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Effects of social supports on burden in caregivers of people with dementia

Published online by Cambridge University Press:  09 July 2014

Ji Won Han
Affiliation:
Department of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, South Korea
Hyeon Jeong
Affiliation:
Department of Psychiatry, Mirae Hospital, Gimje, South Korea
Jae Young Park
Affiliation:
Department of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, South Korea
Tae Hui Kim
Affiliation:
Department of Psychiatry, Yonsei University Wonju Severance Christian Hospital, Wonju, South Korea
Dong Young Lee
Affiliation:
Department of Neuropsychiatry, Seoul National University Hospital, Seoul, South Korea Department of Psychiatry, Seoul National University, College of Medicine, Seoul, South Korea
Dong Woo Lee
Affiliation:
Department of Neuropsychiatry, Inje University Sanggye Paik Hospital, Seoul, South Korea
Seung-Ho Ryu
Affiliation:
Department of Psychiatry, School of Medicine, Konkuk University, Konkuk University Medical Center, Seoul, South Korea
Shin-Kyeom Kim
Affiliation:
Department of Neuropsychiatry, Soonchunhyang University Bucheon Hospital, Bucheon, South Korea
Jong Chul Yoon
Affiliation:
Department of Neuropsychiatry, Kyunggi Provincial Hospital for the Elderly, Yongin, South Korea
JinHyeong Jhoo
Affiliation:
Department of Neuropsychiatry, Kangwon National University Hospital, Chuncheon, South Korea
Jeong Lan Kim
Affiliation:
Department of Psychiatry, Chungnam National University Hospital, Daejeon, South Korea
Seok Bum Lee
Affiliation:
Department of Psychiatry, Dankook University Hospital, Cheonan, South Korea
Jung Jae Lee
Affiliation:
Department of Psychiatry, Dankook University Hospital, Cheonan, South Korea
Kyung Phil Kwak
Affiliation:
Department of Psychiatry, Dongguk Medical Center, Gyeongju, South Korea
Bong-Jo Kim
Affiliation:
Department of Psychiatry, Gyeongsang National University, School of Medicine, Jinju, South Korea
Joon Hyuk Park
Affiliation:
Department of Neuropsychiatry, Jeju National University Hospital, Jeju, South Korea
Ki Woong Kim*
Affiliation:
Department of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, South Korea Department of Psychiatry, Seoul National University, College of Medicine, Seoul, South Korea Department of Brain and Cognitive Science, Seoul National University College of Natural Sciences, Seoul, South Korea
*
Correspondence should be addressed to: Ki Woong Kim, MD, PhD, Department of Neuropsychiatry, Seoul National University College of Medicine and Seoul National University Bundang Hospital, 166 Gumiro, Bundanggu, Seongnamsi, Gyeonggido 463–707, South Korea. Phone: +82-31-787-7432; Fax: +82-31-787-4058. Email: kwkimmd@snu.ac.kr.

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.

Type
Research Article
Copyright
Copyright © International Psychogeriatric Association 2014 

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