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Chapter 2 - Caregiver Burden in Prader-Willi Syndrome

Published online by Cambridge University Press:  26 May 2022

Deepan Singh
Affiliation:
Maimonides Medical Center in Brooklyn
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Summary

Caregiver burden is multidimensional, adversely affecting the caregiver’s emotional, social, financial, physical, and spiritual functioning. Demographic risk factors for caregiver burden include female gender, low education, low socioeconomic status, and living with the care recipient. Psychosocial risk factors include caregiver depression and/or anxiety, lack of coping skills, and increased social isolation and decreased social activity for the caregiver. Caregiver burnout is a confluence of emotional exhaustion, detachment, or disengagement as a result of exhaustion without relief and the cynicism that can occur in a caregiver. Caregivers should be encouraged to make time for themselves. A peer group or PWS community can provide a safe outlet to discuss frustrations and emotional difficulties. Practicing mindfulness can reduce distress and increase resilience. When emotionally overwhelmed, caregivers can seek out a mental healthcare provider to help develop effective coping strategies. Healthcare providers can help reduce the risk of caregiver burden and burnout by assessing caregivers’ levels of stress and providing easier access to services.

Type
Chapter
Information
Neuro-behavioral Manifestations of Prader-Willi Syndrome
A Guide for Clinicians and Caregivers
, pp. 8 - 17
Publisher: Cambridge University Press
Print publication year: 2022

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References

Accius, J. Breaking stereotypes: Male family caregivers. Innov Aging 2018;2(suppl_1):240.CrossRefGoogle Scholar
Adelman, RD, Tmanova, LL, Delgado, D, Dion, S, Lachs, MS. Caregiver burden: A clinical review. JAMA 2014;311(10):1052–60.Google Scholar
Collins, LG, Swartz, K. Caregiver care. Am Fam Physician 2011;83(11):1309–17.Google ScholarPubMed
Rabarison, KM, Bouldin, ED, Bish, CL, McGuire, LC, Taylor, CA, Greenlund, KJ. The economic value of informal caregiving for persons with dementia: Results from 38 states, the District of Columbia, and Puerto Rico, 2015 and 2016 BRFSS. Am J Public Health 2018;108(10):1370–7.Google Scholar
Zarit, SH, Todd, PA, Zarit, JM. Subjective burden of husbands and wives as caregivers: A longitudinal study. Gerontologist 1986;26(3):260–6.CrossRefGoogle ScholarPubMed
Lilly, MB, Robinson, CA, Holtzman, S, Bottorff, JL. Can we move beyond burden and burnout to support the health and wellness of family caregivers to persons with dementia? Evidence from British Columbia, Canada. Health Soc Care Community 2012;20(1):103–12.Google Scholar
Ho, SC, Chan, A, Woo, J, Chong, P, Sham, A. Impact of caregiving on health and quality of life: S comparative population-based study of caregivers for elderly persons and noncaregivers. J Gerontol A Biol Sci Med Sci 2009;64(8):873–9.Google ScholarPubMed
Stressed and strapped: Caregivers in California [Internet]. [cited June 21, 2021]. Available from https://escholarship.org/uc/item/0sb8d6gdGoogle Scholar
Sacco, LB, Leineweber, C, Platts, LG. Informal care and sleep disturbance among caregivers in paid work: Longitudinal analyses from a large community-based Swedish cohort study. Sleep 2018;41(2):zsx198. doi:10.1093/sleep/zsx198CrossRefGoogle ScholarPubMed
Gallagher, D, Rose, J, Rivera, P, Lovett, S, Thompson, LW. Prevalence of depression in family caregivers. Gerontologist 1989;29(4):449–56.Google Scholar
Cameron, JI, Franche, R-L, Cheung, AM, Stewart, DE. Lifestyle interference and emotional distress in family caregivers of advanced cancer patients. Cancer 2002;94(2):521–7.CrossRefGoogle ScholarPubMed
Schulz, R, Beach, SR. Caregiving as a risk factor for mortality. JAMA 1999;282(23):2215.Google Scholar
Andrén, S, Elmståhl, S. Relationships between income, subjective health and caregiver burden in caregivers of people with dementia in group living care: A cross-sectional community-based study. Int J Nurs Stud 2007;44(3):435–46.Google Scholar
Kim, M-D, Hong, S-C, Lee, C-I, Kim, S-Y, Kang, I-O, Lee, S-Y. Caregiver burden among caregivers of Koreans with dementia. Gerontology 2009;55(1):106–13.Google Scholar
Skarupski, KA, McCann, JJ, Bienias, JL, Evans, DA. Race differences in emotional adaptation of family caregivers. Aging Ment Health 2009;13(5):715–24.Google Scholar
Yeager, CA, Hyer, LA, Hobbs, B, Coyne, AC. Alzheimer’s disease and vascular dementia: The complex relationship between diagnosis and caregiver burden. Issues Ment Health Nurs 2010;31(6):376–84.Google Scholar
Sinforiani, E, Pasotti, C, Chiapella, L, Malinverni, P, Zucchella, C. Differences between physician and caregiver evaluations in Alzheimer’s disease. Funct Neurol 2010;25(4):205–9.Google Scholar
Conde-Sala, JL, Garre-Olmo, J, Turró-Garriga, O, Vilalta-Franch, J, López-Pousa, S. Differential features of burden between spouse and adult-child caregivers of patients with Alzheimer’s disease: An exploratory comparative design. Int J Nurs Stud 2010;47(10):1262–73.Google Scholar
Gallicchio, L, Siddiqi, N, Langenberg, P, Baumgarten, M. Gender differences in burden and depression among informal caregivers of demented elders in the community. Int J Geriatr Psychiatry 2002;17(2):154–63.CrossRefGoogle ScholarPubMed
Vincent, C, Desrosiers, J, Landreville, P, Demers, L, BRAD Group. Burden of caregivers of people with stroke: Evolution and predictors. Cerebrovasc Dis 2009;27(5):456–64.CrossRefGoogle ScholarPubMed
Chiao, CY, Wu, HS, Hsiao, CY. Caregiver burden for informal caregivers of patients with dementia: A systematic review. Int Nurs Rev 2015;62(3):340–50.CrossRefGoogle ScholarPubMed
McConaghy, R, Caltabiano, ML. Caring for a person with dementia: Exploring relationships between perceived burden, depression, coping and well-being. Nurs Health Sci 2005;7(2):8191.CrossRefGoogle ScholarPubMed
Davis, JD, Tremont, G. Impact of frontal systems behavioral functioning in dementia on caregiver burden. J Neuropsychiatry Clin Neurosci 2007;19(1):43–9.CrossRefGoogle ScholarPubMed
Zawadzki, L, Mondon, K, Peru, N, Hommet, C, Constans, T, Gaillard, P, et al. Attitudes towards Alzheimer’s disease as a risk factor for caregiver burden. Int Psychogeriatr 2011;23(9):1451–61.CrossRefGoogle ScholarPubMed
Sun, Fei, Kosberg, JI, Leeper, J, Kaufman, AV, Burgio, L. Racial differences in perceived burden of rural dementia caregivers. J Appl Gerontol 2010;29(3):290307.CrossRefGoogle Scholar
Kim, H, Chang, M, Rose, K, Kim, S. Predictors of caregiver burden in caregivers of individuals with dementia. J Adv Nurs 2012;68(4):846–55.Google Scholar
Schulz, R, Beach, SR, Cook, TB, Martire, LM, Tomlinson, JM, Monin, JK. Predictors and consequences of perceived lack of choice in becoming an informal caregiver. Aging Ment Health 2012;16(6):712–21.Google Scholar
Maslach, C. Burnout: A multidimensional perspective. In Schaufeli, B, Maslach, C, Marek, T. (eds.). Professional Burnout: Recent Developments in Theory and Research. Washington, DC: Taylor & Francis, 1993, 1932. [Internet]. [cited June 21, 2021]. Available from www.sciepub.com/reference/187112Google Scholar
Maslach, C (ed.). A multidimensional theory of burnout. In Theories of Organizational Stress. Oxford: Oxford University Press, 2000, 6887.Google Scholar
Maslach, C, Schaufeli, WB, Leiter, MP. Job burnout. Annu Rev Psychol 2001;52:397422.Google Scholar
Kabat Zin, J. Clinical Handbook of Mindfulness. New York: Springer, 2009.Google Scholar
Edelstein, H, Schippke, J, Sheffe, S, Kingsnorth, S. Children with medical complexity: A scoping review of interventions to support caregiver stress. Child Care Health Dev 2017;43(3):323–33.Google Scholar
Duis, J, Van Wattum, PJ, Scheimann, A, Salehi, P, Brokamp, E, Fairbrother, L, et al. A multidisciplinary approach to the clinical management of Prader-Willi syndrome. Mol Genet Genomic Med 2019;7(3):e514.CrossRefGoogle Scholar
Barriers to rare disease diagnosis, care and treatment in the US: A 30-year comparative analysis [Internet]. rarediseases.org [cited June 21, 2021]. Available from https://rarediseases.org/wp-content/uploads/2020/11/NRD-2088-Barriers-30-Yr-Survey-Report_FNL-2.pdfGoogle Scholar

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