title: Burden in caregivers of cognitively impaired elderly adults at time of hospitalization: a cross-sectional analysis.
abstract: OBJECTIVE
  To describe the factors associated with burden that caregivers of cognitively impaired older adults (dementia, delirium, or both) at the time of hospitalization experienced.
  
  
  METHODS
  Cross-sectional data analyses.
  
  
  METHODS
  Three hospitals-one academic tertiary hospital and two associated community hospitals.
  
  
  METHODS
  Caregivers (N = 495) of cognitively impaired older adults at the time of hospital admission.
  
  
  METHODS
  Multivariable linear regression was performed to analyze the effect of the independent variables (caregiver: demographic characteristics, depressive symptoms, self-efficacy; older adult: neuropsychiatric symptoms, delirium, functional deficits) on caregiver burden.
  
  
  RESULTS
  Higher burden was associated with younger caregiver age (P = .02), being a spouse (P = .03), depressive symptoms (P < .001), caregivers' lower perceived self-efficacy in managing care recipient symptoms (P = .002), and limited finances at the end of the month (P = .01). Caregiver burden was also strongly associated with the care recipient factors distressing neuropsychiatric symptoms (P = .001), delirium (P = .001), and greater functional deficits in basic activities of daily living (P = .001).
  
  
  CONCLUSIONS
  These findings suggest that caregivers of older adults who were cognitively impaired at hospital admission experience burden. Understanding the factors that contribute to burden at the time of hospitalization for caregivers of persons with cognitive impairment can inform the development of interventions targeted throughout the hospitalization that have the potential to decrease burden.
authors: Boston Medical Center, Boston, Massachusetts; School of Medicine, Boston University, Boston, Massachusetts.
authors: Kalpana N
authors: KN
authors: Shankar
authors: Karen B
authors: KB
authors: Hirschman
authors: Alexandra L
authors: AL
authors: Hanlon
authors: Mary D
authors: MD
authors: Naylor
mesh_terms: D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002055:Burnout, Professional / Q000453:epidemiology* / Q000523:psychology; D017028:Caregivers / Q000523:psychology*; D003072:Cognition Disorders / Q000451:nursing*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D014481:United States / Q000453:epidemiology; D055815:Young Adult
keywords: caregiver burden; dementia; hospitalization; self-efficacy