title: Stroke survivors' behavioral and psychologic symptoms are associated with informal caregivers' experiences of depression.
abstract: OBJECTIVE
  To determine the impact of stroke survivors' behavioral and psychologic symptoms (BPS) on informal caregivers' experience of depression in the context of the caregiving situation.
  
  
  METHODS
  Cross-sectional survey using a structured quantitative interview.
  
  
  METHODS
  Rehabilitation facility outpatient clinic, tertiary care facility outpatient clinic, and community care organizations.
  
  
  METHODS
  Ninety-four informal caregivers to stroke survivors completed standardized measurement instruments.
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  Measurement instruments included the Center for Epidemiological Studies Depression Scale, Brain Impairment Behavior Inventory-Revised, Caregiver Assistance Scale, Caregiving Impact Scale, and Mastery scale.
  
  
  RESULTS
  A substantial percentage (44.7%) of caregivers were at risk of clinical depression. Caregivers experienced more depression symptoms when they cared for stroke survivors exhibiting more BPS of memory and comprehension difficulties, provided less assistance, experienced more lifestyle interference, and had lower mastery (F(5,85)=26.02, P<.001, adjusted R(2)=.58).
  
  
  CONCLUSIONS
  BPS exhibited by stroke survivors contribute to informal caregivers' experience of depression. These results can assist rehabilitation professionals to identify informal care providers who are at greater risk of experiencing emotional distress and, therefore, may benefit from intervention.
authors.affiliation: Toronto Rehabilitation Institute, University of Toronto, ON, Canada.
authors.forename: Jill I
authors.initials: JI
authors.lastname: Cameron
authors.forename: Angela M
authors.initials: AM
authors.lastname: Cheung
authors.forename: David L
authors.initials: DL
authors.lastname: Streiner
authors.forename: Peter C
authors.initials: PC
authors.lastname: Coyte
authors.forename: Donna E
authors.initials: DE
authors.lastname: Stewart
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D017028:Caregivers / Q000523:psychology*; D003430:Cross-Sectional Studies; D003625:Data Collection; D003863:Depression / Q000209:etiology*; D005260:Female; D006801:Humans; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D011788:Quality of Life; D020521:Stroke / Q000523:psychology*; D000071939:Stroke Rehabilitation; D017741:Survivors