title: Dimensional analysis of burden in family caregivers of patients with obsessive-compulsive disorder.
abstract: OBJECTIVE
  Obsessive-compulsive disorder (OCD) also generates emotional burden in the patient's family members, but no study has evaluated the specific dimensions of burden. The objectives were to evaluate the dimensions of the Zarit Burden Interview (ZBI) and possible correlates.
  
  
  METHODS
  This was a cross-sectional study involving 47 patients and 47 caregivers, using a sociodemographic questionnaire; the ZBI; the Self Reporting Questionnaire; the Family Accommodation Scale; and the Yale-Brown Obsessive-Compulsive Scale. The ZBI factor analysis was conducted using Varimax Rotation.
  
  
  RESULTS
  Six factors were identified, explaining 74.2% of the total variance: factor 1, interference in the caregiver's personal life (36.6% of the variance); factor 2, perception of patient's dependence (10.8%); factor 3, feelings of irritation or intolerance (9.2%); factor 4, guilt (7.2%); factor 5, insecurity (5.6%); and factor 6, embarrassment (4.8%). The six ZBI factors were associated with greater OCD severity and with greater accommodation to the patient's symptoms, and factors 1, 2, 5 and 6 with caregiver's psychological morbidity. Caregiver's sex (female) was associated with factors 5 and 6, relationship with the patient (being a parent or son/daughter) with factor 5, higher educational level with factor 6, living with the patient with factor 3, worse self-evaluation of health with factors 1, 5 and 6, and occupational status (not working) with factors 1, 2, 5 and 6.
  
  
  CONCLUSIONS
  The dimensions of burden identified indicate the most affected aspects of a caregiver's life and could guide the planning of more specific interventions. Thus, the caregiver could participate more effectively in the OCD patient's treatment, with a lower impact on his/her life.
authors: Department of Neurology, Psychology and Psychiatry, Botucatu Medical School Botucatu Medical School, Institute of Biosciences, Univ Estadual Paulista, Botucatu, SP, Brazil. torresar@fmb.unesp.br
authors: Albina Rodrigues
authors: AR
authors: Torres
authors: Natália Travenisk
authors: NT
authors: Hoff
authors: Carlos Roberto
authors: CR
authors: Padovani
authors: Ana Teresa de Abreu
authors: AT
authors: Ramos-Cerqueira
mesh_terms: D000328:Adult; D017028:Caregivers / Q000523:psychology*; D017281:Cost of Illness; D003430:Cross-Sectional Studies; D005163:Factor Analysis, Statistical; D005190:Family / Q000523:psychology*; D005260:Female; D006167:Guilt; D006801:Humans; D008297:Male; D008875:Middle Aged; D009771:Obsessive-Compulsive Disorder / Q000451:nursing*; D012720:Severity of Illness Index; D012737:Sex Factors; D011795:Surveys and Questionnaires