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Published in: Health and Quality of Life Outcomes 1/2020

Open Access 01-12-2020 | Research

Psychometric characteristics of the Iranian Caregiver Burden Inventory (CBI) in caregivers of elderly patients with Alzheimer

Authors: Akram Shafiezadeh, Majideh Heravi-Karimooi, Amin Mirzaee, Nahid Rejeh, Hamid Sharif Nia, Ali Montazeri

Published in: Health and Quality of Life Outcomes | Issue 1/2020

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Abstract

Background

It is essential to better understand the caregiving burden and its determinants to support caregivers. The aim of this study was to test the validity and reliability (internal consistency) of the caregiver burden inventory (CBI) in Iranian caregivers of elderly patients with Alzheimer.

Methods

A cross sectional study was conducted to translate and validate the CBI in Iran. The structural validity of the scale was evaluated by exploratory factor analysis. The concurrent validity was tested correlating the CBI scores with the Beck Anxiety Inventory (BAI) and the Beck Depression Inventory (BDI) scores. The internal consistency reliability was assessed using the Cronbach’s alpha coefficient.

Results

In total, we enrolled 315 caregivers of elderly patients with Alzheimer disease (79% women, mean age 56.5 ± 13.9). The structural validity of the CBI as assessed by exploratory factor analysis indicated three factors (emotional/psychological, time-dependence and physical burden) that jointly explained 45.21% of the total variance observed. The Pearson correlation coefficient for the relationship between the scores obtained on the Caregiver Burden Inventory and the BAI and the BDI were 0.69 and 0.49 respectively, confirming the concurrent validity. The Cronbach’s alpha for the CBI was 0.91 ranging from 0.78 to 0.92 for its subscales.

Conclusion

Used in clinical practice and research, the CBI was verified to be a proper multidimensional instrument for evaluating the burden in caregivers of elderly patients with Alzheimer disease.
Literature
1.
go back to reference Zarit SH, Todd PA, Zarit JM. Subjective burden of husbands and wives as caregivers: a longitudinal study. The Gerontologist. 1986;26(3):260–6.CrossRefPubMed Zarit SH, Todd PA, Zarit JM. Subjective burden of husbands and wives as caregivers: a longitudinal study. The Gerontologist. 1986;26(3):260–6.CrossRefPubMed
2.
go back to reference Grad J, Sainsbury P. Mental illness and the family. Lancet. 1963;281(7280):544–7.CrossRef Grad J, Sainsbury P. Mental illness and the family. Lancet. 1963;281(7280):544–7.CrossRef
3.
go back to reference Caserta MS, Lund DA, Wright SD. Exploring the caregiver burden inventory (CBI): further evidence for a multidimensional view of burden. Int J Aging Hum Dev. 1996;43(1):21–34.CrossRefPubMed Caserta MS, Lund DA, Wright SD. Exploring the caregiver burden inventory (CBI): further evidence for a multidimensional view of burden. Int J Aging Hum Dev. 1996;43(1):21–34.CrossRefPubMed
4.
go back to reference Vatter S, McDonald KR, Stanmore E, Clare L, Leroi I. Multidimensional care burden in Parkinson-related dementia. J Geriatr Psychiatry Neurol. 2018;31(6):319–28.CrossRefPubMed Vatter S, McDonald KR, Stanmore E, Clare L, Leroi I. Multidimensional care burden in Parkinson-related dementia. J Geriatr Psychiatry Neurol. 2018;31(6):319–28.CrossRefPubMed
5.
go back to reference Jafari H, Ebrahimi A, Aghaei A, Khatony A. The relationship between care burden and quality of life in caregivers of hemodialysis patients. BMC Nephrol. 2018;19(1):321.CrossRefPubMedPubMedCentral Jafari H, Ebrahimi A, Aghaei A, Khatony A. The relationship between care burden and quality of life in caregivers of hemodialysis patients. BMC Nephrol. 2018;19(1):321.CrossRefPubMedPubMedCentral
6.
go back to reference Adelman RD, Tmanova LL, Delgado D, Dion S, Lachs MS. Caregiver burden: a clinical review. JAMA. 2014;311(10):1052–60.CrossRefPubMed Adelman RD, Tmanova LL, Delgado D, Dion S, Lachs MS. Caregiver burden: a clinical review. JAMA. 2014;311(10):1052–60.CrossRefPubMed
7.
go back to reference Liu S, Li C, Shi Z, Wang X, Zhou Y, Liu S, Liu J, Yu T, Ji Y. Caregiver burden and prevalence of depression, anxiety and sleep disturbances in Alzheimer’s disease caregivers in China. J Clin Nurs. 2017;26(9–10):1291–300.CrossRefPubMed Liu S, Li C, Shi Z, Wang X, Zhou Y, Liu S, Liu J, Yu T, Ji Y. Caregiver burden and prevalence of depression, anxiety and sleep disturbances in Alzheimer’s disease caregivers in China. J Clin Nurs. 2017;26(9–10):1291–300.CrossRefPubMed
8.
go back to reference Pudelewicz A, Talarska D, Bączyk G. Burden of caregivers of patients with Alzheimer’s disease. Scand J Caring Sci. 2019;33(2):336–41.CrossRefPubMed Pudelewicz A, Talarska D, Bączyk G. Burden of caregivers of patients with Alzheimer’s disease. Scand J Caring Sci. 2019;33(2):336–41.CrossRefPubMed
9.
go back to reference Marvardi M, Mattioli P, Spazzafumo L, Mastriforti R, Rinaldi P, Polidori MC, et al. The caregiver burden inventory in evaluating the burden of caregivers of elderly demented patients: results from a multicenter study. Aging Clin Exp Res. 2005;17(1):46–53.CrossRefPubMed Marvardi M, Mattioli P, Spazzafumo L, Mastriforti R, Rinaldi P, Polidori MC, et al. The caregiver burden inventory in evaluating the burden of caregivers of elderly demented patients: results from a multicenter study. Aging Clin Exp Res. 2005;17(1):46–53.CrossRefPubMed
10.
go back to reference Rivera-Navarro J, Benito-León J, Oreja-Guevara C, Pardo J, Bowakim Dib W, Orts E, Belló M. Caregiver quality of life in multiple sclerosis (CAREQOL-MS) study group. Burden and health-related quality of life of Spanish caregivers of persons with multiple sclerosis. Mult Scler J. 2009;15(11):1347–55.CrossRef Rivera-Navarro J, Benito-León J, Oreja-Guevara C, Pardo J, Bowakim Dib W, Orts E, Belló M. Caregiver quality of life in multiple sclerosis (CAREQOL-MS) study group. Burden and health-related quality of life of Spanish caregivers of persons with multiple sclerosis. Mult Scler J. 2009;15(11):1347–55.CrossRef
11.
go back to reference Beinart N, Weinman J, Wade D, Brady R. Caregiver burden and psychoeducational interventions in Alzheimer’s disease: a review. Dement Geriatr Cogn Dis Extra. 2012;2(1):638–48.CrossRefPubMedPubMedCentral Beinart N, Weinman J, Wade D, Brady R. Caregiver burden and psychoeducational interventions in Alzheimer’s disease: a review. Dement Geriatr Cogn Dis Extra. 2012;2(1):638–48.CrossRefPubMedPubMedCentral
12.
go back to reference Truzzi A, Valente L, Ulstein I, Engelhardt E, Laks J, Engedal K. Burnout in familial caregivers of patients with dementia. Br J Psychiatry. 2012;34(4):405–12.CrossRef Truzzi A, Valente L, Ulstein I, Engelhardt E, Laks J, Engedal K. Burnout in familial caregivers of patients with dementia. Br J Psychiatry. 2012;34(4):405–12.CrossRef
13.
go back to reference Özcan NK, Boyacıoğlu NE, Sertçelik E. Reciprocal abuse: elder neglect and abuse by primary caregivers and caregiver burden and abuse in Turkey. Arch Psychiatr Nurs. 2017;31(2):177–82.CrossRefPubMed Özcan NK, Boyacıoğlu NE, Sertçelik E. Reciprocal abuse: elder neglect and abuse by primary caregivers and caregiver burden and abuse in Turkey. Arch Psychiatr Nurs. 2017;31(2):177–82.CrossRefPubMed
14.
go back to reference Novak M, Guest C. Application of a multidimensional caregiver burden inventory. The Gerontologist. 1989;29(6):798–803.CrossRefPubMed Novak M, Guest C. Application of a multidimensional caregiver burden inventory. The Gerontologist. 1989;29(6):798–803.CrossRefPubMed
15.
go back to reference Chou KR, Chu H, Tseng CL, Lu RB. The measurement of caregiver burden. J Med Sci. 2003;23(2):73–82. Chou KR, Chu H, Tseng CL, Lu RB. The measurement of caregiver burden. J Med Sci. 2003;23(2):73–82.
16.
go back to reference Chou KR, Jiann-Chyun L, Chu H. The reliability and validity of the Chinese version of the caregiver burden inventory. Nurs Res. 2002;51(5):324–31.CrossRefPubMed Chou KR, Jiann-Chyun L, Chu H. The reliability and validity of the Chinese version of the caregiver burden inventory. Nurs Res. 2002;51(5):324–31.CrossRefPubMed
17.
go back to reference Valer DB, Aires M, Fengler FL, Paskulin LM. Adaptation and validation of the caregiver burden inventory for use with caregivers of elderly individuals. Rev Lat Am Enfermagem. 2015;23(1):130–8.CrossRefPubMedPubMedCentral Valer DB, Aires M, Fengler FL, Paskulin LM. Adaptation and validation of the caregiver burden inventory for use with caregivers of elderly individuals. Rev Lat Am Enfermagem. 2015;23(1):130–8.CrossRefPubMedPubMedCentral
18.
go back to reference Vázquez FL, Otero P, Simón MA, Bueno AM, Blanco V. Psychometric properties of the Spanish version of the caregiver burden inventory. Int J Environ Res Public Health. 2019;16(2):217.CrossRefPubMedCentral Vázquez FL, Otero P, Simón MA, Bueno AM, Blanco V. Psychometric properties of the Spanish version of the caregiver burden inventory. Int J Environ Res Public Health. 2019;16(2):217.CrossRefPubMedCentral
19.
go back to reference Mundfrom DJ, Shaw DG, Ke TL. Minimum sample size recommendations for conducting factor analyses. Int J Test. 2005;5(2):159–68.CrossRef Mundfrom DJ, Shaw DG, Ke TL. Minimum sample size recommendations for conducting factor analyses. Int J Test. 2005;5(2):159–68.CrossRef
20.
go back to reference Comrey Andrew L, Lee HB. A first course in factor analysis. Hoboken: Taylor and Francis; 2013.CrossRef Comrey Andrew L, Lee HB. A first course in factor analysis. Hoboken: Taylor and Francis; 2013.CrossRef
21.
go back to reference Hulley SB, Cummings SR, Browner WS, Grady DG, Newman TB. Designing clinical research. Philadelphia: Wolters Kluwer; 2015. Hulley SB, Cummings SR, Browner WS, Grady DG, Newman TB. Designing clinical research. Philadelphia: Wolters Kluwer; 2015.
23.
go back to reference Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol. 1988;56(6):893–7.CrossRefPubMed Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol. 1988;56(6):893–7.CrossRefPubMed
24.
go back to reference Kaviani H, Mousavi AS. Psychometric properties of the Persian version of Beck anxiety inventory (BAI). Tehran Univ Med J. 2008;66(2):136–40. Kaviani H, Mousavi AS. Psychometric properties of the Persian version of Beck anxiety inventory (BAI). Tehran Univ Med J. 2008;66(2):136–40.
25.
go back to reference Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961;4(6):561–71.CrossRefPubMed Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961;4(6):561–71.CrossRefPubMed
26.
go back to reference Hamidi R, Fekrizadeh Z, Azadbakht M, Garmaroudi G, Taheri Tanjani P, Fathizadeh S, et al. Validity and reliability Beck depression inventory-II among the Iranian elderly population. J Sabzevar Univ Med Sci. 2015;22(1):189–98. Hamidi R, Fekrizadeh Z, Azadbakht M, Garmaroudi G, Taheri Tanjani P, Fathizadeh S, et al. Validity and reliability Beck depression inventory-II among the Iranian elderly population. J Sabzevar Univ Med Sci. 2015;22(1):189–98.
27.
go back to reference Floyd FJ, Widaman KF. Factor analysis in the development and refinement of clinical assessment instruments. Psychol Assess. 1995;7(3):286–99.CrossRef Floyd FJ, Widaman KF. Factor analysis in the development and refinement of clinical assessment instruments. Psychol Assess. 1995;7(3):286–99.CrossRef
28.
go back to reference Nunnally JC, Bernstein IH. Psychometric theory. New York: McGraw-Hill; 1994. Nunnally JC, Bernstein IH. Psychometric theory. New York: McGraw-Hill; 1994.
29.
go back to reference Sterne JA, White IR, Carlin JB, Spratt M, Royston P, Kenward MG, Wood AM, Carpenter JR. Multiple imputation for missing data in epidemiological and clinical research: potential and pitfalls. BMJ. 2009;338:b2393.CrossRefPubMedPubMedCentral Sterne JA, White IR, Carlin JB, Spratt M, Royston P, Kenward MG, Wood AM, Carpenter JR. Multiple imputation for missing data in epidemiological and clinical research: potential and pitfalls. BMJ. 2009;338:b2393.CrossRefPubMedPubMedCentral
30.
go back to reference Molde H, Hynninen KM, Torsheim T, Bendixen AB, Engedal K, Pachana NA, Nordhus IH. A Bifactor and item response analysis of the geriatric anxiety inventory. Int Psychogeriatr. 2017;29(10):1647–56.CrossRefPubMed Molde H, Hynninen KM, Torsheim T, Bendixen AB, Engedal K, Pachana NA, Nordhus IH. A Bifactor and item response analysis of the geriatric anxiety inventory. Int Psychogeriatr. 2017;29(10):1647–56.CrossRefPubMed
31.
go back to reference Dawood S. Caregiver burden, quality of life and vulnerability towards psychopathology in caregivers of patients with dementia/Alzheimer’s disease. J Coll Physicians Surg Pak. 2016;26(11):892–5.PubMed Dawood S. Caregiver burden, quality of life and vulnerability towards psychopathology in caregivers of patients with dementia/Alzheimer’s disease. J Coll Physicians Surg Pak. 2016;26(11):892–5.PubMed
Metadata
Title
Psychometric characteristics of the Iranian Caregiver Burden Inventory (CBI) in caregivers of elderly patients with Alzheimer
Authors
Akram Shafiezadeh
Majideh Heravi-Karimooi
Amin Mirzaee
Nahid Rejeh
Hamid Sharif Nia
Ali Montazeri
Publication date
01-12-2020
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2020
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-020-01509-7

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