The association between caregiver burden, distress, psychiatric morbidity and healthcare utilization among persons with dementia in Singapore
Abstract Background Caregivers of persons with dementia (PWD) face high caregiving burden, distress related to responsive behaviours, and psychiatric morbidity. The present paper examines how these are associated with healthcare utilization of the PWD in Singapore. Methods The data of 399 caregiver-...
Main Authors: | , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2021-01-01
|
Series: | BMC Geriatrics |
Subjects: | |
Online Access: | https://doi.org/10.1186/s12877-021-02014-2 |
id |
doaj-dcaea675ba124df6a90205d5d35adc8f |
---|---|
record_format |
Article |
spelling |
doaj-dcaea675ba124df6a90205d5d35adc8f2021-01-24T12:10:10ZengBMCBMC Geriatrics1471-23182021-01-0121111010.1186/s12877-021-02014-2The association between caregiver burden, distress, psychiatric morbidity and healthcare utilization among persons with dementia in SingaporeJue Hua Lau0Edimansyah Abdin1Anitha Jeyagurunathan2Esmond Seow3Li Ling Ng4Janhavi Ajit Vaingankar5Siow Ann Chong6Mythily Subramaniam7Research Division, Institute of Mental Health, Buangkok Green Medical ParkResearch Division, Institute of Mental Health, Buangkok Green Medical ParkResearch Division, Institute of Mental Health, Buangkok Green Medical ParkResearch Division, Institute of Mental Health, Buangkok Green Medical ParkDepartment of Rheumatology & Immunology, Singapore General Hospital, SingHealthResearch Division, Institute of Mental Health, Buangkok Green Medical ParkResearch Division, Institute of Mental Health, Buangkok Green Medical ParkResearch Division, Institute of Mental Health, Buangkok Green Medical ParkAbstract Background Caregivers of persons with dementia (PWD) face high caregiving burden, distress related to responsive behaviours, and psychiatric morbidity. The present paper examines how these are associated with healthcare utilization of the PWD in Singapore. Methods The data of 399 caregiver-PWD dyads were extracted from a national cross-sectional survey. PWD completed the Client Service Receipt Inventory, which provided information on their healthcare utilization (i.e. emergency service use, hospital admission, length of stay in hospital, and number of outpatient visits) within a frame of 3 months. The Zarit Burden Interview (ZBI), Neuropsychiatric Inventory Questionnaire (NPI-Q), and Self Reporting Questionnaire (SRQ-20) were administered to caregivers. Information on severity of dementia, physical multimorbidity of the PWD, household composition, and caregivers’ sociodemographic characteristics such as age, gender, and education were collected. Variables significantly associated with healthcare utilization in the univariate analyses were selected and included in the final regression models. Emergency service use and hospital admission were investigated using logistic regression analyses, whilst negative binomial models were utilized for length of stay in hospital and number of outpatient visits. Results After adjusting for significant correlates such as dementia severity and multimorbidity, only caregiver distress from responsive behaviours was positively associated with emergency room utilization, while caregiver burden was positively associated with length of hospital stay in the final regression model. Psychiatric morbidity was associated with healthcare utilization outcomes at the univariate level but did not reach statistical significance in final models. Conclusion The study identifies caregiver variables associated with the healthcare utilization of PWD. Policy makers and healthcare professionals should provide interventions to ease burden and distress amongst caregivers of PWD.https://doi.org/10.1186/s12877-021-02014-2DementiaDementia caregiversCaregiver burdenHealthcare utilizationCaregiver psychiatric morbidityResponsive behaviours |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jue Hua Lau Edimansyah Abdin Anitha Jeyagurunathan Esmond Seow Li Ling Ng Janhavi Ajit Vaingankar Siow Ann Chong Mythily Subramaniam |
spellingShingle |
Jue Hua Lau Edimansyah Abdin Anitha Jeyagurunathan Esmond Seow Li Ling Ng Janhavi Ajit Vaingankar Siow Ann Chong Mythily Subramaniam The association between caregiver burden, distress, psychiatric morbidity and healthcare utilization among persons with dementia in Singapore BMC Geriatrics Dementia Dementia caregivers Caregiver burden Healthcare utilization Caregiver psychiatric morbidity Responsive behaviours |
author_facet |
Jue Hua Lau Edimansyah Abdin Anitha Jeyagurunathan Esmond Seow Li Ling Ng Janhavi Ajit Vaingankar Siow Ann Chong Mythily Subramaniam |
author_sort |
Jue Hua Lau |
title |
The association between caregiver burden, distress, psychiatric morbidity and healthcare utilization among persons with dementia in Singapore |
title_short |
The association between caregiver burden, distress, psychiatric morbidity and healthcare utilization among persons with dementia in Singapore |
title_full |
The association between caregiver burden, distress, psychiatric morbidity and healthcare utilization among persons with dementia in Singapore |
title_fullStr |
The association between caregiver burden, distress, psychiatric morbidity and healthcare utilization among persons with dementia in Singapore |
title_full_unstemmed |
The association between caregiver burden, distress, psychiatric morbidity and healthcare utilization among persons with dementia in Singapore |
title_sort |
association between caregiver burden, distress, psychiatric morbidity and healthcare utilization among persons with dementia in singapore |
publisher |
BMC |
series |
BMC Geriatrics |
issn |
1471-2318 |
publishDate |
2021-01-01 |
description |
Abstract Background Caregivers of persons with dementia (PWD) face high caregiving burden, distress related to responsive behaviours, and psychiatric morbidity. The present paper examines how these are associated with healthcare utilization of the PWD in Singapore. Methods The data of 399 caregiver-PWD dyads were extracted from a national cross-sectional survey. PWD completed the Client Service Receipt Inventory, which provided information on their healthcare utilization (i.e. emergency service use, hospital admission, length of stay in hospital, and number of outpatient visits) within a frame of 3 months. The Zarit Burden Interview (ZBI), Neuropsychiatric Inventory Questionnaire (NPI-Q), and Self Reporting Questionnaire (SRQ-20) were administered to caregivers. Information on severity of dementia, physical multimorbidity of the PWD, household composition, and caregivers’ sociodemographic characteristics such as age, gender, and education were collected. Variables significantly associated with healthcare utilization in the univariate analyses were selected and included in the final regression models. Emergency service use and hospital admission were investigated using logistic regression analyses, whilst negative binomial models were utilized for length of stay in hospital and number of outpatient visits. Results After adjusting for significant correlates such as dementia severity and multimorbidity, only caregiver distress from responsive behaviours was positively associated with emergency room utilization, while caregiver burden was positively associated with length of hospital stay in the final regression model. Psychiatric morbidity was associated with healthcare utilization outcomes at the univariate level but did not reach statistical significance in final models. Conclusion The study identifies caregiver variables associated with the healthcare utilization of PWD. Policy makers and healthcare professionals should provide interventions to ease burden and distress amongst caregivers of PWD. |
topic |
Dementia Dementia caregivers Caregiver burden Healthcare utilization Caregiver psychiatric morbidity Responsive behaviours |
url |
https://doi.org/10.1186/s12877-021-02014-2 |
work_keys_str_mv |
AT juehualau theassociationbetweencaregiverburdendistresspsychiatricmorbidityandhealthcareutilizationamongpersonswithdementiainsingapore AT edimansyahabdin theassociationbetweencaregiverburdendistresspsychiatricmorbidityandhealthcareutilizationamongpersonswithdementiainsingapore AT anithajeyagurunathan theassociationbetweencaregiverburdendistresspsychiatricmorbidityandhealthcareutilizationamongpersonswithdementiainsingapore AT esmondseow theassociationbetweencaregiverburdendistresspsychiatricmorbidityandhealthcareutilizationamongpersonswithdementiainsingapore AT lilingng theassociationbetweencaregiverburdendistresspsychiatricmorbidityandhealthcareutilizationamongpersonswithdementiainsingapore AT janhaviajitvaingankar theassociationbetweencaregiverburdendistresspsychiatricmorbidityandhealthcareutilizationamongpersonswithdementiainsingapore AT siowannchong theassociationbetweencaregiverburdendistresspsychiatricmorbidityandhealthcareutilizationamongpersonswithdementiainsingapore AT mythilysubramaniam theassociationbetweencaregiverburdendistresspsychiatricmorbidityandhealthcareutilizationamongpersonswithdementiainsingapore AT juehualau associationbetweencaregiverburdendistresspsychiatricmorbidityandhealthcareutilizationamongpersonswithdementiainsingapore AT edimansyahabdin associationbetweencaregiverburdendistresspsychiatricmorbidityandhealthcareutilizationamongpersonswithdementiainsingapore AT anithajeyagurunathan associationbetweencaregiverburdendistresspsychiatricmorbidityandhealthcareutilizationamongpersonswithdementiainsingapore AT esmondseow associationbetweencaregiverburdendistresspsychiatricmorbidityandhealthcareutilizationamongpersonswithdementiainsingapore AT lilingng associationbetweencaregiverburdendistresspsychiatricmorbidityandhealthcareutilizationamongpersonswithdementiainsingapore AT janhaviajitvaingankar associationbetweencaregiverburdendistresspsychiatricmorbidityandhealthcareutilizationamongpersonswithdementiainsingapore AT siowannchong associationbetweencaregiverburdendistresspsychiatricmorbidityandhealthcareutilizationamongpersonswithdementiainsingapore AT mythilysubramaniam associationbetweencaregiverburdendistresspsychiatricmorbidityandhealthcareutilizationamongpersonswithdementiainsingapore |
_version_ |
1724326258792202240 |