Factors associated with high strain in caregivers of Alzheimer's disease (AD) in Malaysia

Geriatr Nurs. Jul-Aug 2019;40(4):380-385. doi: 10.1016/j.gerinurse.2018.12.009. Epub 2019 Feb 11.


A cross-sectional study design involving a total of 230 participants, recruited through Alzheimer's Disease Foundation Malaysia (ADFM), was adopted to access and correlate caregiver strain index (CSI) and resilience (RES) levels of the AD caregivers with various patients' and caregivers' factors. Findings revealed that 77.7% of caregivers had a high level of stress, and there was a significant negative correlation between RES and CSI (P < 0.001). Care recipients' physical function was negatively associated with CSI level. Caregivers' gender and employment status were not directly associated with CSI but were significantly associated with caregivers' RES level. Among the mediator variables, years of care was related to increase CSI and adult-children of AD patients experienced a higher level of caregiver strain compared to the other caregiver groups (P = 0.025). Thus, interventions to improve the family caregivers' RES level, and support for AD patients will be helpful in lowering the strains of AD caregivers.

Keywords: Alzheimer's disease; Caregiver strain; Resilience.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alzheimer Disease / nursing*
  • Caregivers / psychology*
  • Caregivers / statistics & numerical data
  • Cross-Sectional Studies
  • Female
  • Humans
  • Malaysia
  • Male
  • Middle Aged
  • Quality of Life
  • Resilience, Psychological*
  • Stress, Psychological / psychology*
  • Surveys and Questionnaires
  • Time Factors