title: Subjective and objective caregiver burden in Parkinson's disease.
abstract: OBJECTIVE
  Parkinson's disease (PD) is a common neurodegenerative disorder characterized by motor disabilities and increasing dependence on others for daily life activities with consequent impact on patients' and caregivers' quality of life. The aim of this study was to elucidate the burden on primary caregivers of patients with PD, and identify related factors.
  
  
  METHODS
  A cross-sectional descriptive study. Seventy-six primary caregivers of PD patients in a neurology outpatient clinic, Seoul, Korea completed structured questionnaires, of which 68 were analyzed. The structured self-report questionnaire included (1) demographic information on the caregivers, (2) information regarding the disease characteristics of the patients, and (3) the subjective and objective caregiver burdens as assessed on Montgomery, Gonyea, & Hooyman's scale.
  
  
  RESULTS
  The mean age of the caregivers was 54.56 years, and spouses represented the largest proportion(47.0%). Caregivers of PD patients experienced high levels of burden (mean scores on the subjective and objective burdens were 45.22 and 34.90, respectively), which were comparable to the caregiver burdens in stroke, and higher than the caregiver burdens in general chronic disease. Older caregivers and spousal caregivers experienced significantly higher burdens (p=.004 and p=.019, respectively). A greater motor disability and higher modified Hoehn and Yahr grade were related to higher caregiver burden (p=.001 and p=.018, respectively).
  
  
  CONCLUSIONS
  Caring for PD patients is associated with a high level of caregiver burden. Therefore, healthcare professionals should identify the burden of caregivers who look after PD patients and develop comprehensive management strategies both for patients and their caregivers.
authors: The Research Institute of Nursing Science, Seoul National University, Seoul, Korea.
authors: Keum Soon
authors: KS
authors: Kim
authors: Bog Ja
authors: BJ
authors: Kim
authors: Kyung Hee
authors: KH
authors: Kim
authors: Myoung-Ae
authors: MA
authors: Choe
authors: Myungsun
authors: M
authors: Yi
authors: Yang-Sook
authors: YS
authors: Hah
authors: Sun Ju
authors: SJ
authors: Chung
authors: So-Hi
authors: SH
authors: Kwon
mesh_terms: D000328:Adult; D000368:Aged; D017028:Caregivers / Q000523:psychology; D017281:Cost of Illness; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007723:Korea; D008297:Male; D008875:Middle Aged; D010300:Parkinson Disease; D011788:Quality of Life