The DOI matches its Crossref record; 32 of the 32 references it cites were found in a registry or an index.
Validity and Reliability of the Zarit Burden Interview in Assessing Caregiving Burden
Open accessAbstract
INTRODUCTION: This study aims to validate the Zarit Burden Interview as an instrument to measure the level of burden experienced by caregivers of patients with dementia (PWD) in Singapore. MATERIALS AND METHODS: Adult family caregivers of PWD were recruited from the ambulatory dementia clinic of a tertiary hospital and the Alzheimer's Disease Association. All subjects completed a battery of questionnaires which consisted of demographic questions and the following instruments: the Zarit Burden Interview (ZBI), Burden Assessment Scale (BAS), General Health Questionnaire (GHQ-28), Dementia Management Strategies Scale (DMSS), and the Revised Memory and Behaviour Problems Checklist (RMBPC). A subgroup of subjects also completed the ZBI for the second time 2 weeks after the fi rst survey. RESULTS: A total of 238 subjects completed the survey. As hypothesised, the Zarit burden score was strongly correlated with BAS, GHQ-28, DMSS, and RMBPC scores (Pearson's correlation coefficient: 0.53 to 0.73); caregivers who undertook the major role in caregiving, had spent >1 year in caregiving, or experienced financial problems had higher Zarit burden scores than those who were not main carers, with ≤1 year of caregiving, or reported no/minimal financial problems, respectively. The Cronbach's alpha value for the ZBI items was 0.93; the intra-class correlation coefficient for the test-retest reliability of the Zarit burden score was 0.89 (n = 149). CONCLUSION: The results in this study demonstrated that the Zarit Burden Interview is a valid and reliable instrument for measuring the burden of caregivers of PWD in Singapore.
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 cited source says what the claim attributes to it.
In the citing paper
“The ZBI remains one of the most widely validated measures in caregiving research (Hébert et al., 2000; Seng et al., 2010).”
From Mindfulness and rumination: stress pathways for caregivers of persons living with dementia. (2026) · cites this paper as Seng et al., 2010
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
Relatives of the Impaired Elderly: Correlates of Feelings of Burden
Zarit, S. H., Reever, K. E., & Bach-Peterson, J. (1980) · The Gerontologist · doi:10.1093/geront/20.6.649 · Cited by 5,810
Caregiving as a Risk Factor for Mortality: The Caregiver Health Effects Study
Schulz, R., & Beach, S. R. (1999) · JAMA · doi:10.1001/jama.282.23.2215 · Cited by 3,340
Quality of Life: Assessment, Analysis, and Interpretation
Fayers, P. M. (2000) · Medical Entomology and Zoology · Cited by 1,490
Validation of a Caregiver Strain Index
Robinson, B. C. (1983) · Journal of Gerontology · doi:10.1093/geronj/38.3.344 · Cited by 1,426
Family Caregiving of Persons With Dementia: Prevalence, Health Effects, and Support Strategies
Schulz, R., & Martire, L. M. (2004) · The American Journal of Geriatric Psychiatry · doi:10.1097/00019442-200405000-00002 · Cited by 1,189
Assessment of behavioral problems in dementia: The Revised Memory and Behavior Problems Checklist.
Teri, L. L., Truax, P. A., Logsdon, R. G., Uomoto, J. M., Zarit, S., & VITALIANO, P. P. (1992) · Psychology and Aging · doi:10.1037//0882-7974.7.4.622 · Cited by 1,135
Fayers, P. M., & Machin, D. (2000) · Wiley eBooks · doi:10.1002/0470846283 · Cited by 769
The psychological and physical health of family members caring for an elderly person with dementia
Baumgarten, M., Battista, R. N., Infante‐Rivard, C., Hanley, J. A., Becker, R., & Gauthier, S. G. (1992) · Journal of Clinical Epidemiology · doi:10.1016/0895-4356(92)90189-t · Cited by 408
Psychological, Social, and Health Consequences of Caring for a Relative with Senile Dementia
Haley, W. E., Levine, E. G., Brown, S., Berry, J. W., & Hughes, G. H. (1987) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1987.tb04661.x · Cited by 331
The Screen for Caregiver Burden
VITALIANO, P. P., Russo, J. E., Young, H. M., Becker, J., & Maiuro, R. D. (1991) · The Gerontologist · doi:10.1093/geront/31.1.76 · Cited by 321
Reliability and validity of the Japanese version of the Zarit Caregiver Burden Interview
Arai, Y., Kudo, K., Hosokawa, T., Washio, M., Miura, H., & Hisamichi, S. (1997) · Psychiatry and Clinical Neurosciences · doi:10.1111/j.1440-1819.1997.tb03199.x · Cited by 311
Black, W., & Almeida, O. P. (2004) · International Psychogeriatrics · doi:10.1017/s1041610204000468 · Cited by 307
Care arrangements for people with dementia in developing countries
(2004) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.1046 · Cited by 274
Burden assessment scale for families of the seriously mentally ill
Reinhard, S. C., Gubman, G. D., Horwitz, A. V., & Minsky, S. K. (1994) · Evaluation and Program Planning · doi:10.1016/0149-7189(94)90004-3 · Cited by 269
Taub, A., Andreoli, S. B., & Bertolucci, P. H. F. (2004) · Cadernos de Saúde Pública · doi:10.1590/s0102-311x2004000200004 · Cited by 162
A practical guide to caring for caregivers.
Parks, S. M., & Novielli, K. D. (2000) · PubMed · Cited by 155
Emotional Distress amongst the Supporters of the Elderly Mentally Infirm
Gilleard, C. J., Belford, H., Gilleard, E., Whittick, J. E., & Gledhill, K. (1984) · The British Journal of Psychiatry · doi:10.1192/bjp.145.2.172 · Cited by 144
Dementia Management Strategies and Adjustment of Family Members of Older Patients
Hinrichsen, G. A., & Niederehe, G. (1994) · The Gerontologist · doi:10.1093/geront/34.1.95 · Cited by 131
Chinese Version of the Zarit Caregiver Burden Interview: A Validation Study
Ko, K., Yip, P., Liu, S., & Huang, C. (2008) · American Journal of Geriatric Psychiatry · doi:10.1097/jgp.0b013e318167ae5b · Cited by 123
An analysis of the caregiver’s burden and the" breaking-point" when home care becomes inadequate
Annerstedt, L., ElmstÅhl, S., Ingvad, B., & Samuelsson, S.-M. (2000) · Scandinavian Journal of Public Health · doi:10.1177/140349480002800106 · Cited by 119
Arai, A., Matsumoto, T., Ikeda, M., & Arai, Y. (2007) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.1935 · Cited by 116
Gort, A. M., Mingot‐Castellano, M. E., Gómez, X., Soler, T., Torres, G., Sacristán, O., Miguelsanz, S., Nicolas, F., Perez, A., de Miguel, M., et al. (2007) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.1770 · Cited by 99
Validation of the Chinese version of the Zarit Burden Interview.
Chan, T. S.-F., LAM, L. C. W., & Chiu, H. F. K. (2005) · Hong Kong journal of psychiatry · Cited by 80
The comparison of burden between caregiving spouses of depressive and demented patients
Leinonen, E. V. J., Korpisammal, L., Pulkkinen, L., & Pukuri, T. (2001) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.351 · Cited by 72
Kumamoto, K., & Arai, Y. (2004) · Psychiatry and Clinical Neurosciences · doi:10.1111/j.1440-1819.2004.01310.x · Cited by 66
Studying the mental health of a nation: a preliminary report on a population survey in Singapore.
Fones, C. S. L., Kua, E. H., Ng, T. P., & Ko, S. M. (1998) · PubMed · Cited by 63
Assessment of Behavioural and Psychological Symptoms Associated with Dementia
Conn, D. K., & Thorpe, L. U. (2007) · Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques · doi:10.1017/s0317167100005606 · Cited by 59
The Metric Properties of Zarit Caregiver Burden Scale
Wang, G., Cheng, Q., Wang, Y., Deng, Y., Ren, R., Xu, W. L., Zeng, J., Bai, L., & Chen, S. (2008) · Alzheimer Disease & Associated Disorders · doi:10.1097/wad.0b013e3181902334 · Cited by 57
Validation of the Zarit Burden Interview for Chinese Canadian Caregivers
Lai, D. W. L. (2007) · Social Work Research · doi:10.1093/swr/31.1.45 · Cited by 45
Review: Pathways to Morbidity in Carers of Dementia Sufferers
Wijeratne, C. (1997) · International Psychogeriatrics · doi:10.1017/s1041610297004225 · Cited by 37
Chiam, P. C., Ng, T., Tan, L., Ong, P. S., Ang, A. L., & Kua, E. H. (2004) · PubMed · Cited by 23
Luo, N., Seng, B., & Li, S. (2003) · Annals of the Academy of Medicine Singapore · doi:10.47102/annals-acadmedsg.v32n5sps43 · Cited by 1
Research works printed but not linked: 1
- Juniper EF, Guyatt GH, Jaeschke R. How to develop and validate a new health-related quality of life instrument. In: Spilker B, editor. Quality of Life and Pharmacoeconomics in Clinical Trials. Philadelphia: Lippincott-Raven, 1996.
Cited by
Sorted by citations
Xiong, C., Biscardi, M., Astell, A., Nalder, E., Cameron, J. I., Mihailidis, A., & Colantonio, A. (2020) · PLOS ONE · doi:10.1371/journal.pone.0231848 · Cited by 290
Ong, H. L., Vaingankar, J. A., Abdin, E., Sambasivam, R., Fauziana, R., Tan, M., Chong, S. A., Goveas, R. R., Chiam, P. C., & Subramaniam, M. (2018) · BMC Psychiatry · doi:10.1186/s12888-018-1616-z · Cited by 279
Caregiver burden and coping strategies in caregivers of older patients with stroke
Kazemi, A., Azimian, J., Mafi, M., Allen, K., & Motalebi, S. A. (2021) · BMC Psychology · doi:10.1186/s40359-021-00556-z · Cited by 208
“Higher scores indicate greater burden [63].”
Caregiver burden in owners of a sick companion animal: a cross‐sectional observational study
Spitznagel, M. B., Jacobson, D. M., Cox, M. D., & Carlson, M. D. (2017) · Veterinary Record · doi:10.1136/vr.104295 · Cited by 156
Bleijlevens, M. H. C., Stolt, M., Stephan, A., Zabalegui, A., Saks, K., Sutcliffe, C., Lethin, C., Soto, M. E., & Zwakhalen, S. M. G. (2014) · Journal of Advanced Nursing · doi:10.1111/jan.12561 · Cited by 119
Metadata
- Authors
- Seng, B. K., Luo, N., Ng, W. Y., Lim, J., Chionh, H. L., Goh, J., & Yap, P.
- Affiliations
- National University of Singapore (SG)
- Alexandra Hospital (SG)
- Venue
- Annals of the Academy of Medicine Singapore
- Publisher
- Academy of Medicine, Singapore
- Published
- 2010-10-15
- Volume
- 39
- Issue
- 10
- Pages
- 758-763
- ISSN
- 0304-4602 (ISSN-L)
- OpenAlex
- W126441541
- Cited by
- 288
- References
- 32
- Citations by year
- 2026: 20 · 2025: 22 · 2024: 25 · 2023: 41 · 2022: 27 · 2021: 28 · 2020: 31 · 2019: 22 · 2018: 16 · 2017: 10 · 2016: 10 · 2015: 15 · 2014: 13 · 2013: 3 · 2012: 2
- FWCI
- 1.73
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Annals of the Academy of Medicine Singapore (publishedVersion)
- PubMed (publishedVersion)
- National University of Singapore (submittedVersion)
- 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
- Zarit Burden Interview, caregiver burden, dementia, family caregivers, psychometric validation, test-retest reliability, Singapore
- MeSH terms
- Adult, Dementia, Female, Humans, Interview, Psychological, Male, Middle Aged, Psychiatric Status Rating Scales, Stress, Psychological, Caregivers, Cost of Illness
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