A Harmful Care: The Association of Informal Caregiver Burnout With Depression, Subjective Health, and Violence

2021 ◽  
pp. 088626052098325
Author(s):  
Pierre Gérain ◽  
Emmanuelle Zech
Keyword(s):  
Informal Caregiver ◽  
Physical Violence ◽  
Informal Caregivers ◽  
Warning Signal ◽  
Subjective Health ◽  
Cross Sectional Study ◽  
Care Recipient ◽  
Psychological Violence ◽  
Cross Sectional ◽  
Caregiver Burnout

Providing informal care to a relative can lead to informal caregiver burnout, which is expected to lead to deleterious consequences. Among these consequences lie the risk of perpetrating violent behaviors against the care-recipient, the caregivers’ risk of depression, and their low subjective health. To investigate these associations, a sample of 499 informal caregivers completed a questionnaire addressing informal caregiver burnout, depression, subjective health, and violence. Hierarchical regression models were used to investigate the potential association of burnout with these potential consequences, while controlling for sociodemographic variables and received violence. The results show that burnout, and especially emotional exhaustion, is significantly associated with depression, low subjective health, and perpetrated physical violence, but not with perpetrated psychological violence. For both psychological and physical violence, it appears that receiving violence is one of the best predictors of perpetrating violence. With these results, this cross-sectional study confirms the association of informal caregiver burnout with deleterious consequences—even if this observation must be pondered—and the central role of received violence in predicting perpetrated violence, suggesting the risk of violence escalation. The implications of these results suggest that the emotional state of informal caregivers is one of the indicators of potential deleterious consequences and should, as such, be considered as a warning signal by field workers.

scholarly journals Workplace violence against healthcare professionals in a multiethnic area: a cross-sectional study in southwest China

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e037464
Author(s):  
Haonan Jia ◽  
Huiying Fang ◽  
Ruohui Chen ◽  
Mingli Jiao ◽  
Lifeng Wei ◽  
...  
Keyword(s):  
Ethnic Minority ◽  
Workplace Violence ◽  
Healthcare Professionals ◽  
Minority Groups ◽  
Physical Violence ◽  
Cross Sectional Study ◽  
Security Measures ◽  
Psychological Violence ◽  
Sectional Study ◽  
Cross Sectional

ObjectiveThe purpose of this study is to examine workplace violence (WPV) towards healthcare professionals in a multiethnic area in China, including prevalence, influencing factors, healthcare professionals’ response to WPV, expected antiviolence training measures and content, and evaluation of WPV interventions.DesignA cross-sectional study.SettingA grade III, class A hospital in the capital of Yunnan Province, which is the province with the most diverse ethnic minority groups in China.ParticipantsIn total, 2036 healthcare professionals participated, with a response rate of 83.79%.ResultsThe prevalence of physical and psychological violence was 5.5% and 43.7%, respectively. Healthcare professionals of ethnic minority were more likely to experience psychological violence (OR=1.54, 95% CI 1.16 to 2.05). Stratified by gender, male healthcare professionals of ethnic minority suffered from more physical violence (OR=3.31, 95% CI 1.12 to 9.79), while female healthcare professionals suffered from psychological violence (OR=1.71, 95% CI 1.24 to 2.36). We also found a unique work situation in China: overtime duty on-call work (18:00–07:00) was a risk factor for psychological violence (OR=1.40, 95% CI 1.02 to 1.93). Healthcare professionals of ethnic minority are less likely to order perpetrators to stop or to report to superiors when faced with psychological violence. They are also more interested in receiving training in force skills and self-defence. Both Han and ethnic minority participants considered security measures as the most useful intervention, while changing the time of shift the most useless one.ConclusionOur study comprehensively described WPV towards healthcare professionals in a multiethnic minority area. More research on WPV conducted in multiethnic areas is needed.

scholarly journals Prevalence, Pattern and Risk Factors of Dating Violence among Undergraduate Students of a Tertiary Institution within Sokoto Metropolis of Sokoto State, Nigeria

2021 ◽  
pp. 12-26
Author(s):  
Habibullah Adamu ◽  
Oche Mansur Oche ◽  
Muhammad Aisha Isah ◽  
Sahabi Abubakar Muhammad ◽  
Akilu Abdullahi
Keyword(s):  
Risk Factors ◽  
Dating Violence ◽  
Undergraduate Students ◽  
Physical Violence ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Lifetime Prevalence ◽  
Psychological Violence ◽  
Tertiary Institution ◽  
Cross Sectional

Aim: To determine the prevalence, pattern and risk factors of dating violence among undergraduate students of Usmanu Danfodiyo University Sokoto (UDUS). Methodology: It was a descriptive cross-sectional study involving 340 undergraduate students, selected via multistage sampling technique. A structured self-administered questionnaire was used to collect data from the respondents, and data were analyzed using IBM SPSS version 26.0 and Microsoft Excel 2016. Results: The ages of the respondents ranged from 18 to 29 years, with mean of 22.4±2 years; 218(66.9%) were males, 214(65.6%) were Hausa/Fulani and 266(81.9%) were Muslims. Majority of the respondents have been in a dating relationship for more than one academic year; 106(37.3%) of the dating partners were students of the university, of which 26(24.8%) were class mates. Current and lifetime prevalence of dating violence were 56% and 59.5% respectively. Form of dating violence experienced mostly by respondents was emotional/psychological violence [44(22.4%)], physical violence was the least experienced [27(14.04%)]. Up to 93(48%) of the dating violence took place on campus and 68(35%) of the perpetrators were current partners. Factors associated with dating violence included feeling overburdened by partners’ demands, and spending too much on partner. Conclusion: Current and lifetime prevalence of dating violence were high and emotional violence was the commonest form of dating violence experienced by respondents. There is need for school authorities to put in place mechanisms to identify victims of dating violence and come up with measures aimed at stemming the tide of dating violence in university campuses.

scholarly journals Needs and skills of informal caregivers to care for a dependent person: a cross-sectional study

2019 ◽  
Author(s):  
Maria Dixe ◽  
Liliana Teixeira ◽  
Timoteo Areosa ◽  
Roberta Frontini ◽  
Teresa Peralta ◽  
...  
Keyword(s):  
Informal Caregiver ◽  
Medication Management ◽  
Hospital Readmissions ◽  
Informal Caregivers ◽  
Self Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Average Life Expectancy ◽  
Cross Sectional ◽  
Face To Face

Abstract Background: The world is facing many socio-demographic changes, such as an increased average life expectancy and the presence of chronic and non-communicable diseases, which in turn, leads to an enhanced dependency on others. Consequently, the demand for informal caregivers has significantly increased during the past few years. Caring for a dependent person is linked to a series of burdens that often leads to physical, psychological and emotional difficulties. Taking into consideration the difficulties faced by informal caregivers, knowing in which areas of functioning they need more guidance may help to relieve their burden. Therefore, the main goal of this study is to better understand the needs and competencies of the informal caregiver when caring for a dependent person in the different self-care domains. Methods: cross-sectional study using face-to-face interviews. Descriptive and inferential statistics alongside non-parametric statistical techniques such as the Mann-Whitney test and Spearman’s correlation were used. Results: The average age of the informal caregivers is 58 years old, with the youngest in our sample being 21 years of age. Most of them are female, and 50% of them are children taking care of one of their parents. Most of the dependent people are completely dependent in the areas of comfort and hygiene (53.8%) and medication management (55.9%). The female informal caregivers see themselves as having more competencies in sanitary hygiene than the male ones, with no significant differences in their competencies’ perception in the other areas of self-care. Older caregivers see themselves as less competent in certain areas of self-care such as feeding, mobility, transfers, medication and symptoms management and communication. Most part of the information given to the informal caregiver is about the disease (82.3%) and about the medication management (80.4%). There are still a lot of areas of self-care, where no information, or almost none, is given to the informal caregivers. Conclusions: Prior to home discharge of a dependent person, it is important to acknowledge the needs and competencies of the informal caregiver, to capacitate them in looking after their relatives, in order to help decrease their burden and consequently, decrease the number of hospital readmissions.

scholarly journals Violence Experience among Immigrants and Refugees: A Cross-Sectional Study in Italy

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Francesco Napolitano ◽  
Luciano Gualdieri ◽  
Gabriella Santagati ◽  
Italo Francesco Angelillo
Keyword(s):  
Partner Violence ◽  
Physical Violence ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Psychological Consequences ◽  
Psychological Violence ◽  
Cross Sectional ◽  
Immigrants And Refugees ◽  
Face To Face ◽  
Different Characteristics

The objectives of this cross-sectional investigation among a random sample of immigrants and refugees in Italy were to gain an insight into the extent and type of the episodes of violence and to assess their association with different characteristics. Data was collected from September 2016 to July 2017 using a face-to-face structured interview. A total of 503 subjects participated. Overall, 46.5% and 40% of the sample reported having experienced some form of violence in Italy at least once since they arrived and during the last 12 months. Psychological violence was the most common form experienced by 53.2% of the participants, 40.3% experiencing physical violence, 18.9% economic violence, and only 6.5% intimate partner violence. The risk of experiencing at least one form of violence in the last 12 months in Italy was more likely to occur among immigrants who have been in Italy much longer and less likely in those who lived in a camp. The number of episodes of violence experienced since they arrived in Italy was significantly higher in female, in those who have been in Italy much longer and in those who had experienced at least one racially discriminatory episode of violence, whereas those with middle and high school or above educational level and those who did not experience psychological consequences of the violence had experienced a lower number of episodes. These results must be used to strengthen interventions and policies aimed at preventing violence among this population.

scholarly journals Informal caregiver burden and influencing factors in gynaecological oncology patients hospitalized for chemotherapy: a cross-sectional study

2020 ◽  
Vol 48 (11) ◽  
pp. 030006052097492
Author(s):  
Yan Zuo ◽  
Bi-Ru Luo ◽  
Wen-Tao Peng ◽  
Xin-Ru Liu ◽  
Ya-Lin He ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Influencing Factors ◽  
Caregiver Burden ◽  
Informal Caregiver ◽  
Informal Caregivers ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Oncology Patients ◽  
Cross Sectional ◽  
Gynaecological Oncology

Objective To determine the level and influencing factors of informal caregiver burden in gynaecological oncology inpatients receiving chemotherapy. Methods This cross-sectional study enrolled gynaecological oncology patients and their informal caregivers between May 2018 and November 2018 and measured the caregivers’ burden using the Caregiver Burden Inventory. The influencing factors were evaluated with univariate regression analysis and multivariate linear stepwise regression analysis. Results A total of 138 patients and their informal caregivers completed the questionnaire. The mean ± SD total informal caregiver burden score was 53.18 ± 10.97. The highest mean ± SD score was recorded in the dimension of time-dependent burden (14.28 ± 2.74), followed by developmental burden (13.65 ± 2.15), physical burden (10.52 ± 2.07), social burden (7.61 ± 2.58) and emotional burden (7.12 ± 1.43). Multivariate analysis showed that the informal caregiver’s sex, relationship to the patient, daily duration of care, presence of chronic health problems and the duration of the patient’s disease were factors influencing the level of caregiver burden. Conclusions The informal caregivers of gynaecological cancer patients hospitalized for chemotherapy experience a moderate level of burden. Nursing measures should be considered to reduce informal caregiver burden and improve the quality of lives of both patients and their caregivers.

scholarly journals Violence against women before and during gestation: differences in prevalence rates and perpetrators

2020 ◽  
Vol 20 (2) ◽  
pp. 491-501
Author(s):  
Marizélia Rodrigues Costa Ribeiro ◽  
Bianca Portela Teles Pessoa ◽  
Galvani Ascar Sauaia ◽  
Lilia Blima Schraiber ◽  
Rejane Christine de Sousa Queiroz ◽  
...  
Keyword(s):  
Sexual Violence ◽  
Violence Against Women ◽  
Physical Violence ◽  
Cross Sectional Study ◽  
Intimate Partner ◽  
Psychological Violence ◽  
Community Members ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test

Abstract Objectives: to analyze differences in prevalence and perpetrators of violence against women before and during pregnancy. Methods: this is a cross-sectional study with a sample of 1,446 pregnant women interviewed in 2010 and 2011 in the São Luís municipality (Brazil). Thirteen questions measured psychological, physical and sexual violence in the 12 months before and during pregnancy. Psychological/physical/sexual violence was defined as any type of violence perpetrated against the interviewees. The perpetrators were categorized into intimate partner, other family members, community members, and multiple perpetrators. Differences between violence before and during pregnancy were analyzed by the chi-square test. Results: psychological/physical/sexual and psychological violence were more prevalent during pregnancy than before gestation (p<0.001). Insults, humiliation and intimidation (p<0.05) were more frequently reported during pregnancy. An intimate partner was the most frequent perpetrator. There were no differences in the percentage of moderate and severe forms of physical violence and sexual violence, recurrence of aggressions and perpetrators in both periods (p>0.05). Conclusions: gestation did not protect users of prenatal services in São Luís municipality from psychological, physical and sexual violence. Psychological/physical/sexual and psychological violence were more commonly practiced during pregnancy. The perpetrators of violence in the year before gestation continued to abuse the interviewees during pregnancy

scholarly journals Needs and skills of informal caregivers to care for a dependent person: a cross-sectional study

2019 ◽  
Author(s):  
Maria Dixe ◽  
Liliana Teixeira ◽  
Timoteo Areosa ◽  
Roberta Frontini ◽  
Teresa Peralta ◽  
...  
Keyword(s):  
Informal Caregiver ◽  
Medication Management ◽  
Hospital Readmissions ◽  
Informal Caregivers ◽  
Self Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Average Life Expectancy ◽  
Cross Sectional ◽  
Face To Face

Abstract Background: The world is facing many socio-demographic changes, such as an increased average life expectancy and the presence of chronic and non-communicable diseases, which in turn, leads to an enhanced dependency on others. Consequently, the demand for informal caregivers has significantly increased during the past few years. Caring for a dependent person is linked to a series of burdens that often leads to physical, psychological and emotional difficulties. Taking into consideration the difficulties faced by informal caregivers, knowing in which areas of functioning they need more guidance may help to relieve their burden. Therefore, the main goal of this study is to better understand the needs and competencies of the informal caregiver when caring for a dependent person in the different self-care domains. Methods: cross-sectional study using face-to-face interviews. Descriptive and inferential statistics alongside non-parametric statistical techniques such as the Mann-Whitney test and Spearman’s correlation were used. Results: The average age of the informal caregivers is 58 years old, with the youngest in our sample being 21 years of age. Most of them are female, and 50% of them are children taking care of one of their parents. Most of the dependent people are completely dependent in the areas of comfort and hygiene (53.8%) and medication management (55.9%). The female informal caregivers see themselves as having more competencies in sanitary hygiene than the male ones, with no significant differences in their competencies’ perception in the other areas of self-care. Older caregivers see themselves as less competent in certain areas of self-care such as feeding, mobility, transfers, medication and symptoms management and communication. Most part of the information given to the informal caregiver is about the disease (82.3%) and about the medication management (80.4%). There are still a lot of areas of self-care, where no information, or almost none, is given to the informal caregivers. Conclusions: Prior to home discharge of a dependent person, it is important to acknowledge the needs and competencies of the informal caregiver, to capacitate them in looking after their relatives, in order to help decrease their burden and consequently, decrease the number of hospital readmissions.

Lifetime experiences of violence against women and men in Sweden

2020 ◽  
pp. 140349482094507
Author(s):  
Mariella Öberg ◽  
Gun Heimer ◽  
Steven Lucas
Keyword(s):  
Sexual Violence ◽  
Violence Against Women ◽  
Physical Violence ◽  
National Sample ◽  
Cross Sectional Study ◽  
Psychological Violence ◽  
Swedish Population ◽  
Cross Sectional ◽  
Lifetime Exposure ◽  
Physical And Psychological Violence

Aims: The aims of this cross-sectional study were to examine the prevalence of lifetime exposure to sexual, physical and psychological violence among a representative sample of women and men in Sweden, and to analyze if there were gender differences regarding the types of violence the participants were exposed to and by whom it was perpetrated. Methods: A survey containing questions about lifetime experiences of sexual, physical and psychological violence was sent to a national sample of 10,000 women and 10,000 men aged 18–74; 56.8% of the women and 46.5% of the men agreed to participate. Results: Sexual violence in childhood was reported by 26.4% of women and 22.1% experienced sexual violence in adulthood. Among men, 11% disclosed experiences of sexual violence in childhood and 4.5% in adulthood. Physical violence was experienced by 39.3% of women in childhood and by 18.8% as adults, often by a present or former partner. Among men, 59.3% were exposed to physical violence during childhood, often by a peer, and 20.4% as adults. Psychological violence in childhood was experienced by 58.1% of women in childhood and by 21.8% in adulthood. Among male respondents, 69.2% reported experiences of physiological violence in childhood, often by a peer, and 9.4% in adulthood. Conclusions: Lifetime violence exposure is common in the Swedish population. Though it affects both women and men, the patterns of type of violence and perpetrators are different. The results suggest that violence prevention early in life is important to target.

scholarly journals Profile and needs of primary informal caregivers of older patients in Belgian geriatric day hospitals: a multicentric cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
C. Eyaloba ◽  
I. De Brauwer ◽  
S. Cès ◽  
F. Benoit ◽  
S. Gillain ◽  
...  
Keyword(s):  
Leisure Time ◽  
Informal Caregivers ◽  
Subjective Health ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Subjective Health Status ◽  
Cross Sectional ◽  
High Burden ◽  
Self Rated Health ◽  
Day Hospitals

Abstract Background With the improvement of life expectancy, the world faces increasing demands for care of older persons. In this manuscript, we define the characteristics of primary informal caregivers (PIC) of patients aged 75 years and older admitted to geriatric day hospitals (GDH) in Belgium. A PIC is defined as the person who most often provides care and assistance to persons who need to be cared for. We describe PIC socio-demographic characteristics, satisfaction, burden and wishes about caring; the type of assistance provided and received, their self-rated health, socio-demographic and medical characteristics of proxies, in particular the presence of behavioural disorders. Methods We conducted a cross-sectional study in 25 GDH. Participants Four hundred seventy-five PIC of patients ≥75 years and their proxies. PIC completed a questionnaire at the GDH assessing burden by Zarit Burden Index-12 (ZBI-12), self-rated health, social restriction due to caregiving and financial participation. We compared the characteristics of PIC with high and low burden, and the characteristics of spouses and adult children PIC. We also analyzed factors associated with a high burden in a multivariable logistic regression model. Results PIC were mainly women (72%), adult children (53.8%) and spouses (30.6%). The mean age was 64 ± 14 years for PIC and 84 ± 5 years for care recipients. PIC helped for most of Activities in Daily Living (ADL) and Instrumental ADL (iADL). The median ZBI-12 score was 10 [IQR 5–18]. In multivariable regression analysis, a high burden was positively associated in the total group with living with the relative (p = 0.045), the difficulty to take leisure time or vacation (p <  0.001), behavioral and mood disorders (p <  0.001;p = 0.005), and was negatively associated with bathing the relative (p = 0.017) and a better subjective health status estimation (p <  0.001). Conclusion Primary informal caregivers, who were predominantly women, were involved in care for ADL and iADL. A high burden was associated with living with the relative, the difficulty to take leisure time or vacation and the relative’s behavioral and mood disorders. Bathing the relative and a subjective health status estimated as good as or better than people the same age, were protective factors against a high burden.

scholarly journals Domestic Violence and Postpartum Depression

Jurnal NERS ◽  
2020 ◽  
Vol 15 (2) ◽  
pp. 135
Author(s):  
Winnellia Fridina Sandy ◽  
Djaswadi Dasuki ◽  
Elli Nur Hayati ◽  
Suhariyanto Suhariyanto
Keyword(s):  
Domestic Violence ◽  
Postpartum Depression ◽  
Sexual Violence ◽  
Physical Violence ◽  
Secondary Data ◽  
Cross Sectional Study ◽  
Psychological Violence ◽  
Chi Square ◽  
Cross Sectional ◽  
Central Java

Introduction: Domestic violence occurs at all levels of society. Evidence shows that sexual, physical and psychological violence are predisposing factors of postpartum depression. This study was aimed to determine the relationship between domestic violence and postpartum depression.Methods: This research adopted quantitative method through observational with a cross-sectional study design by analyzing secondary data from SEHATI longitudinal surveillance. A total of 232 women was selected as sample  using a purposive sampling method, with the sample criterion being mothers with children <2 years old located in Purworejo District, Central Java, consisting of 16 sub-districts and 494 villages. The data   obtained were analyzed using the chi square statistical test and binomial regression test.Results: The results of the quantitative data showed that physical violence against postpartum depression (PR = 1.7; 95% CI = 1.23-2.38), psychic violence against postpartum depression (PR = 1.9; 95% CI = 1.44-2.54), and sexual violence against postpartum depression (PR-2.0; 95% CI = 1.54-2.65). The result of the qualitative data showed that postpartum depression occurred due to domestic violence.Conclusion: Physical, psychological and sexual violence in the household are significantly related to postpartum depression.

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