Self-reported medical morbidity among informal caregivers of chronic illness: the case of cancer.
OBJECTIVE
Informal care provided by family and friends of patients with chronic illness, such as cancer, makes an invaluable contribution to the medical system and to society, yet it also imposes challenges that result in increased morbidity and mortality of the caregivers. Researchers studying this topic confront major difficulties in acquiring information about caregivers' morbidity from medical records, a procedure that is costly and time consuming.


METHODS
As an alternative, we developed a brief self-administered measure of morbid conditions for informal caregivers of persons with medical illness. We tested the measure, named the Morbidities Index for Caregivers of Chronic Illnesses (MICCI), using a large cancer caregiver sample (N = 774).


RESULTS
The validity of the MICCI was supported by evidence that self-reports of the majority of morbidities were related to well-known demographic correlates of such morbidities, such as older age and being male, and that overall scores are related to widely used indicators of health status of medical populations as measured by the MOS SF. Caregivers reported an average of 4.5 morbid conditions. A higher number of morbidities were predicted by caregivers' poorer physical and mental health scores on the MOS.


CONCLUSIONS
MICCI has the advantage of providing both an overall index of morbidities and information about specific diagnostic categories that are of potential interest to researchers.
Department of Psychology, University of Miami, 5665 Ponce de Leon Blvd., Coral Gables, FL 33146, USA. ykim@miami.edu
Youngmee
Y
Kim
Charles S
CS
Carver
Rachel S
RS
Cannady
Kelly M
KM
Shaffer
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers / Q000523:psychology* / Q000706:statistics & numerical data; D002908:Chronic Disease / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D009017:Morbidity; D009369:Neoplasms / Q000150:complications / Q000523:psychology*; D011237:Predictive Value of Tests; D015995:Prevalence; D011788:Quality of Life; D015203:Reproducibility of Results; D057566:Self Report; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires