The DOI matches its Crossref record; 118 of the 118 references it cites were found in a registry or an index.
Prevalence of depression and burden among informal care-givers of people with dementia: a meta-analysis
Open accessAbstract
This meta-analysis examined the prevalence of depression and burden among informal care-givers of people with dementia (PwD) and compared the prevalence of depression between male and female, and spousal and non-spousal, care-givers. The quality of studies was evaluated and moderator variables explored. A search of six electronic databases (PsycARTICLES, PsycINFO, MEDLINE Complete, SCOPUS, Web of Science and ProQuest) was conducted from the first available date to the 31 October 2017. Inclusion criteria involved observational studies on the prevalence of burden or depression among informal care-givers of PwD. Forty-three studies were examined with a total of 16,911 participants. The adjusted pooled prevalence of depression was 31.24 per cent (95% confidence interval (CI) = 27.70, 35.01) and burden was 49.26 per cent (95% CI = 37.15, 61.46), although heterogeneity among prevalence estimates was high. Depression prevalence estimates differed according to the instrument used and the continent where the study was conducted. The odds of having depression were almost one and a half times higher in female compared to male care-givers. No significant difference was observed between spouses and non-spouses. Most studies had a medium risk of bias. Results suggest a great need within this population for interventions that are effective at reducing burden and depressive symptoms. It therefore appears imperative for dementia services that are not providing such interventions to do so.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“A meta-analysis (43 studies, 19911 participants) found a pooled prevalence of family carer depression of 31.2% (27.7 - 35.0).(481)”
From Dementia prevention, intervention, and care: 2024 report of the Lancet standing Commission (2024) · cites this paper as [481]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Previous systematic reviews demonstrate that the prevalence of anxiety and depressive symptoms in unpaid family carers of people living with dementia is around 32 % [1,2].”
From The clinical and cost effectiveness of internet-delivered self-help Acceptance and Commitment Therapy for family carers of people with dementia (iACT4CARERS): Study protocol for a randomised controlled trial with ethnically diverse family carers (2024) · cites this paper as [1]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Recent systematic reviews demonstrated that the pooled prevalence of depression and anxiety in family carers of people with dementia are 31.2% and 32.1% respectively (Collins & Kishita, 2019; Kaddour & Kishita, 2020).”
From Exploring the impact of carer stressors and psychological inflexibility on depression and anxiety in family carers of people with dementia (2020) · cites this paper as Collins & Kishita, 2019
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Caring for a family member with dementia presents a chronic stressor, leading to profound psychological strain, as evidenced by high rates of depression and anxiety in family caregivers (Collins & Kishita, Citation2020; Kaddour & Kishita, Citation2020).”
From How do care-related beliefs contribute to depression and anxiety in family caregivers of people with dementia? Testing a cognitive vulnerability-stress model. (2025) · cites this paper as Collins & Kishita, 2020
Experimental — accuracy not yet measuredThe check wasn’t confident either way, so it gives no verdict — never disputed.
In the citing paper
“Absence of sufficient institutional, financial, and psychological support increases the risk of caregiver burden [7, 8].”
From Unmet Needs in Dementia Care: The Predictive Role of Caregiver Challenges (2025) · cites this paper as [7]
Experimental — accuracy not yet measured
The check wasn’t confident either way, so it gives no verdict — never disputed.
In the citing paper
“Recent systematic reviews demonstrated that the pooled prevalence of depression and anxiety in family carers of people with dementia are 31.2% and 32.1% respectively (Collins & Kishita, 2019; Kaddour & Kishita, 2020).”
From Exploring the impact of carer stressors and psychological inflexibility on depression and anxiety in family carers of people with dementia (2020) · cites this paper as Collins & Kishita, 2019
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975) · Journal of Psychiatric Research · doi:10.1016/0022-3956(75)90026-6 · Cited by 88,282
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & for the PRISMA Group (2009) · BMJ · doi:10.1136/bmj.b2535 · Cited by 83,823
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & The PRISMA Group (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000097 · Cited by 64,042
Measuring inconsistency in meta-analyses
Higgins, J. P. T., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003) · BMJ · doi:10.1136/bmj.327.7414.557 · Cited by 63,139
The CES-D Scale: A Self-Report Depression Scale for Research in the General Population
Radloff, L. S. (1977) · Applied Psychological Measurement · doi:10.1177/014662167700100306 · Cited by 53,267
The Hospital Anxiety and Depression Scale
Zigmond, A. S., & Snaith, R. P. (1983) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1983.tb09716.x · Cited by 47,139
The PHQ-9: Validity of a brief depression severity measure
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2001.016009606.x · Cited by 44,910
Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement.
(2009) · PubMed Central · Cited by 44,859
A Coefficient of Agreement for Nominal Scales
Cohen, J. (1960) · Educational and Psychological Measurement · doi:10.1177/001316446002000104 · Cited by 42,398
An inventory for measuring depression
BECK, A. T. (1961) · Archives of General Psychiatry · doi:10.1001/archpsyc.1961.01710120031004 · Cited by 38,032
Research works printed but not linked: 15
- 1978, The ICD-9 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines
- Ramos-Brieva, 1986, Validacion de la versión castellana de la escala de Hamilton para la depresión, Actas Luso-Españolas de Neurología, Psiquiatría y Ciencias Afines, 6, 324
- 1987, Diagnostic and Statistical Manual of Mental Disorders
- Munn, 2014, The Joanna Briggs Institute Reviewer's Manual 2014: The Systematic Review of Prevalence and Incidence Data
- Martín, 1996, Adaptación para nuestro medio de la Escala de Sobrecarga del Cuidador (Caregiver Burden Interview) de Zarit, Revista de Gerontología, 6, 338
- 1992, The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines
- 1994, Diagnostic and Statistical Manual of Mental Disorders
- Borenstein, 2005, Comprehensive Meta-analysis (Version 2)
- 1980, Diagnostic and Statistical Manual of Mental Disorders
- Dilworth-Anderson, 1994, Stress Effects on Family Caregivers of Alzheimer's Patients, 385
- 2000, Diagnostic and Statistical Manual of Mental Disorders
- 2013, Diagnostic and Statistical Manual of Mental Disorders
- 2017, Depression and Other Common Mental Disorders: Global Health Estimates
- Simpson, CE (2010) Sleep: Effect on Dementia Caregiver Mastery, Perceived Stress and Depression (Unpublished doctoral dissertation). The University of Texas at Austin, Austin, TX.
- Conde, 1975, Adaptación castellana de la escala de evaluación conductual para la depresión de Beck, Revista de Psiquiatría y Psicología Médica de Europa y América Latinas, 12, 217
Cited by
Sorted by citations
Dementia prevention, intervention, and care: 2024 report of the Lancet standing Commission
Livingston, G., Huntley, J., Liu, K. Y., Costafreda, S. G., Selbæk, G., Alladi, S., Ames, D., Banerjee, S., Burns, A., Brayne, C., et al. (2024) · The Lancet · doi:10.1016/s0140-6736(24)01296-0 · Cited by 3,860
2020 Alzheimer's disease facts and figures
(2020) · Alzheimer's & Dementia · doi:10.1002/alz.12068 · Cited by 2,353
2021 Alzheimer's disease facts and figures
Anonymous (2021) · Alzheimer s & Dementia · doi:10.1002/alz.12328 · Cited by 2,339
Cognitive stimulation to improve cognitive functioning in people with dementia
Woods, B., Aguirre, E., Spector, A. E., & Orrell, M. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd005562.pub2 · Cited by 855
Cognitive stimulation to improve cognitive functioning in people with dementia
Woods, B., Rai, H. K., Elliott, E., Aguirre, E., Orrell, M., & Spector, A. (2023) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd005562.pub3 · Cited by 190
Metadata
- Authors
- Collins, R. N., & Kishita, N.
- Affiliations
- University of East Anglia (GB)
- Corresponding author
- Collins, Rebecca N.
- Venue
- Ageing and Society
- Publisher
- Cambridge University Press (CUP)
- Published
- 2019-06-06
- Volume
- 40
- Issue
- 11
- Pages
- 2355-2392
- ISSN
- 0144-686X (ISSN-L)
- 1469-1779
- OpenAlex
- W2938077275
- Cited by
- 244
- References
- 118
- Citations by year
- 2026: 39 · 2025: 55 · 2024: 43 · 2023: 37 · 2022: 41 · 2021: 20 · 2020: 9
- FWCI
- 2.95
- Type
- journal article
- Language
- en
- Open access
- green
- ueaeprints.uea.ac.uk
- Locations
- Ageing and Society (publishedVersion)
- UEA Digital Repository (University of East Anglia) (acceptedVersion)
- Funders
- U.S. Department of Health and Human Services
- American Psychiatric Publishing
- American Association of Nurse Practitioners
- American Psychiatric Nurses Association
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Nursing › Research and Theory › Nursing care and research
- Social Sciences › Psychology › Clinical Psychology › Family Caregiving in Mental Illness
- Keywords
- depression, caregiver burden, informal caregivers, dementia, prevalence, spousal caregivers, gender differences, caregiver interventions
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review