title: Caregiver burden and psychological distress in partners of veterans with chronic posttraumatic stress disorder.
abstract: Caregiver burden and psychological distress were examined in a sample of 71 partners of Vietnam War combat veterans. Partners of patients (n = 51) diagnosed with posttraumatic stress disorder (PTSD) experienced more caregiver burden and had poorer psychological adjustment than did partners of veterans without PTSD (n = 20). Among PTSD caregivers, patient PTSD symptom severity and level of interpersonal violence were associated with increased caregiver burden. When accounting for patient PTSD symptom severity, hostility, presence of major depression, level of interpersonal violence, and health complaints, only PTSD severity was uniquely associated with caregiver burden. Caregiver sociodemographic factors including age, race, education, and the availability of social support, did not moderate the relationship between PTSD symptom severity and caregiver burden. Caregiver burden was strongly related to spouse psychological adjustment.
authors.affiliation: Health Services Research, VA Medical Center, Durham, North Carolina 27705, USA. calho002@mc.duke.edu
authors.forename: Patrick S
authors.initials: PS
authors.lastname: Calhoun
authors.forename: Jean C
authors.initials: JC
authors.lastname: Beckham
authors.forename: Hayden B
authors.initials: HB
authors.lastname: Bosworth
mesh_terms: D000223:Adaptation, Psychological; D017028:Caregivers / Q000523:psychology*; D016022:Case-Control Studies; D002908:Chronic Disease; D003130:Combat Disorders / Q000175:diagnosis / Q000523:psychology*; D017281:Cost of Illness; D005260:Female; D006791:Hostility; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D009657:North Carolina; D012720:Severity of Illness Index; D012944:Social Support; D012959:Socioeconomic Factors; D018454:Spouses / Q000523:psychology*; D013315:Stress, Psychological / Q000175:diagnosis / Q000209:etiology* / Q000523:psychology*; D014728:Veterans / Q000523:psychology*; D014744:Vietnam; D014754:Violence / Q000523:psychology