Caregiver Burden among Caregivers of Koreans with Dementia
Abstract
BACKGROUND: Most studies on caregiver burden have been conducted in Western countries, while few studies on the correlates of caregiver burden have been performed in Korea. OBJECTIVE: To suggest better policies for the care of dementia patients by using a nationwide database to identify factors that affect caregiver burden in Korea. METHODS: The database of the Korean National Health Insurance (KNHI) and National Medical Aid (NMA) programs, which covers all Koreans, was used. A sample of 609 dementia patients and their caregivers was selected from a total of 85,281 dementia patients in 2004 and interviewed to evaluate the total cost of care and caregiver burden. Stepwise multiple linear regression analysis was then performed to identify significant independent predictors of caregiver burden. RESULTS: Among caregiver-related factors, caregiver burden was higher in those who were female, had a history of home care during the previous year, and had less education. Among patient-related factors, poor ADL/IADL function was significant. The most interesting result was that subjective sense of socioeconomic status (good/fair/poor) was a stronger predictor of caregiver outcome than actual economic costs. CONCLUSION: The results of this study suggest that interventions to assist patients with dementia should focus on female caregivers, especially those considered likely to be suffering from an economic burden. Interventions should also aim to improve the ADL and IADL capacities of patients.
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Illness severity and presence of behavioural and psychological symptoms of dementia are known predictors for caregiver burden and depressive and anxiety symptoms.
“Illness severity and presence of behavioural and psychological symptoms of dementia (BPSD) are known predictors for caregiver burden and depressive and anxiety symptoms [25,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48].”
From Relationship of Psychological Flexibility and Mindfulness to Caregiver Burden, and Depressive and Anxiety Symptoms in Caregivers of People with Dementia (2023) · cites this paper as [36]
Higher education level among people with dementia is associated with lower caregiver burden.
“This finding was consistent with other studies, where a higher education level among the PwD was associated with a lower caregiver burden [36,51].”
From Relationship of Psychological Flexibility and Mindfulness to Caregiver Burden, and Depressive and Anxiety Symptoms in Caregivers of People with Dementia (2023) · cites this paper as [36]
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Lee, H. S., & Kim, C. (2011) · Research in Community and Public Health Nursing · doi:10.12799/jkachn.2011.22.2.141
이홍자, & 김춘미 (2011)
Pelayanan Pastoral kepada Anggota Keluarga yang Hidup Bersama Orang dengan Demensia
Pardede, L. S. (2021) · Dunamis Jurnal Teologi dan Pendidikan Kristiani · doi:10.30648/dun.v5i2.426
A Review of Research on Aging Families: Emerging Issues
Wu, Z., & Browning, S. D. (2015) · Scholarship@Western (Western University)
Current awareness in geriatric psychiatry
(2009) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.2119
Mikami, N., Bun, S., Kazui, H., Kamimura, N., Ohara, T., Yoshiyama, K., Shikimoto, R., Mimura, Y., Takeuchi, H., & Mimura, M. (2026) · BMC Geriatrics · doi:10.1186/s12877-026-07879-9
- Authors
- Kim, M.-D., Hong, S.-C., Lee, C.-I., Kim, S.-Y., Kang, I.-O., & Lee, S.-Y.
- Affiliations
- Jeju National University (KR)
- Venue
- Gerontology
- Publisher
- S. Karger AG
- Published
- 2008-11-20
- Volume
- 55
- Issue
- 1
- Pages
- 106-113
- ISSN
- 0304-324X (ISSN-L)
- 1423-0003
- OpenAlex
- W2021975594
- Cited by
- 68
- References
- 41
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 5 · 2023: 6 · 2022: 5 · 2021: 7 · 2020: 1 · 2019: 6 · 2018: 3 · 2016: 4 · 2015: 6 · 2014: 3 · 2013: 3 · 2012: 5
- FWCI
- 2.10
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Gerontology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Social Sciences › Sociology and Political Science › Intergenerational Family Dynamics and Caregiving
- Keywords
- caregiver burden, dementia, socioeconomic status, activities of daily living, instrumental activities of daily living, home care, caregiver education, women caregivers, economic burden, cost of care, predictors of caregiver burden
- MeSH terms
- Activities of Daily Living, Adult, Aged, Aged, 80 and over, Aging, Dementia, Family, Female, Humans, Korea, Male, Middle Aged, Regression Analysis, Social Class, Linear Models, Databases, Factual, Caregivers
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