Burden, satisfaction caregiving, and family relations in informal caregivers of older adults
Open accessAbstract
Introduction: Family caregivers of older persons devote much of their time and energy to caring for another person. This exposure may burden caregivers and compromise their health and quality of life. Objective: To investigate the relationship between burden, sociodemographic, caregiving, and health characteristics of informal caregivers of dependent older adults. Methods: Cross-sectional and analytical study carried out in Palmas, Tocantins, Brazil, with 52 informal caregivers of older persons who need full-time help for basic living activities. Caregivers' burden was assessed by Zarit Burden Interview (ZBI). Data were analyzed using a T -test, Pearson's correlation, and Multiple Linear Regression. Results: The ZBI mean score of caregivers was 26.3 points (SD = 14.6; min = 0; max = 68). Burden scores were higher among caregivers who did not receive help from other people in care ( p = 0.016), reported family dysfunction ( p = 0.001), and had depression symptoms ( p = 0.007). A correlation was found between the scores of burdens and satisfaction with care ( r = 0.76; p < 0.001) and perceived material support ( r = −0.30; p = 0.40). Satisfaction with care (β: 0.61; p < 0.001) and family dysfunction (β: 8.07; p = 0.033) were significantly associated with the burden score. Conclusion: Caregivers with dysfunctional families and satisfaction with the care presented the highest-burden scores. The findings reveal the need for strategies to facilitate mediation and reduce caregiver burden by strengthening the family network support or providing professional assistance.
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
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?
Informal caregivers encounter a significant burden while providing care to older adults with chronic illnesses or dependence.
“According to research, informal caregivers encounter a significant burden while providing care to older adults with chronic illnesses or dependence12.”
From Examining burden among caregivers of community-dwelling older adults in Lebanon (2025) · cites this paper as [12]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Caregiver burden: A concept analysis
Liu, Z., Heffernan, C., & Tan, J. (2020) · International Journal of Nursing Sciences · doi:10.1016/j.ijnss.2020.07.012 · Cited by 749 · see citing works
The Global Prevalence of Anxiety and Depressive Symptoms Among Caregivers of Stroke Survivors
Loh, A. Z., Tan, J. S., Zhang, M. W., & Ho, R. C. (2017) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2016.08.014 · Cited by 303 · see citing works
Predictors of Caregiver Burden in Caregivers of Bedridden Patients
BEKDEMİR, A., & İLHAN, N. (2019) · Journal of Nursing Research · doi:10.1097/jnr.0000000000000297 · Cited by 102 · see citing works
Flagged first, then by citations
Research works printed but not linked: 34
- [1]O'Young B Gosneym J Ahn C. The concept and epidemiology of disability. Phys Med Rehabil Clin N Am. (2019) 30: 697– 707. 10.1016/j.pmr.2019.07.012 31563163 · DOI
- [2]Gutierrez DMD Sousa GS Figueiredo AEB Ribeiro MNS Diniz CX Nobre GASS. Subjective life experiences of family caregivers of dependent older adults. Cienc Saúde Colet. (2021) 26: 47– 56. 10.1590/1413-81232020261.30402020 33533861 · DOI
- [3]Abulaiti B Zhang X Guan T Wang M Jia S Wang A. The dyadic care experiences of elderly individuals with disabilities and caregivers in the home setting from the perspective of family resilience: a qualitative study. Front Psychiatry. (2022) 13: 963101. 10.3389/fpsyt.2022.963101 36311531 PMC9606749 · DOI
- [4]Manskow US Friborg O Røe C Braine M Damsgard E Anke A. Patterns of change and stability in caregiver burden and life satisfaction from 1 to 2 years after severe traumatic brain injury: a Norwegian longitudinal study. Neuro Rehabilitation. (2017) 40: 211– 22. 10.3233/NRE-161406 27935561 · DOI
- [5]Diniz MAA Melo BRS Neri KH Casemiro FG Figueiredo LC Gaioli CCLO et al. Estudo comparativo entre cuidadores formais e informais de idosos. Ciênc Saúde Colet. (2018) 23: 3789– 98. 10.1590/1413-812320182311.16932016 30427449 · DOI
- [6]Atoyebi O Eng JJ Routhier F Bird ML Mortenson WB. A systematic review of systematic reviews of needs of family caregivers of older adults with dementia. Eur J Ageing. (2022) 19: 381– 96. 10.1007/s10433-021-00680-0 36052180 PMC9424446 · DOI
- [7]Nunes DP Brito TRP Corona LP Alexandre TS DuarteYAO. Idoso e demanda de cuidador: proposta de classificação da necessidade de cuidado. Rev Bras Enferm. (2018) 71(supl. 2): 844– 50. 10.1590/0034-7167-2017-0123 29791633 · DOI
- [8]Zhu W Jiang Y. A meta-analytic study of predictors for Informal caregiver burden in patients with stroke. J Stroke Cerebrovasc Dis. (2018) 27: 3636– 46. 10.1016/j.jstrokecerebrovasdis.2018.08.037 30268368 · DOI
- [9]Lee B Woo H Lee Y Cheon M Kim J W. The burden of care and the understanding of disease in Parkinson's disease. PLoS ONE. (2018) 14: 7581. 10.1371/journal.pone.0217581 31150470 PMC6544353 · DOI
- [11]National Alliance for Caregiving. Caregiving in the U.S. 2020: A Focused Look at Family Caregivers of Adults Age 50+. Washington, DC: AARP (2020). 10.26419/ppi.00103.022 · DOI
- [12]Ding TYG De Roza JG Chan CY Lee PSS Ong SK Lew KJ. Factors associated with family caregiver burden among frail older persons with multimorbidity. BMC Geriatr. (2022) 22: 160. 10.1186/s12877-022-02858-2 35227215 PMC8883649 · DOI
- [13]Nunes DP Santos LF Guimarães MSA Evangelista DR Brito TRP Pacheco LR. Cuidadores de idosos acamados residentes na cidade de Palmas: principais achados. Palmas(TO): Fundação Universidade Federal do Tocantins (2022). Available online at: http://hdl.handle.net/11612/3920
- [15]Pearlin LI Mullan JT Semple SJ Skaff MM. Caregiving and the stress process: an overview of concepts and their measures. Gerontologist. (1990) 30: 583– 94. 10.1093/geront/30.5.583 2276631 · DOI · Paper page
- [16]Pearlin LI. The life course and the stress process: some conceptual comparisons. J Gerontol B Psychol Sci Soc Sci. (2010) 65B: 207– 15. 10.1093/geronb/gbp106 20022925 PMC2821941 · DOI
- [17]Pereira S Duque E. Cuidar de idosos dependentes: a sobrecarga dos cuidadores familiares. Rev Kairós. (2017) 20: 187– 202. 10.23925/2176-901X.2017v20i1p187-202 · DOI
- [18]Nunes DP Brito TRP Duarte YAO Lebrão ML. Cuidadores de idosos e tensão excessiva associada ao cuidado: evidências do estudo SABE. Rev. bras. epidemiol. (2018) 21(supl. 2):e180020. 10.1590/1980-549720180020.supl.2 30726365 · DOI
- [19]Gomes NP Pedreira LC Gomes NP Fonseca EOS Reis LA Santos LA. Health-related consequences of caring for dependent relatives in older adult caregivers. Rev Esc Enferm USP. (2019) 53: e03446. 10.1590/S1980-220X2018002303446 30864620 · DOI
- [20]Scazufca M. The Brazilian version of the Burden Interview scale for the assessment of burden of care in carers of people with mental illnesses. Braz J Psychiatry. (2002) 24: 12– 7. 10.1590/S1516-4446200200010000617435929 · DOI
- [24]Nolan M Grant G Keady J. Understanding Family Care: A Multidimensional Model for Caring and Coping. Buckingham: Open University Press (1996).
- [25]Griep RH Chor D Faerstein E Werneck GL Lopes CS. Validade de constructo da escala de apoio social do medical outcomes study adaptada para o português no Estudo Pró-Saúde. Cad Saúde Pública. (2005) 21: 703– 14. 10.1590/S0102-311X2005000300004 15868028 · DOI
- [26]Santos IS Tavares BF Munhoz TN Almeida LSP Silva NTB Tams BD et al. Sensibilidade e especificidade do patient health questionnaire-9 (PHQ-9) entre adultos da população geral. Cad Saude Publica. (2013) 29: 1533– 43. 10.1590/0102-311X00144612 24005919 · DOI
- [27]Reis RD Dias EN Batista MA Silva JV. Cuidar de idosos com doença de Parkinson: sentimentos vivenciados pelo cuidador familiar. Enferm Foco. (2019) 10: 155– 60. 10.21675/2357-707X.2019.v10.n5.2294 · DOI
- [28]Sennfält S Ullberg T. Informal caregivers in stroke: life impact, support, and psychological well-being - A Swedish stroke register (Riksstroke) study. Int J Stroke. (2020) 15: 197– 205. 10.1177/1747493019858776 31237832 · DOI
- [30]Alves BS Oliveira ASO Santana ES Chaves RN Marinho MS Reis LA. Caracterização dos cuidadores informais de idosos dependentes quanto aos aspectos sociodemográficos e de saúde. Rev Saúde Col. (2019) 9: 113– 8. 10.13102/rscdauefs.v9i0.3684 · DOI
- [31]Costa EMDMC Lucena MM Estrela YCA Oliveira Neto HT Maranhão Neto T Brito EPR et al. Impactos na qualidade de vida de cuidadores de idosos portadores de Alzheimer. Braz J Health Rev. (2021) 4: 7726– 41. 10.34119/bjhrv4n2-309 · DOI
- [32]Jawahir S Tan EH Tan YR Mohd Noh SN Ab Rahim I. The impacts of caregiving intensity on informal caregivers in Malaysia: findings from a national survey. BMC Health Serv Res. (2021) 21: 391. 10.1186/s12913-021-06412-5 33906646 PMC8077883 · DOI
- [33]Hawken T Turner-Cobb J Barnett J. Coping and adjustment in caregivers: a systematic review. Health Psychol Open. (2018) 5: 2– 9. 10.1177/2055102918810659 30450216 PMC6236498 · DOI · Paper page
- [34]Dias R Santos RL de Sousa MF Nogueira MM Torres B Belfort T. Resilience of caregivers of people with dementia: a systematic review of biological and psychosocial determinants. Trends Psychiatry Psychother. (2015) 32: 12– 9. 10.1590/2237-6089-2014-0032 25860562 · DOI
- [35]Dombestein H Norheim A Husebo AML. Understanding informal caregivers' motivation from the perspective of self-determination theory: an integrative review. Scand J Caring Sci. (2019) 34: 267– 79. 10.1111/scs.12735 31313852 · DOI
- [36]Nascimento HG Figueiredo AEB. Demência, familiares cuidadores e serviços de saúde: o cuidado de si e do outro. Ciênc Saúde Colet. (2019) 24: 1381– 92. 10.1590/1413-81232018244.01212019 31066840 · DOI
- [37]Wan-Fei K Hassan STS Sann LM Ismail SIF Abdul R. Depression, anxiety and quality of life in stroke survivors and their family caregivers: a pilot study using an actor/partner interdependence model. Electron Physician. (2017) 9: 4924– 33. 10.19082/4924 28979724 PMC5614274 · DOI
- [39]Del-Pino-Casado R Rodríguez Cardosa M López-Martínez C Orgeta V. The association between subjective caregiver burden and depressive symptoms in carers of older relatives: a systematic review and meta-analysis. PLoS ONE. (2019) 14: e0217648. 10.1371/journal.pone.0217648 31141556 PMC6541277 · DOI
- [40]Felipe SGB Oliveira CES Silva CRDT Mendes PN Carvalho KM Silva-Júnior FL. Anxiety and depression in informal caregivers of dependent elderly people: an analytical study. Rev Bras Enferm. (2020) 73: e20190851. 10.1590/0034-7167-2019-0851 32965315 · DOI
- [41]Rosset B Tanaka AKSR Nora CRD Matzenbacher LPS Paczek RS Lana LD. Qualidade de vida de cuidadores de idosos leigos associada ao perfil sociodemográfico e situação de saúde. Res Soc Dev. (2021) 10: e112101320999. 10.33448/rsd-v10i13.20999 · DOI
Cited by
Sorted by citations
Examining burden among caregivers of community-dwelling older adults in Lebanon
Barakat, Z., Sacre, H., Khatib, S., Hajj, A., Bou Malham, C., Haddad, C., Akel, M., M. Zeenny, R., Abou Abbas, L., Barakat, M., et al. (2025) · Scientific Reports · doi:10.1038/s41598-025-05626-5 · Cited by 7 · see citing works
- Authors
- Marinho, J. D. S., Batista, I. B., Nobre, R. A. D. S., Guimarães, M. S. A., Santos-Orlandi, A. A. D., Brito, T. R. P., Pagotto, V., Saidel, M. G. B., Fusco, S. D. F. B., Maia, F. D. O. M., Corona, L. P., & Nunes, D. P.
- Affiliations
- Universidade Federal do Tocantins (BR)
- Universidade Estadual de Campinas (UNICAMP) (BR)
- Universidade Federal de Alfenas (BR)
- Universidade Federal de Goiás (BR)
- Corresponding author
- Nunes, Daniella Pires
- ORCID
- Venue
- Frontiers in Medicine
- Publisher
- Frontiers Media SA
- Published
- 2022-12-22
- Volume
- 9
- Pages
- 1059467-1059467
- ISSN
- 2296-858X (ISSN-L)
- PMC
- PMC9813492
- OpenAlex
- W4312186898
- Cited by
- 39
- References
- 3
- Citations by year
- 2026: 16 · 2025: 11 · 2024: 10 · 2023: 2
- FWCI
- 8.60
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Medicine (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Social Sciences › Sociology and Political Science › Intergenerational Family Dynamics and Caregiving
- Health Sciences › Health Professions › General Health Professions › Aging, Elder Care, and Social Issues
- Keywords
- caregiver burden, informal caregivers, older adults, family caregiving, family dysfunction, caregiver satisfaction, material support, depression, Zarit Burden Interview, dependent elderly
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