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Understanding and Managing Caregiver Burden in Cerebrovascular Disease

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Part of the book series: Current Clinical Neurology ((CCNEU))

Abstract

Caregiver burden refers to a range of problems that may occur during the process of providing informal care for an individual with an illness. The association between the demands of caregiving on the caregiver’s own physical and mental health and the indirect effect on the care recipient has been well-documented during the past two decades. Nevertheless, these findings have not been routinely applied to the clinical management of cerebrovascular disease (CVD), particularly vascular dementia (VaD). Chronic stressors can include disease-specific characteristics (e.g., level of care needed to complete activities of daily living [ADLs], cognitive and physical limitations, and behavioral disturbance), as well as secondary stressors, such as financial burden and disruption of family relationships. Although factors such as patient characteristics and caregiver demographic variables contribute to caregiver burden, there is strong evidence suggesting that caregivers’ perceptions, coping skills, and resources play a major role. Given these findings, psychosocial interventions focused on adjusting caregiver appraisal, improving coping skills, and increasing self-efficacy may be targeted in psychosocial interventions to effectively reduce caregiver burden.

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Tremont, G., Davis, J.D., Spitznagel, M.B. (2005). Understanding and Managing Caregiver Burden in Cerebrovascular Disease. In: Paul, R.H., Cohen, R., Ott, B.R., Salloway, S. (eds) Vascular Dementia. Current Clinical Neurology. Humana Press. https://doi.org/10.1385/1-59259-824-2:305

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