Browse > Article
http://dx.doi.org/10.4040/jkan.2015.45.5.627

Effects of Family Support Programs for Caregivers of People with Dementia - Caregiving Burden, Depression, and Stress: Systematic Review and Meta-analysis  

Park, Seyeon (College of Nursing, Chungnam National University)
Park, Myonghwa (College of Nursing, Chungnam National University)
Publication Information
Journal of Korean Academy of Nursing / v.45, no.5, 2015 , pp. 627-640 More about this Journal
Abstract
Purpose: The objective of this systematic review was to assess the effects of family support programs on caregiving burden, depression, and stress in family caregivers of people with dementia. Methods: A literature search was conducted of electronic databases to identify randomized controlled studies with family support programs done between 2000 and 2014. Studies published in English and/or Korean were included for the analysis with search strategies adapted from the Cochrane Dementia and Cognitive Improvement Group. Studies were rated for quality assessment by two independent reviewers using the appraisal checklist developed by Cochrane Reviews and Dissemination. Of 8,334 articles identified in the literature search, full texts of 76 articles that met the inclusion criteria were reviewed and 38 were found to include relevant outcomes. Results: Results from selected studies were pooled in statistical meta-analysis using Review Manager Software and heterogeneity between combined studies was assessed using the Chi-square test. Meta-analysis showed that the effect sizes of family caregiver support programs were small to medium for categories of caregiving burden (Hedge's g= - 0.17, 95% CI= - 0.30~ - 0.04), depression (Hedge's g= - 0.30, 95% CI= - 0.40~ - 0.20), and stress (Hedge's g= - 0.39, 95% CI= - 0.52~ - 0.25). Conclusion: The review results indicate that a support programs can assist family caregivers in reducing their psycho-emotional distress.
Keywords
Dementia; Caregivers; Review; Meta-analysis;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Clipp EC, George LK. Dementia and cancer: A comparison of spouse caregivers. The Gerontologist. 1993;33(4):534-541. http://dx.doi.org/10.1093/geront/33.4.534   DOI
2 Brummett BH, Babyak MA, Siegler IC, Vitaliano PP, Ballard EL, Gwyther LP, et al. Associations among perceptions of social support, negative affect, and quality of sleep in caregivers and noncaregivers. Health Psychology. 2006;25(2):220-225. http://dx.doi.org/10.1037/0278-6133.25.2.220   DOI   ScienceOn
3 Korea National Statistical Office. The causes of death statistics in 2005. Daejeon: Author; 2006.
4 George LK, Gwyther LP. Caregiver well-being: A multidimensional examination of family caregivers of demented adults. The Gerontologist. 1986;26(3):253-259. http://dx.doi.org/10.1093/geront/26.3.253   DOI
5 Gaugler JE, Jarrott SE, Zarit SH, Stephens MA, Townsend A, Greene R. Adult day service use and reductions in caregiving hours: Effects on stress and psychological well-being for dementia caregivers. International Journal of Geriatric Psychiatry. 2003;18(1):55-62. http://dx.doi.org/10.1002/gps.772   DOI   ScienceOn
6 Mittelman MS, Ferris SH, Shulman E, Steinberg G, Ambinder A, Mackell JA, et al. A comprehensive support program: Effect on depression in spouse-caregivers of AD patients. The Gerontologist. 1995;35(6):792-802. http://dx.doi.org/10.1093/geront/35.6.792   DOI
7 Goedendorp MM, Gielissen MF, Verhagen CA, Bleijenberg G. Psychosocial interventions for reducing fatigue during cancer treatment in adults. The Cochrane Database of Systematic Reviews. 2009;1:CD006953. http://dx.doi.org/10.1002/14651858.CD006953.pub2   DOI   ScienceOn
8 Mahoney R, Regan C, Katona C, Livingston G. Anxiety and depression in family caregivers of people with Alzheimer disease: The LASER-AD study. The American Journal of Geriatric Psychiatry. 2005;13(9):795-801. http://dx.doi.org/10.1176/appi.ajgp.13.9.795   DOI
9 Kong EH. The effects of dementia education program on certified geriatric caregivers in a nursing home. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2010;19(4):349-358. http://dx.doi.org/10.12934/jkpmhn.2010.19.4.349   DOI
10 Mittelman MS, Roth DL, Coon DW, Haley WE. Sustained benefit of supportive intervention for depressive symptoms in caregivers of patients with Alzheimer's disease. American Journal of Psychiatry. 2004;161(5):850-856. http://dx.doi.org/10.1176/appi.ajp.161.5.850   DOI   ScienceOn
11 Chien LY, Chu H, Guo JL, Liao YM, Chang LI, Chen CH, et al. Caregiver support groups in patients with dementia: A meta-analysis. International Journal of Geriatric Psychiatry. 2011;26(10):1089-1098. http://dx.doi.org/10.1002/gps.2660   DOI   ScienceOn
12 Etters L, Goodall D, Harrison BE. Caregiver burden among dementia patient caregivers: A review of the literature. Journal of the American Academy of Nurse Practitioners. 2008;20(8):423-428. http://dx.doi.org/10.1111/j.1745-7599.2008.00342.x   DOI   ScienceOn
13 Arai Y, Zarit SH. Exploring strategies to alleviate caregiver burden: Effects of the national long-term care insurance scheme in Japan. Psychogeriatrics. 2011;11 (3):183-189. http://dx.doi.org/10.1111/j.1479-8301.2011.00367.x   DOI   ScienceOn
14 Nichols LO, Martindale-Adams J, Burns R, Graney MJ, Zuber J. Translation of a dementia caregiver support program in a health care system-REACH VA. Archives of Internal Medicine. 2011;171(4):353-359. http://dx.doi.org/10.1001/archinternmed.2010.548   DOI   ScienceOn
15 Park YH. A study on the condition and development plan of social support: Programs for the family of old people with dementia: Focused social workers in dementia facilities [master's thesis]. Kong Ju: Kong Ju National University; 2003.
16 Zarit SH, Reever KE, Bach-Peterson J. Relatives of the impaired elderly: Correlates of feelings of burden. The Gerontologist. 1980;20(6):649-655. http://dx.doi.org/10.1093/geront/20.6.649   DOI
17 American Psychiatric Association, editor. Diagnostic and statistical manual of mental disorders: DSM-5. 5th ed. Washington, DC: Author; 2013.
18 Higgins JPT, Green S, editor. Cochrane handbook for systematic reviews of interventions: Version 5.1.0 [Internet]. Oxford, UK: The Cochrane Collaboration; 2011 [cited 2014 November 10]. Available from: www.cochrane-handbook.org.
19 Stroup DF, Berlin JA, Morton SC, Olkin I, Williamson GD, Rennie D, et al. Meta-analysis of observational studies in epidemiology: A proposal for reporting. Meta-analysis of observational studies in epidemiology(MOOSE) group. JAMA: Journal of the American Medical Association. 2000;283(15):2008-2012.   DOI   ScienceOn
20 Juni P, Holenstein F, Sterne J, Bartlett C, Egger M. Direction and impact of language bias in meta-analyses of controlled trials: Empirical study. International Journal of Epidemiology. 2002;31(1):115-123. http://dx.doi.org/10.1093/ije/31.1.115   DOI   ScienceOn
21 Kim SY, Park JE, Seo HJ, Lee YJ, Son HJ, Jang BH, et al. NECA's guidance for undertaking systematic reviews and metaanalyses for intervention. Seoul: National Evidence-based Healthcare Collaborating Agency; 2011.
22 Belle SH, Burgio L, Burns R, Coon D, Czaja SJ, Gallagher-Thompson D, et al. Enhancing the quality of life of dementia caregivers from different ethnic or racial groups: A randomized, controlled trial. Annals of Internal Medicine. 2006;145(10):727-738. http://dx.doi.org/10.7326/0003-4819-145-10-200611210-00005   DOI
23 Gitlin LN, Belle SH, Burgio LD, Czaja SJ, Mahoney D, Gallagher-Thompson D, et al. Effect of multicomponent interventions on caregiver burden and depression: The REACH multisite initiative at 6-month follow-up. Psychology and Aging. 2003;18(3):361-374. http://dx.doi.org/10.1037/0882-7974.18.3.361   DOI   ScienceOn
24 Acton GJ, Kang J. Interventions to reduce the burden of caregiving for an adult with dementia: A meta-analysis. Research in Nursing and Health. 2001;24(5):349-360. http://dx.doi.org/10.1002/nur.1036   DOI   ScienceOn
25 Parker D, Mills S, Abbey J. Effectiveness of interventions that assist caregivers to support people with dementia living in the community: A systematic review. Int J Evid Based Healthc. 2008;6(2):137-172. http://dx.doi.org/10.1111/j.1744-1609.2008.00090.x   DOI   ScienceOn
26 Brodaty H, Green A, Koschera A. Meta-analysis of psychosocial interventions for caregivers of people with dementia. Journal of the American Geriatrics Society. 2003;51(5):657-664. http://dx.doi.org/10.1034/j.1600-0579.2003.00210.x   DOI   ScienceOn
27 Marriott A, Donaldson C, Tarrier N, Burns A. Effectiveness of cognitive-behavioural family intervention in reducing the burden of care in carers of patients with Alzheimer's disease. The British Journal of Psychiatry. 2000;176:557-562. http://dx.doi.org/10.1192/bjp.176.6.557   DOI
28 Chu H, Yang CY, Liao YH, Chang LI, Chen CH, Lin CC, et al. The effects of a support group on dementia caregivers' burden and depression. Journal of Aging and Health. 2011;23(2):228-241. http://dx.doi.org/10.1177/0898264310381522   DOI   ScienceOn
29 Senanarong V, Jamjumras P, Harmphadungkit K, Klubwongs M, Udomphanthurak S, Poungvarin N, et al. A counseling intervention for caregivers: Effect on neuropsychiatric symptoms. International Journal of Geriatric Psychiatry. 2004;19(8):781-788. http://dx.doi.org/10.1002/gps.1123   DOI   ScienceOn
30 Fung WY, Chien WT. The effectiveness of a mutual support group for family caregivers of a relative with dementia. Archives of Psychiatric Nursing. 2002;16(3):134-144. http://dx.doi.org/10.1053/apnu.2002.32951   DOI   ScienceOn