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Clin Rehabil. 2003 May;17(3):312-7.

Caregiver strain in spouses of stroke patients.

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1
School of Psychology, University of Nottingham, Nottingham, UK.

Abstract

OBJECTIVE:

To test the ability of a previously generated logistic regression model to predict caregiver strain from carer mood, negative affectivity and perceived patient functional ability.

DESIGN:

Postal prospective survey.

SETTING:

Spouses of community-residing patients identified from hospital stroke registers.

METHOD:

Spouses were assessed at three and six months after stroke. A previously derived equation was used to make predictions at three months of their level of strain at six months, which were compared with observed outcomes.

MEASURES:

Spouses were asked to complete the Caregiver Strain Index (CSI), the General Health Questionnaire (GHQ-12), the Positive and Negative Affectivity Schedule (PANAS) and to assess patients' independence in activities of daily living on the Extended Activities of Daily Living Scale (EADL).

RESULTS:

Of 409 stroke patients, 276 had an identifiable co-resident spouse and 116 (42%) completed the measures. At three months after stroke, 39 carers (34%) were under significant strain with 40 (35%) under strain at six months. The predictive model using the GHQ-12, PANAS and EADL at three months was 78% accurate in predicting levels of caregiver strain at six months.

CONCLUSION:

Carers at risk of later strain could be identified for further follow-up. Services to provide emotional support to carers might be effective in the reduction of carer strain.

PMID:
12735539
DOI:
10.1191/0269215503cr613oa
[Indexed for MEDLINE]

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