Family caregiver quality of life in multiple sclerosis among Kuwaitis: a controlled study.

Research interest in the quality of life (QOL) of persons with multiple sclerosis (MS) has been spurred by the need to broaden outcome measures. Far less of this interest has been directed at the family caregivers, who bear most of the burden of care. The objectives of the study were: First, to comp...

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Publicado en:BMC Health Services Research Vol. 8; pp. 206 - 207
Autores principales: Alshubaili AF, Ohaeri JU, Awadalla AW, Mabrouk AA
Formato: research Journal Article
Publicado: BioMed Central 2008
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2008
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      pid: 24147
      pub: BioMed Central
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        105530493
        105530493
        2010273639
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        105530493
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        atl: Family caregiver quality of life in multiple sclerosis among Kuwaitis: a controlled study.
      aug:
        au:
          Alshubaili AF
          Ohaeri JU
          Awadalla AW
          Mabrouk AA
        affil: Department of Psychiatry, Psychological Medicine Hospital, Gamal Abdul Naser Road, PO Box 4081, Safat, 13041, Kuwait. alshubaili@hotmail.com
      sug:
        subj:
          Attitude to Health Ethnology
          Caregivers Psychosocial Factors
          Economic Aspects of Illness
          Home Nursing Psychosocial Factors
          Multiple Sclerosis
          Quality of Life
          Adult
          Caregivers Education
          Culture
          Depression Epidemiology
          Persons with Disabilities Psychosocial Factors
          Female
          Kuwait
          Male
          Middle Age
          Outpatient Service
          Psychometrics
          Questionnaires
          Sickness Impact Profile
          Social Values
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Research interest in the quality of life (QOL) of persons with multiple sclerosis (MS) has been spurred by the need to broaden outcome measures. Far less of this interest has been directed at the family caregivers, who bear most of the burden of care. The objectives of the study were: First, to compare the subjective QOL of family caregivers of persons with relapsing remitting and progressive MS, with those of a matched general population sample and caregivers of diabetes and psychiatric patients. Second, to assess the relationship of QOL with caregiver attitudes to MS and patient's variables.~Background~Background~Consecutive MS clinic attendees were assessed with the 26 - item WHOQOL Instrument, and for depression and disability. Similarly, caregivers independently rated their own QOL as well as their impression of patients' QOL and attitudes to patients' illness.~Methods~Methods~The 170 caregivers, mean age 35.7 years, had no significant diagnostic differences in QOL domain scores and attitudes to MS. Caregivers had significantly lower QOL than the general population control group for five out of six domains and the general facet (P < 0.01), but higher QOL than the patients. When the scores were corrected for patients' depression and disability, caregivers had similar QOL with the general population group for four domains. Using corrected scores, MS caregivers had lower scores than diabetic and psychiatric caregivers in the physical, psychological and social relations domains. Majority expressed negative attitudes to MS. Caregiver QOL was more affected by their fear of having MS than their feelings about the illness and caregiving role. Caregiver attitudes had mostly no significant impact on their proxy ratings of patients' QOL. The significant predictor of caregivers' overall QOL was their impression of patients' QOL.~Results~Results~Caregivers need specific attention if they are less educated, unemployed, afraid of having MS and caring for patients with longer duration of illness and less education. In particular, attention to patients' depression and disability could improve caregivers' QOL. Caregivers need specific programs to address fear of having MS, negative attitudes to illness and their unmet needs.~Conclusion~Conclusions
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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