Caregiver burden as a predictor of depression among family and friends who provide care for persons with bipolar disorder

Perlick, Deborah A., Berk, Lesley, Kaczynski, Richard, Gonzalez, Jodi, Link, Bruce, Dixon, Lisa, Grier, Savannah and Miklowitz, David J. 2016, Caregiver burden as a predictor of depression among family and friends who provide care for persons with bipolar disorder, Bipolar disorders, vol. 18, no. 2, pp. 183-191, doi: 10.1111/bdi.12379.

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Title Caregiver burden as a predictor of depression among family and friends who provide care for persons with bipolar disorder
Author(s) Perlick, Deborah A.
Berk, LesleyORCID iD for Berk, Lesley
Kaczynski, Richard
Gonzalez, Jodi
Link, Bruce
Dixon, Lisa
Grier, Savannah
Miklowitz, David J.
Journal name Bipolar disorders
Volume number 18
Issue number 2
Start page 183
End page 191
Total pages 9
Publisher Wiley
Place of publication London, Eng.
Publication date 2016-03
ISSN 1399-5618
Keyword(s) bipolar disorder
Science & Technology
Life Sciences & Biomedicine
Clinical Neurology
Neurosciences & Neurology
Summary OBJECTIVES: Over one-third of caregivers of people with bipolar disorder report clinically significant levels of depressive symptoms. This study examined the causal relationship between depression and caregiver burden in a large sample of caregivers of adult patients with bipolar disorder. METHODS: Participants were 500 primary caregivers of persons with bipolar disorder enrolled in the Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD).This study evaluates the strength and direction of the associations between caregiver burden and depressive symptoms at baseline and at six- and 12-month follow-up using cross-lagged panel analyses, controlling for the clinical status of patients and sociodemographic variables. RESULTS: Higher levels of overall caregiver burden at baseline were associated with increased levels of depressive symptoms among caregivers at follow-up (F = 8.70, df = 1,290, p < 0.001), after controlling for baseline caregiver depression, gender, race, age, social support, and patients' clinical status. By contrast, caregiver depression at baseline was not significantly associated with caregiver burden at follow-up (F = 1.65, p = 0.20). CONCLUSIONS: Caregiver burden is a stronger predictor of caregiver depressive symptoms over time than the reverse. Interventions that help alleviate caregiver burden may decrease depressive symptoms.
Language eng
DOI 10.1111/bdi.12379
Field of Research 1103 Clinical Sciences
1109 Neurosciences
Socio Economic Objective 920410 Mental Health
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, John Wiley & Sons
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Document type: Journal Article
Collection: School of Medicine
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