Dimensionality of burden in Alzheimer caregivers: Confirmatory factor analysis and correlates of the Zarit Burden interview

International Psychogeriatrics

Volumn 26, Issue 9, 2014, Pages 1455-1463

  Cheng, Sheung Tak ^a   Kwok, Timothy ^b   Lam, Linda C W ^b  

^a THE EDUCATION UNIVERSITY OF HONG KONG   (Hong Kong)

^b CHINESE UNIVERSITY OF HONG KONG   (Hong Kong)

Author keywords

Alzheimer's disease; Caregiver burden; Confirmatory factor analysis; Hong Kong Chinese

Indexed keywords

ADULT; ALZHEIMER DISEASE; ARTICLE; ASSESSMENT OF HUMANS; CAREGIVER; CAREGIVER BURDEN; CHINESE; FEMALE; GUILT; HONG KONG; HUMAN; MAJOR CLINICAL STUDY; MALE; RESPONSIBILITY; SELF CONCEPT; SELF CONTROL; SELF CRITICISM; ZARIT BURDEN INTERVIEW;

EID: 84911433309     PISSN: 10416102     EISSN: 1741203X     Source Type: Journal    
DOI: 10.1017/S104161021400101X     Document Type: Article

References (38)

1. Alzheimer's Disease International. (2013). The Global Impact of Dementia 2013-2050. London: Alzheimer's Disease International.
2. Ankri, J., Andrieu, S., Beaufils, B., Grand, A. and Henrard, J. C. (2005). Beyond the global score of the Zarit Burden Interview: useful dimensions for clinicians. International Journal of Geriatric Psychiatry, 20, 254-260.
3. Burnham, K. P. and Anderson, D. R. (2002). Model Selection and Multimodel Inference: A Practical Information-Theoretic Approach. New York: Springer.
4. Cheah, W. K., Han, H. C., Chong, M. S., Anthony, P. V. and Lim, W. S. (2012). Multidimensionality of the Zarit Burden Interview across the severity spectrum of cognitive impairment: an Asian perspective. International Psychogeriatrics, 24, 1846-1854. doi: 10.1017/S104161021200110X.
5. Cheng, S.-T., Chou, K.-L. and Zarit, S. H. (2013). Dementia in Asia: introduction to a special section. Aging & Mental Health, 17, 911-914. doi: 10.1080/13607863.2013.837151.
6. Cheng, S.-T., Kwok, T. and Lam, L. C. W. (2012). Neuropsychiatric symptom clusters of Alzheimer's disease in Hong Kong Chinese: prevalence and confirmatory factor analysis of the Neuropsychiatric Inventory. International Psychogeriatrics, 24, 1465-1473. doi: 10.1017/S1041610212000609.
7. Cheng, S.-T., Lam, L. C. W. and Kwok, T. (2013a). Neuropsychiatric symptom clusters of Alzheimer's disease in Hong Kong Chinese: correlates with caregiver burden and depression. The American Journal of Geriatric Psychiatry, 21, 1029-1037. doi: 10.1016/j.jagp.2013.01.041.
8. Cheng, S.-T., Lam, L. C. W., Kwok, T., Ng, N. S. S. and Fung, A. W. T. (2013b). The social networks of Hong Kong Chinese family caregivers of Alzheimer's disease: correlates with positive gains and burden. The Gerontologist, 53, 998-1008. doi: 10.1093/geront/gns195.
9. Cheng, S.-T., Lam, L. C. W., Kwok, T., Ng, N. S. S. and Fung, A. W. T. (2013c). Self-efficacy is associated with less burden and more gains from behavioral problems of Alzheimer's disease in Hong Kong Chinese caregivers. The Gerontologist, 53, 71-80. doi: 10.1093/geront/gns062.
10. Cheng, S.-T. et al. (in press). Benefit-finding intervention for Alzheimer caregivers: conceptual framework, implementation issues, and preliminary efficacy. The Gerontologist. doi: 10.1093/geront/gnu018.
11. Cheng, S.-T. et al. (2012). A benefit-finding intervention for family caregivers of persons with Alzheimer disease: study protocol of a randomized controlled trial. Trials, 13, 98. doi: 10.1186/1745-6215-13-98.
12. Cicirelli, V. G. (2006). Caregiving decision making by older mothers and adult children: process and expected outcome. Psychology and Aging, 21, 209-221. doi: 10.1037/0882-7974.21.2.209.
13. Cicirelli, V. G. (1993). Attachment and obligation as daughters' motives for caregiving behavior and subsequent effect on subjective burden. Psychology and Aging, 8, 144-155. doi: 10.1037/0882-7974.8.2.144.
14. Cole, J. D. and Kazarian, S. S. (1988). The level of expressed emotion scale: a new measure of expressed emotion. Journal of Clinical Psychology, 44, 392-397. doi: 10.1002/1097-4679(198805)44:3〈392::AIDJCLP2270440313〉3.0.CO;2-3.
15. Cummings, J. L. (1997). The neuropsychiatric inventory: assessing psychopathology in dementia patients. Neurology, 48, S10-S16. doi: 10.1016/S0140-6736(05)67889-0.
16. Fillenbaum, G. G. and Smyer, M. A. (1981). The development, validity, and reliability of the OARS Multidimensional Functional Assessment Questionnaire. Journals of Gerontology, 36, 428-434.
17. Gallagher-Thompson, D. et al. (2012). International perspectives on nonpharmacological best practices for dementia family caregivers: a review. Clinical Gerontologist, 35, 316-355. doi: 10.1080/07317115.2012.678190
18. Gaugler, J. E., Reese, M. and Mittelman, M. S. (2013). Effects of the NYU caregiver intervention-adult child on residential care placement. The Gerontologist, 53, 985-997. doi: 10.1093/geront/gns193.
19. Hamilton, M. (1960). A rating scale for depression. Journal of Neurology, Neurosurgery & Psychiatry, 23, 56-61. doi: 10.1136/jnnp.23.1.56.
20. Hayashi, S. et al. (2013). Burden of caregivers for patients with mild cognitive impairment in Japan. International Psychogeriatrics, 25, 1357-1363. doi: 10.1017/S1041610213000537.
21. Knight, B. G., Fox, L. S. and Chou, C. (2000). Factor structure of the burden interview. Journal of Clinical Geropsychology, 6, 249-258. doi: 10.1023/A:1009530711710.
22. Li, C. Y. and Lewis, F. M. (2013). Expressed emotion and depression in caregivers of older adults with dementia: results from Taiwan. Aging & Mental Health, 17, 924-929.
23. Lin, W., Tsai, C., Wang, S., Hwang, J. and Fuh, J. (2012). Comparison of the burdens of family caregivers and foreign paid caregivers of the individuals with dementia. International Psychogeriatrics, 24, 1953-1961. doi: 10.1017/S1041610212001354.
24. Longmire, C. V. F. and Knight, B. G. (2011). Confirmatory factor analysis of a brief version of the Zarit Burden Interview in Black and White dementia caregivers. The Gerontologist, 51, 453-462. doi: 10.1093/geront/gnr011.
25. Lu, L., Wang, L., Yang, X. and Feng, Q. (2009). Zarit Caregiver Burden Interview: development, reliability and validity of the Chinese version. Psychiatry and Clinical Neurosciences, 63, 730-734. doi: 10.1111/j.1440-1819.2009.02019.x.
26. Marsh, H. W., Hau, K. and Grayson, D. (2005). Goodness of fit in structural equation models. In J. J. McArdle (ed.), Contemporary Psychometrics: A Festschrift for Roderick P. McDonald (pp. 275-340). Mahwah, NJ: Lawrence Erlbaum.
27. McKhann, G., Drachman, D., Folstein, M., Katzman, R., Price, D. and Stadlan, E. M. (1984). Clinical diagnosis of Alzheimer's disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer's Disease. Neurology, 34, 939-944.
28. Mittelman, M. (2013). Psychosocial interventions to address the emotional needs of caregivers of individuals with Alzheimer's disease. In S. H. Zarit and R. C. Talley (eds.), Caregiving for Alzheimer's Disease and Related Disorders: Research, Practice, Policy (pp. 17-34). New York: Springer.
29. Morris, J. C. (1993). The Clinical Dementia Rating (CDR): current version and scoring rules. Neurology, 43, 2412-2414.
30. Pearlin, L. I., Mullan, J. T., Semple, S. J. and Skaff, M. M. (1990). Caregiving and the stress process: an overview of concepts and their measures. The Gerontologist, 30, 583-594.
31. Rodriguez-Sanchez, E. et al. (2013). Effects of a psychological intervention in a primary health care center for caregivers of dependent relatives: a randomized trial. The Gerontologist, 53, 397-406. doi: 10.1093/geront/gns086.
32. Satorra, A. and Bentler, P. M. (1994). Corrections to test statistics and standard errors in covariance structure analysis. In A. von Eye, C. C. Clogg, A. von Eye and C. C. Clogg (eds.), Latent Variables Analysis: Applications for Developmental Research (pp. 399-419). Thousand Oaks, CA: Sage.
33. Springate, B. A. and Tremont, G. (2014). Dimensions of caregiver burden in dementia: impact of demographic, mood, and care recipient variables. The American Journal of Geriatric Psychiatry, 22, 294-300.
34. Steffen, A. M., McKibbin, C., Zeiss, A. M., Gallagher-Thompson, D. and Bandura, A. (2002). The Revised Scale for caregiving self-efficacy: reliability and validity studies. Journal of Gerontology: Psychological Sciences, 57B, P74-P86.
35. Tractenberg, R. E., Weiner, M. F., Cummings, J. L., Patterson, M. B. and Thal, L. J. (2005). Independence of changes in behavior from cognition and function in community-dwelling persons with Alzheimer's disease: a factor analytic approach. The Journal of Neuropsychiatry and Clinical Neurosciences, 17, 51-60. doi: 10.1176/appi.neuropsych.17.1.51.
36. Werner, P., Mittelman, M. S., Goldstein, D. and Heinik, J. (2012). Family stigma and caregiver burden in Alzheimer's disease. The Gerontologist, 52, 89-97. doi: 10.1093/geront/gnr117.
37. Whitlatch, C. J., Zarit, S. H. and von Eye, A. (1991). Efficacy of interventions with caregivers: a reanalysis. The Gerontologist, 31, 9-14. doi: 10.1093/geront/31.1.9.
38. Zarit, S. H., Reever, K. E. and Bach-Peterson, J. (1980). Relatives of the impaired elderly: correlates of feelings of burden. The Gerontologist, 20, 649-655.