Does Family Caregiver Burden Differ Between Elderly and Younger Caregivers in Supporting Dying Patients With Cancer? An Italian Study
Abstract
Context The aging of the world's population increasingly calls on older people to care for their cancer relatives. This scenario confronts clinicians involved with end-of-life care with an imposing challenge: elderly family caregivers could have a different perception of the burdens associated with assistance compared to their younger counterparts. Palliativists need to know what limits and resources of these new age categories of caregivers could be for a global management of dying patients with cancer and their family. Objectives To evaluate the caregiver burden in family caregivers supporting dying patients with cancer in order to compare the differences between 2 different caregivers age groups (younger vs elderly population). Methods This is a cross-sectional study. A total of 174 family caregivers of hospice patients were interviewed through the Caregiver Burden Inventory (CBI). The sample group was divided into 2 subgroups aged Results Compared with younger caregivers, the elderly group reported significantly higher scores in the CBI-developmental subscale ( P = .009) confirmed by the generalized linear model (multivariate) evaluation that included possible predictors in the model. No further differences were found between the 2 age groups in the other CBI scores (time-dependent, physical, social, emotional, and overall score). Conclusion Elderly caregivers are at high risk for experiencing developmental burden. This finding could prompt mental health professionals to…
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
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?
Existe un mayor riesgo de carga de desarrollo en los cuidadores de tercera edad en relación con los más jóvenes, con puntuaciones más altas en la escala CBI (P = 0,009).
“En esta investigación se pudo observar un mayor riesgo de carga de desarrollo en los cuidadores de tercera edad en relación a los más jóvenes, registrándose en la escala de desarrollo (CBI) unas puntuaciones más altas (P = 0,009)”
From Sobrecarga de trabajo en cuidadores de pacientes en cuidados paliativos oncológicos: Una revisión bibliográfica (2023) · cites this paper as Spatuzzi et al., 2020
La edad del cuidador mostró una correlación con el desarrollo (CBI) (P = 0,08).
“además la edad del cuidador mostró una correlación con el desarrollo (CBI) (P = 0,08).”
From Sobrecarga de trabajo en cuidadores de pacientes en cuidados paliativos oncológicos: Una revisión bibliográfica (2023) · cites this paper as Spatuzzi et al., 2020
Los cuidadores de tercera edad tienen un mayor riesgo de carga de desarrollo en relación a los más jóvenes.
“Spatuzzi et al., observó un mayor riesgo de carga de desarrollo en los cuidadores de tercera edad en relación a los más jóvenes(Spatuzzi et al., 2020).”
From Sobrecarga de trabajo en cuidadores de pacientes en cuidados paliativos oncológicos: Una revisión bibliográfica (2023) · cites this paper as Spatuzzi et al., 2020
Cites
Toxicity and response criteria of the Eastern Cooperative Oncology Group
Oken, M. M., Creech, R. H., Tormey, D. C., Horton, J., Davis, T. E., Mcfadden, E. T., & Carbone, P. P. (1982) · American Journal of Clinical Oncology · doi:10.1097/00000421-198212000-00014 · Cited by 11,607 · see citing works
The Influence of a Sense of Time on Human Development
Carstensen, L. L. (2006) · Science · doi:10.1126/science.1127488 · Cited by 2,554 · see citing works
Caregiver Burden: A Clinical Review
Adelman, R. D., Tmanova, L. L., Delgado, D., Dion, S., & Lachs, M. S. (2014) · JAMA · doi:10.1001/jama.2014.304 · Cited by 2,002 · see citing works
Application of a multidimensional caregiver burden inventory
Novak, M., & Guest, C. (1989) · The Gerontologist · doi:10.1093/geront/29.6.798 · Cited by 1,205 · see citing works
Gender differences in caregiving among family - caregivers of people with mental illnesses
Sharma, N., Chakrabarti, S., & Grover, S. (2016) · World Journal of Psychiatry · doi:10.5498/wjp.v6.i1.7 · Cited by 865 · see citing works
Crisis intervention handbook : assessment, treatment, and research
Roberts, A. R. (2000) · Cited by 164 · see citing works
Caserta, M. S., Lund, D. A., & Wright, S. D. (1996) · The International Journal of Aging and Human Development · doi:10.2190/2dkf-292p-a53w-w0a8 · Cited by 160 · see citing works
Schrank, B., Ebert‐Vogel, A., Amering, M., Masel, E. K., Neubauer, M., Watzke, H., Zehetmayer, S., & Schur, S. (2016) · Psycho-Oncology · doi:10.1002/pon.4005 · Cited by 143 · see citing works
Study Group on Brain Aging of the Italian Society of Gerontology and Geriatrics, Marvardi, M., Mattioli, P., Spazzafumo, L., Mastriforti, R., Rinaldi, P., Polidori, M. C., Cherubini, A., Quartesan, R., Bartorelli, L., et al. (2005) · Aging Clinical and Experimental Research · doi:10.1007/bf03337720 · Cited by 141 · see citing works
Park, B., Kim, S. Y., Shin, J., Sanson‐Fisher, R., Shin, D. W., Cho, J., & Park, J. H. (2013) · Supportive Care in Cancer · doi:10.1007/s00520-013-1852-1 · Cited by 134 · see citing works
Caring for the informal cancer caregiver.
Sun, V., Raz, D. J., & Kim, J. Y. (2019) · Current Opinion in Supportive & Palliative Care · doi:10.1097/spc.0000000000000438 · Cited by 125 · see citing works
Kadambi, S. G., Soto‐Pérez‐de‐Celis, E., Garg, T. K., Loh, K. P., Krok‐Schoen, J. L., Battisti, N. M. L., Moffat, G. T., Gil, L. A., Mohile, S. G., & Hsu, T. (2019) · Journal of Geriatric Oncology · doi:10.1016/j.jgo.2019.09.005 · Cited by 123 · see citing works
Assessing the social dimension of frailty in old age: A systematic review
Bessa, B., Ribeiro, Ó. M., & Coelho, T. (2018) · Archives of Gerontology and Geriatrics · doi:10.1016/j.archger.2018.06.005 · Cited by 113 · see citing works
Rumpold, T., Schur, S., Amering, M., Kirchheiner, K., Masel, E. K., Watzke, H., & Schrank, B. (2015) · Supportive Care in Cancer · doi:10.1007/s00520-015-2987-z · Cited by 109 · see citing works
Geriatric Oncology, Spirituality, and Palliative Care
Balducci, L. (2018) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2018.05.009 · Cited by 106 · see citing works
Grande, G., Rowland, C., van den Berg, B., & Hanratty, B. (2018) · Palliative Medicine · doi:10.1177/0269216318793286 · Cited by 95 · see citing works
Quality of Life of Caregivers of Older Patients with Advanced Cancer
Kehoe, L. A., Xu, H., Duberstein, P., Loh, K. P., Culakova, E., Canin, B., Hurria, A., Dale, W., Wells, M., Gilmore, N., et al. (2019) · Journal of the American Geriatrics Society · doi:10.1111/jgs.15862 · Cited by 94 · see citing works
Factors Associated With Receipt of Training Among Caregivers of Older Adults
Burgdorf, J. G., Roth, D. L., Riffin, C. A., & Wolff, J. L. (2019) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2018.8694 · Cited by 90 · see citing works
In the Shadow: The Impact of Chronic Illness on the Patient's Partner
Kuyper, M. B., & Wester, F. (1998) · Qualitative Health Research · doi:10.1177/104973239800800207 · Cited by 87 · see citing works
Williams, L., Giddings, L. S., Bellamy, G., & Gott, M. (2016) · Palliative Medicine · doi:10.1177/0269216316653275 · Cited by 75 · see citing works
Informal caregiving to older cancer patients: preliminary research outcomes and implications
Goldzweig, G., Merims, S., Ganon, R., Peretz, T., Altman, A., & Baider, L. (2013) · Annals of Oncology · doi:10.1093/annonc/mdt250 · Cited by 42 · see citing works
Goldzweig, G., Schapira, L., Baider, L., Jacobs, J. M., Andritsch, E., & Rottenberg, Y. (2019) · Supportive Care in Cancer · doi:10.1007/s00520-019-04711-6 · Cited by 42 · see citing works
Universality of aging: family caregivers for elderly cancer patients
Baider, L., & Surbone, A. (2014) · Frontiers in Psychology · doi:10.3389/fpsyg.2014.00744 · Cited by 39 · see citing works
Goldzweig, G., Baider, L., Andritsch, E., Pfeffer, R., & Rottenberg, Y. (2016) · Journal of Cancer Education · doi:10.1007/s13187-015-0975-0 · Cited by 33 · see citing works
Hold, J. L. (2015) · Nursing Ethics · doi:10.1177/0969733015602051 · Cited by 25 · see citing works
A Comparison of the Impact of Institutionalization on Spouse and Nonspouse Caregivers
Novak, M., & Guest, C. (1992) · Journal of Applied Gerontology · doi:10.1177/073346489201100401 · Cited by 23 · see citing works
Jeong, A., Shin, D.-W., Park, J. H., & Park, K. (2019) · Journal of Geriatric Oncology · doi:10.1016/j.jgo.2019.05.020 · Cited by 23 · see citing works
Raphael (2009) · Academic Medicine · doi:10.1097/acm.0b013e3181b17c20 · Cited by 9 · see citing works
Strain Among Caregivers of Older Adults Diagnosed With Breast Cancer
Overcash, J. A., Fugett, S., Tan, A., Ginther, J., & Williams, N. O. (2019) · Oncology nursing forum · doi:10.1188/19.onf.e185-e201 · Cited by 7 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Understanding and supporting informal cancer caregivers
Molassiotis, A., & Wang, M. (2022) · Current Treatment Options in Oncology · doi:10.1007/s11864-022-00955-3 · Cited by 138 · see citing works
Poor patient health is associated with higher caregiver burden for older adults with advanced cancer
Semere, W., Althouse, A. D., Rosland, A.-M. M., White, D. B., Arnold, R. M., Chu, E., Smith, T. J., & Schenker, Y. (2021) · Journal of Geriatric Oncology · doi:10.1016/j.jgo.2021.01.002 · Cited by 77 · see citing works
Cultural factors associated with burden in unpaid caregivers of older adults: A systematic review
Maximiano‐Barreto, M. A., Alves, L. C. D. S., Monteiro, D. Q., Gratão, A. C. M., Pavarini, S. C. I., Luchesi, B. M., & Chagas, M. H. N. (2022) · Health & Social Care in the Community · doi:10.1111/hsc.14003 · Cited by 29 · see citing works
Low, C. E., Loke, S., Rana, S., Sim, B., & Ho, C. S. H. (2024) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2024.06.011 · Cited by 16 · see citing works
Lee, M. K. (2022) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2022.102264 · Cited by 11 · see citing works
Herbst, F. A., Gawinski, L., Schneider, N., & Stiel, S. (2021) · OMEGA - Journal of Death and Dying · doi:10.1177/00302228211008748 · Cited by 7 · see citing works
Song, R., Sun, J. Y., Rui, X., & Jiang, X. (2024) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2024.102753 · Cited by 6 · see citing works
Palliative Care Survey: Awareness, Knowledge and Views of the Styrian Population in Austria
Spary-Kainz, U., Posch, N. A. S., Paier-Abuzahra, M., Lieb, M., Avian, A., Zelko, E., & Siebenhofer, A. (2023) · Healthcare · doi:10.3390/healthcare11192611 · Cited by 5 · see citing works
Okwuosa, I. S., Anderson, A. S., Petty, M. G., Wu, T., Andrei, A., Kao, A. C., Spertus, J. A., Pham, D. T., Yancy, C. W., Dew, M. A., et al. (2023) · The Journal of Heart and Lung Transplantation · doi:10.1016/j.healun.2023.01.015 · Cited by 4 · see citing works
RELATIONSHIP BETWEEN HEALTH LITERACY AND CARE BURDEN IN MOTHERS OF CHILDREN WITH CHRONIC CONDITIONS
Çaka, S. Y., Topal, S., Ar, I., & Öztürkler, S. (2023) · Health Problems of Civilization · doi:10.5114/hpc.2023.131166 · Cited by 4 · see citing works
dos Santos, J. S. D. N. T., Barbosa, L. C., de Medeiros, M. O. S. F., dos Santos, C. P. C., Andrade, M. S., & da Silva, R. S. (2020) · Brazilian Journal of Development · doi:10.34117/bjdv6n9-527 · Cited by 4 · see citing works
Kunz, R., Oechsle, K., Ullrich, A., Peng‐Keller, S., Stetter, B., Benkel, T., Meitzler, M., Monteverde, S., Rehsmann, J., Metzger, G. U., et al. (2022) · doi:10.53788/cast0001 · Cited by 3 · see citing works
Gao, L., Das, N., Mudiyanselage, S. B., Winter, N., Cowdery, S., White, V., & Livingston, P. M. (2026) · Cancer Medicine · doi:10.1002/cam4.71657 · Cited by 2 · see citing works
Kao, S.-Y., Liu, C., Gau, M., & Lin, H. (2022) · OMEGA - Journal of Death and Dying · doi:10.1177/00302228221113617 · Cited by 2 · see citing works
Caregiving burdens of family members of patients living with hepatocellular carcinoma
Hua, L.-S., Chen, Y., Yiin, J., & Lee, K. (2023) · International Journal of Palliative Nursing · doi:10.12968/ijpn.2023.29.1.17 · Cited by 2 · see citing works
Factores relacionados con sobrecarga del cuidador informal de pacientes con cáncer avanzado
Hernández Castillo, C. I., Muñoz Medina, S. E., & Sánchez Pedraza, R. (2024) · Avances en Enfermería · doi:10.15446/av.enferm.v42n1.106557 · Cited by 1 · see citing works
Patient quality of life and caregiver experiences in ovarian cancer: How are they related?
Stragapede, E., Petricone‐Westwood, D., Hales, S., Galica, J., & Lebel, S. (2023) · Quality of Life Research · doi:10.1007/s11136-023-03481-3 · Cited by 1 · see citing works
Akyürek, G., Gündoğmuş, E., & Bilgin, N. (2026) · Informatics for Health and Social Care · doi:10.1080/17538157.2025.2611126 · Cited by 1 · see citing works
Gu, Y.-Y., Chen, Y., Ye, Y.-Q., Zhang, C., Hu, H.-Y., Keremu, K., Yang, Z.-Y., Xing, F.-F., Zhang, J., & He, C. (2026) · Quality of Life Research · doi:10.1007/s11136-026-04333-6 · Cited by 1 · see citing works
Caregiving Burden among Family Caregivers of People with Advanced Cancer: A Literature Review
Liu, Z. (2021) · Nursing & Healthcare International Journal · doi:10.23880/nhij-16000240 · Cited by 1 · see citing works
Aldawsare, M. (2022) · doi:10.22371/07.2022.009 · Cited by 1 · see citing works
Villa Clavijo, C. G., Feijoo Espinosa, M. A., Huayllasaca Sarmiento, W. C., Chávez Prieto, H. S., & Cualchi Alvarracin, G. P. (2023) · Ciencia Latina Revista Científica Multidisciplinar · doi:10.37811/cl_rcm.v7i2.6094
A Scoping Review of the Physical Health Needs of Family Caregivers of Older Women With Breast Cancer
Felix, M. S., Kitcharoen, P., Le, T. N. P., Puspitasari, D. C., & Guo, H. (2022) · Journal of Population and Social Studies · doi:10.25133/jpssv312023.013
Paleologo, M., Gheduzzi, E., Bichi, R., Cappelli, M. G., Donelli, M., Morelli, N., Masella, C., & Graffigna, G. (2023) · Lecture notes in computer science · doi:10.1007/978-3-031-34917-1_24
Mastoras, E., Charmpis, A., Ponserti, F. X., Sánchez-Romero, E. I., & García‐Mas, A. (2025) · Preprints.org · doi:10.20944/preprints202502.1330.v1
Maria, N. (2025) · doi:10.33015/dominican.edu/2025.nurs.st.48
de Vries, C. E. J., van der Heijden, M. J. E., Eskes, A. M., Ista, E., & van Dijk, M. (2025) · Journal of Advanced Nursing · doi:10.1111/jan.70155
Chien, H., Chen, B., Tang, H., Yu, M., & Lai, F. (2025) · Journal of Advanced Nursing · doi:10.1111/jan.70280
Zhu, X.-X., Hu, L.-Y., Jin, M.-Y., & Tung, T. (2026) · Annals of Medicine · doi:10.1080/07853890.2026.2624214
Oe, N., Iwata, Y., Tanaka, Y., Yokoyama, A., & Tadaka, E. (2026) · Social Sciences · doi:10.3390/socsci15020129
Spiritual intelligence and family caregivers’ self-efficacy in end-of-life: a cross-sectional study
Pinto, C., Coelho, Â., Castro, L., Nunes, R., & Pinto, S. (2026) · BMC Palliative Care · doi:10.1186/s12904-026-02119-8
Sobrecarga de los cuidadores informales de los pacientes oncológicos
Riquett, S. L. A., & Villa, M. P. (2026) · Pinelatinoamericana · doi:10.67068/zcsf9m04
Hu, Y., Fan, Z., Wong, H. T., & Fung, H. H.-L. (2026) · Elsevier eBooks · doi:10.1016/b978-0-443-27490-9.00023-3
- Authors
- Spatuzzi, R., Giulietti, M. V., Ricciuti, M., Merico, F., Romito, F., Reggiardo, G., Birgolotti, L., Fabbietti, P., Raucci, L., Rosati, G., Bilancia, D., & Vespa, A.
- Affiliations
- Ospedale San Carlo (IT)
- Istituto Nazionale di Riposo e Cura per Anziani (IT)
- Palliative Care Center Hospice “Casa di Betania”, Tricase (Lecce), Italy
- Istituto Tumori Bari (IT)
- Biostatistics and Data Management Unit, Medi Service S.r.l., Genova, Italy
- “Il Giardino del Duca” Hospice, Fossombrone, Italy
- Corresponding author
- Spatuzzi, Roberta
- ORCID
- Venue
- American Journal of Hospice and Palliative Medicine®
- Publisher
- SAGE Publications
- Published
- 2019-11-25
- Volume
- 37
- Issue
- 8
- Pages
- 576-581
- ISSN
- 1049-9091 (ISSN-L)
- 1938-2715
- OpenAlex
- W2990194917
- Cited by
- 34
- References
- 29
- Citations by year
- 2026: 8 · 2025: 3 · 2024: 3 · 2023: 7 · 2022: 9 · 2021: 3 · 2020: 1
- FWCI
- 2.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Hospice and Palliative Medicine® (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Keywords
- family caregiver burden, elderly caregivers, young carers, cancer, dying patients, end-of-life care, hospice care, Caregiver Burden Inventory, caregiver mental health
- MeSH terms
- Caregiver Burden, Age Factors, Aged, Aged, 80 and over, Cross-Sectional Studies, Family, Female, Humans, Italy, Male, Middle Aged, Neoplasms, Risk Factors, Socioeconomic Factors, Time Factors, Hospice Care
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