Burdens among Caregivers of Older Adults with Advanced Cancer and Risk Factors
Open accessAbstract
UNLABELLED: Family caregivers of older cancer patients face many challenges in managing illness. The burden impacts physical, emotional, spiritual, and social health. The objective of this study was to identify burden among caregivers of older patients with advanced cancer, and associated factors. MATERIALS AND METHODS: Caregivers of older cancer patients were randomly interviewed from March-September 2012. Information on baseline characteristics and caregiver burden using the Zarit Burden Inventory (ZBI) was collected. Descriptive statistics were used to analyze baseline data, with univariate and multiple linear regression to analyze factors associated with higher burden. RESULTS: One hundred and fifty participants were assessed. The mean ZBI was 19.2 ± 12.9 (95%CI, 17.1, 21.2). Two-thirds of caregivers reported no burden (63%) and the main impact variable on ZBI was guilt. High burdens were associated with single caregiver, relationship with the patient as siblings, presence of migraines, and cancer types of the patients. CONCLUSIONS: Caregiver burden of Thai cancer patients is low. This unexpected small number could be the result of the socio-cultural viewpoint. Assessment of caregivers and focusing on related factors should be incorporated into treatment plans.
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The prevalence of caregiver burden among family caregivers of cancer patients in general using the ZBI-22 cutoff point of 21 ranged widely from 37 to 82% in other studies.
“The prevalence of CB among FCs of cancer patients in general using the ZBI-22 cutoff point of 21 ranged widely from 37 to 82% in other studies [9, 20–25].”
From Caregiver burden among family caregivers of incurable cancer patients in two eastern Mediterranean countries (2021) · cites this paper as [25]
The Caregiver burden scales section reports that 63% of this paper’s caregivers had no burden, implying 37% had some burden; the Discussion uses a ZBI threshold of 21. But 37% is this study’s result, not a figure from other studies, and the paper does not report an 82% prevalence or establish that the comparison studies used the same cutoff. Page numbers are unavailable in our copy. (LLM, conf=0.84)
Experimental — accuracy not yet measuredAnother Thai study found no independent association between assistance with activities of daily living and higher caregiver burden.
“Another Thai study found no independent association between assistance with ADLs and higher CB [25].”
From Caregiver burden among family caregivers of incurable cancer patients in two eastern Mediterranean countries (2021) · cites this paper as [25]
In a Thai study, the mean ZBI-22 score was 19 among 150 informal caregivers of elderly advanced cancer patients.
“In a Thai study, the mean ZBI-22 score of 19 among 150 informal caregivers of elderly advanced cancer patients [25].”
From Caregiver burden among family caregivers of incurable cancer patients in two eastern Mediterranean countries (2021) · cites this paper as [25]
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Moradi, L., Jalali, A., Salari, N., & Moradi, K. (2026) · Journal of Psychosocial Oncology Research and Practice · doi:10.1097/or9.0000000000000203
- Authors
- Chindaprasirt, J., Limpawattana, P., Pakkaratho, P., Wirasorn, K., Sookprasert, A., Kongbunkiat, K., & Sawanyawisuth, K.
- Affiliations
- Khon Kaen University (TH)
- ORCID
- Venue
- Asian Pacific Journal of Cancer Prevention
- Published
- 2014-02-28
- Volume
- 15
- Issue
- 4
- Pages
- 1643-1648
- ISSN
- 1513-7368 (ISSN-L)
- OpenAlex
- W2121347262
- Cited by
- 36
- References
- 30
- Citations by year
- 2026: 4 · 2025: 1 · 2024: 4 · 2023: 3 · 2022: 6 · 2021: 4 · 2020: 1 · 2019: 5 · 2018: 4 · 2016: 2 · 2015: 1 · 2014: 1
- FWCI
- 3.11
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Asian Pacific Journal of Cancer Prevention (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Khon Kaen University
- Topics
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- caregiver burden, family caregivers, older adults, advanced cancer, guilt, Zarit Burden Inventory, migraine, cancer types, sociocultural factors
- MeSH terms
- Adaptation, Psychological, Aged, Female, Guilt, Humans, Neoplasms, Personality Inventory, Quality of Life, Risk Factors, Social Responsibility, Thailand, Caregivers, Cost of Illness
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