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Community Mental Health Journal

, Volume 55, Issue 2, pp 304–310 | Cite as

The Burden of Care and Burnout in Individuals Caring for Patients with Alzheimer’s Disease

  • Eren YıldızhanEmail author
  • Nesibe Ören
  • Ayten Erdoğan
  • Fatih Bal
Brief Report

Abstract

Alzheimer’s disease imposes a severe burden upon patients and their caregivers. We examined the relationship between the sociodemographic factors, burden of care and burnout level of 120 of 203 professional caregiving staff dealing with Alzheimer’s disease patients in eight geriatric care centers in Istanbul/Turkey. The Zarit Caregiver Burden Scale was used to measure the level of burden of care, and the Maslach burnout inventory to measure the level of burnout. High levels of emotional exhaustion were present in 25% of our sample, and depersonalization was found in 30% reduced personal accomplishment was present in 26% of the caregivers.

Keywords

Burnout syndrome Alzheimer’s disease Caregiver Dementia 

Notes

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

The study has been approved by the appropriate institutional ethics committee and have been performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or compatible ethical standards.

References

  1. Adekola, B. (2010). Gender differences in the experience of work burnout among university staff. African Journal of Business Management, 4, 886–889.Google Scholar
  2. Ahola, K., Honkonen, T., Isometsa, E., Kalimo, R., Nykyri, E., Koskinen, S., et al. (2000). Burnout in the general population. Results from the Finnish Health 2000 Study. Social Psychiatry and Psychiatric Epidemiology, 41, 11–17.CrossRefGoogle Scholar
  3. Aiken, L. H., Clarke, S. P., Sloane, D. M., Sochalski, J., & Silber, J. H. (2002). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. Journal of the American Medical Association, 288, 1987–1993.CrossRefGoogle Scholar
  4. Algül, R., Yılmaz, D., Özer, Ü, & Kaya, B. (2016). Variables affecting burnout levels among medical doctors working in internal and surgical branches and the relationship of burnout with work engagement and organizational commitment. Klinik Psikiyatri Dergisi, 19, 176–184.Google Scholar
  5. Antoniou, A. S., Polychroni, F., & Vlachakis, A. N. (2006). Gender and age differences in occupational stress and professional burnout between primary and high school teachers in Greece. Journal of Managerial Psychology, 21, 682–690.CrossRefGoogle Scholar
  6. Arıca, S. G., Özer, C., Arı, M., et al. (2011). The burnout levels and affecting factors in assistants of surgical and internal medicine departments. Smyrna Medical Journal, 1, 6–9.Google Scholar
  7. ASAGEM, T. C. Başbakanlık Aile ve Sosyal Araştırmalar Genel Müdürlüğü (ASAGEM). (2011). Türkiye’de aile yapısı araştırması. Ankara: Afşaroğlu Matbaası.Google Scholar
  8. Aslı, ÖZ., Mustafa, Y., & Tamer, A. (2009). A reliability and validity study on the Zarit Caregiver Burden Scale. Nöro psikiyatri arşivi, 46, 38–42.Google Scholar
  9. Atagun, M., Devrim Balaban, Ö, Atagun, Z., Elagöz, M., & Yılmaz Özpolat A. (2011). Caregiver burden in chronic diseases. Current Approaches in Psychiatry, 3, 513–552.Google Scholar
  10. Brewer, E. W., & Shapard, L. (2004). Employee burnout: A meta-analysis of the relationship between age or years of experience. Human Resource Development Review, 3, 102–123.CrossRefGoogle Scholar
  11. Chirico, F. (2016). Job stress models for predicting burnout syndrome: a review. Annali dell’ Istituto Superiore di Sanita, 52, 443–456.Google Scholar
  12. Çınar, E., Kuyumcu, M., Yesil, Y., Halil, M., Cankurtaran, M., & Arıogul, S. (2012). Assestment of factors affecting caregiver burden in Alzheimer disease. European Geriatric Medicine, 3, 318.  https://doi.org/10.1016/j.eurger.2012.07.348.Google Scholar
  13. Dikmetaş, E., Top, M., & Ergin, G. (2012). An examination of mobbing and burnout of residents. Türk Psikiyatri Dergisi, 22, 137–149.Google Scholar
  14. Doornbos, M. (2001). Professional support for family caregivers of people with serious and persistant mental illnesses. Journal of Psychiatric Nursing and Mental Health Services, 39, 12.Google Scholar
  15. Edwards, N. E., & Scheetz, P. S. (2001). Predictors of burden for caregivers of patients with Parkinson’s disease. Journal of Neuroscience Nursing, 34, 4.Google Scholar
  16. Ergin, C. (1996) Maslach Tükenmişlik Ölçeğinin Türkiye Sağlık Personeli Normları. 3P Journal of Psychiatry, Psychology, Psychopharmacology, 4, 28–33.Google Scholar
  17. Erol, A., Sarıçiçek, A., & Gülseren, Ş (2007). Burnout in residents: association with job satisfaction and depression. Anadolu Psikiyatri Dergisi, 8, 241–247.Google Scholar
  18. Gabel, S. (2012). Demoralization in mental health organizations: Leadership and social support help. Psychiatry Quarterly, 83, 489.CrossRefGoogle Scholar
  19. Gelsema, M. F., & Nelson, S. (2007). 5–20: A model of minimum nurse-to-patient ratios in Victoria, Australia. Journal of Nursing Management, 15, 64–71.CrossRefGoogle Scholar
  20. Hickman, R. A., Faustin, A., & Wisniewski, T. (2016). alzheimer disease and its growing epidemic: risk factors, biomarkers, and the urgent need for therapeutics. Neurologic Clinics, 34, 941–953.CrossRefGoogle Scholar
  21. Kalimo, R. (2000). The challenge of changing work and stress for human resources. The case of Finland. Journal of Tokyo Medical University, 58, 349–356.Google Scholar
  22. Kokurcan, A., Yilmaz Özpolat, A. G., & Göğüş, A. K. (2015). Burnout in caregivers with schizophrenia. Turkish Journal of Medical Sciences, 45, 678–685.CrossRefGoogle Scholar
  23. Kulaksızoğlu, İB. (1999). Psychiatric and behavioral symptoms of patients with dementia. Nöro Psikiyatri Arşivi, 36, 45–51.Google Scholar
  24. Lindblom, K. M., Linton, S. J., Fedeli, C., & Bryngelsson, I. L. (2006). Burnout in the working population: Relations to psychosocial work factors. International Journal of Behavioral Medicine, 13, 51–59.CrossRefGoogle Scholar
  25. Marakoğlu, K., Kargın, N., & Armutlukuyu, M. (2013). The evaluation of burnout syndromes and related factors in the research assistants of medicine faculty. Genel Tıp Dergisi, 23, 102–108.Google Scholar
  26. Maslach, C., & Jackson, S. E. (1986). Maslach burnout inventory (Second edn., pp. 163–175). Palo Alto: Consulting Psychologists Press.Google Scholar
  27. Maslach, C., Schaufeli, W., & Leiter, M. (2001). Job burnout. Annual Review of Psychology, 52, 397–422.CrossRefGoogle Scholar
  28. Oğuzberk, M., & Aydın, A. (2008). Burnout in mental health professionals. Klinik Psikiyatri Dergisi, 11, pp. 167–179.Google Scholar
  29. Pinquart, M., & Sorensen, S. (2007). Correlates of physical health of informal caregivers: A meta-analysis. The Journal of Gerontology: Psychological Sciences, 62, 126–137.CrossRefGoogle Scholar
  30. Polatçı, S., Ardıç, K., & Türkan, G. (2014). An analysis about the effects of commitment dimensions on the burnout dimensions. Yönetim ve Ekonomi Araştırmaları Dergisi, 21, 281–292.Google Scholar
  31. Purnova, R. K., & Muros, J. P. (2010). Gender differences in burn-out: A meta-analysis. Journal of Vocational Behaviour, 77, 168–185.CrossRefGoogle Scholar
  32. Ramirez, A. J., Graham, J., Richards, M. A., et al. (1996). Mental health of hospital consultants: The effects of stress and satisfaction at work. The Lancet, 347, 724–728.CrossRefGoogle Scholar
  33. Randall, K. J. (2007). Examining the relationship between burnout and age among Anglican clergy in England and Wales. Mental Health, Religion & Culture, 10, 39–46.CrossRefGoogle Scholar
  34. Sayıl, I., Haran, S., Ölmez, Ş, et al. (1997). Burn-out in medical doctors and nurses of Ankara University Medical School. Journal of Crisis, 5, 71–77.Google Scholar
  35. Sünter, A. T., Canbaz, S., Dabak, Ş, et al. (2006). The levels of burnout, work-related strain and work satisfaction in general practitioners. Genel Tıp Dergisi,16, 9–14.Google Scholar
  36. Takai, M., Takahashi, M., Iwamitsu, Y., Ando, N., Okazaki, S., Nakajima, K., Oishi, S., & Miyaoka, H. (2009). The experience of burnout among home caregivers of patients with dementia: Relations to depression and quality of life. Archives of Gerontology and Geriatrics, 49, 1–5.CrossRefGoogle Scholar
  37. Tang, B., Yu, Y., Liu, Z., Lin, M., Chen, Y., Zhao, M., & Xiao, S. (2017). Factor analyses of the Chinese Zarit burden interview among caregivers of patients with schizophrenia in a rural Chinese community. BMJ Open, 7, e015621.CrossRefGoogle Scholar
  38. Taycan, O., Erdoğan Taycan, S., & Çelik, C. (2013). The impact of compulsory health service on physicians and burnout in a province in Eastern Anatolia. Turkish Journal of Psychiatry, 24, 182–191.Google Scholar
  39. Truzzi, A., Valente, L., Ulstein, I., Engelhardt, E., Laks, J., & Engedal, K. (2012). Burnout in familial caregivers of patients with dementia. Revista Brasileira de Psiquiatria, 34, 405–412.CrossRefGoogle Scholar
  40. Whitebird, R. R., Solberg, L. I., Crain, A. L., Rossom, R. C., Beck, A., Neely, C., et al. (2017). Clinician burnout and satisfaction with resources in caring for complex patients. General Hospital Psychiatry, 44, 91–95.CrossRefGoogle Scholar
  41. Yilmaz, A., Turan, E., & Gundogar, D. (2009). Predictors of burnout in the family caregivers of Alzheimer’s disease: Evidence from Turkey. Australasian Journal on Ageing, 28, 16–21.CrossRefGoogle Scholar
  42. Yu, H., Wang, X., He, R., Liang, R., & Zhou, L. (2015). Measuring the caregiver burden of caring for community-residing people with Alzheimer’s disease. PLoS ONE 10, e0132168.  https://doi.org/10.1371/journal.pone.0132168.CrossRefGoogle Scholar
  43. Zarit, S. H., Reever, K. E., & Bach-Peterson, J. (1980). Relatives of the impaired elderly: Correlates of feelings of burden. Gerontologist, 20, 649–655.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Bakırköy Research and Training Hospital for Psychiatric and Neurological DiseasesIstanbulTurkey
  2. 2.Department of Clinical PsychologyBeykent UniversityIstanbulTurkey
  3. 3.Department of PsychologyIstanbul Gelişim University, Faculty of Economics, Administrative and Social SciencesIstanbulTurkey

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