors, affecting the caregivers' quality of life (QoL). Methods: Twenty-four PD patients under STN-DBS treatment and their caregivers participated in this study. Unified Parkinson's Disease Rating Scale (UPDRS) was applied for the clinical assessment of the patients. Beck Depression Inventory-II (BDI), Hospital Anxiety and Depression Scale (HADS), and Minnesota Impulse Control Disorders Interview (MIDI) were used to screen for neuropsychiatric symptoms of the patients. CB was evaluated with the Caregivers Burden Inventory (CBI) and the Burden Scale for Family Caregivers (BSFC-s). The health-related QoL of caregivers was assessed with the Short Form Survey-36 (SF-36). Results: Mean total CBI and BSFC-s scores of caregivers were 32.53 ± 19.71 and 11.66 ± 8.86, respectively. Nineteen caregivers defined moderate or severe caregiver burden according to BSFC-s. Both CBI and BSFC-s scores were significantly associated with UPDRS-part-1 scores, but not with the age and gender of both the patients and their caregivers, disease duration, PDQ39, BDI, HADS, LARS scores, and scores of patients for other UPDRS parts. The presence of impulse control behaviors (ICBs) significantly increased the total CBI score and total BSFC-s (P < 0.01). The caregivers' total and all domain scores of SF-36 were significantly affected by higher CBI and BSFC-s scores. Conclusions: The CB of the patients under STN-DBS treatment was severe. Non-motor symptoms, particularly impulsivity, significantly increased CB and worsened the caregivers' mental and physical health. |
| first_indexed | 2024-03-11T15:47:27Z |
| format | Article |
| id | doaj.art-c851ceb91cf34947897c1da7611f6cba |
| institution | Directory Open Access Journal |
| issn | 0972-2327 1998-3549 |
| language | English |
| last_indexed | 2024-03-11T15:47:27Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Indian Academy of Neurology |
| spelling | doaj.art-c851ceb91cf34947897c1da7611f6cba2023-10-26T05:44:42ZengWolters Kluwer Medknow PublicationsAnnals of Indian Academy of Neurology0972-23271998-35492023-01-0126453053610.4103/aian.aian_210_23Caregiver burden and quality of life of caregivers for patients with parkinson's disease treated with deep brain stimulationGökçe Yağmur Güneş GencerNazan Şimşek ErdemLutfiye IpekSehur Sibel ÖzkaynakTanju UçarObjective: This study aimed to identify caregiver burden (CB) and contributing factors to CB for Parkinson's disease (PD) patients under Subthalamic Nucleus Deep Brain Stimulation (STN-DBS) treatment, and investigation the factors, affecting the caregivers' quality of life (QoL). Methods: Twenty-four PD patients under STN-DBS treatment and their caregivers participated in this study. Unified Parkinson's Disease Rating Scale (UPDRS) was applied for the clinical assessment of the patients. Beck Depression Inventory-II (BDI), Hospital Anxiety and Depression Scale (HADS), and Minnesota Impulse Control Disorders Interview (MIDI) were used to screen for neuropsychiatric symptoms of the patients. CB was evaluated with the Caregivers Burden Inventory (CBI) and the Burden Scale for Family Caregivers (BSFC-s). The health-related QoL of caregivers was assessed with the Short Form Survey-36 (SF-36). Results: Mean total CBI and BSFC-s scores of caregivers were 32.53 ± 19.71 and 11.66 ± 8.86, respectively. Nineteen caregivers defined moderate or severe caregiver burden according to BSFC-s. Both CBI and BSFC-s scores were significantly associated with UPDRS-part-1 scores, but not with the age and gender of both the patients and their caregivers, disease duration, PDQ39, BDI, HADS, LARS scores, and scores of patients for other UPDRS parts. The presence of impulse control behaviors (ICBs) significantly increased the total CBI score and total BSFC-s (P < 0.01). The caregivers' total and all domain scores of SF-36 were significantly affected by higher CBI and BSFC-s scores. Conclusions: The CB of the patients under STN-DBS treatment was severe. Non-motor symptoms, particularly impulsivity, significantly increased CB and worsened the caregivers' mental and physical health.http://www.annalsofian.org/article.asp?issn=0972-2327;year=2023;volume=26;issue=4;spage=530;epage=536;aulast=Güneşcaregiver burdendeep brain stimulationparkinson's diseasequality of life |
| spellingShingle | Gökçe Yağmur Güneş Gencer Nazan Şimşek Erdem Lutfiye Ipek Sehur Sibel Özkaynak Tanju Uçar Caregiver burden and quality of life of caregivers for patients with parkinson's disease treated with deep brain stimulation Annals of Indian Academy of Neurology caregiver burden deep brain stimulation parkinson's disease quality of life |
| title | Caregiver burden and quality of life of caregivers for patients with parkinson's disease treated with deep brain stimulation |
| title_full | Caregiver burden and quality of life of caregivers for patients with parkinson's disease treated with deep brain stimulation |
| title_fullStr | Caregiver burden and quality of life of caregivers for patients with parkinson's disease treated with deep brain stimulation |
| title_full_unstemmed | Caregiver burden and quality of life of caregivers for patients with parkinson's disease treated with deep brain stimulation |
| title_short | Caregiver burden and quality of life of caregivers for patients with parkinson's disease treated with deep brain stimulation |
| title_sort | caregiver burden and quality of life of caregivers for patients with parkinson s disease treated with deep brain stimulation |
| topic | caregiver burden deep brain stimulation parkinson's disease quality of life |
| url | http://www.annalsofian.org/article.asp?issn=0972-2327;year=2023;volume=26;issue=4;spage=530;epage=536;aulast=Güneş |
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