Skip to main content
Top
Gepubliceerd in: Quality of Life Research 9/2011

01-11-2011

Quality of life among caregivers of patients with eating disorders

Auteurs: Josune Martín, Angel Padierna, Urko Aguirre, José Mª Quintana, Carlota Las Hayas, Pedro Muñoz

Gepubliceerd in: Quality of Life Research | Uitgave 9/2011

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Purpose

To analyse health-related quality of life (HRQoL) and its associated social and clinical variables among a sample of caregivers of patients with eating disorders (ED).

Methods

It is a cross-sectional study involving 145 patients receiving outpatient treatment for an ED and 246 related caregivers. ED patients completed two self-administered questionnaires: the Health-Related Quality of Life in ED-short form and Eating Attitudes Test-26 questionnaires. Caregivers completed four self-administered questionnaires: the Short Form-12, Involvement Evaluation Questionnaire-EU version, Hospital Anxiety and Depression Scale and Anorectic Behaviour Observation Scale. Descriptive statistics, ANOVA, Chi-square and Fisher’s exact test were applied to examine the inter-variable relationships.

Results

Caregivers had low scores on the mental health component of the SF-12 (P < 0.05). Low SF-12 scores were associated with a greater perceived care burden in the stress domains in interpersonal relationships (beta = −0.360, SE = 0.162, P = 0.029) and the need to urge their sick relatives to undertake healthful activities (beta = −0.340, SE = 0.155, P = 0.031).

Conclusions

Low scores in the mental health domain of HRQoL among caregivers of patients with EDs indicate the need to pay particular attention to caregivers’ emotional status, especially among mothers and partners.
Literatuur
1.
go back to reference Baronet, A. (1999). Factors associated with caregiver burden in mental illness: A critical review of the research literature. Clinical Psychology Review, 19, 819–841.PubMedCrossRef Baronet, A. (1999). Factors associated with caregiver burden in mental illness: A critical review of the research literature. Clinical Psychology Review, 19, 819–841.PubMedCrossRef
2.
3.
go back to reference Schene, A. H. (1990). Objective and subjective dimensions of family burden. Towards an integrative framework for research. Social Psychiatry and Psychiatric Epidemiology, 25, 289–297.PubMedCrossRef Schene, A. H. (1990). Objective and subjective dimensions of family burden. Towards an integrative framework for research. Social Psychiatry and Psychiatric Epidemiology, 25, 289–297.PubMedCrossRef
4.
go back to reference Szmukler, G. I., Burgess, P., Herrman, H., Benson, A., Colusa, S., & Bloch, S. (1996). Caring for relatives with a serious mental illness: The development of the experience of caregiving inventory. Social Psychiatry and Psychiatric Epidemiology, 31, 137–148.PubMedCrossRef Szmukler, G. I., Burgess, P., Herrman, H., Benson, A., Colusa, S., & Bloch, S. (1996). Caring for relatives with a serious mental illness: The development of the experience of caregiving inventory. Social Psychiatry and Psychiatric Epidemiology, 31, 137–148.PubMedCrossRef
5.
go back to reference Steinhausen, H. C. (2009). Outcome of eating disorders. Child and Adolescent Psychiatric Clinics of North America, 18(1), 225–242.PubMedCrossRef Steinhausen, H. C. (2009). Outcome of eating disorders. Child and Adolescent Psychiatric Clinics of North America, 18(1), 225–242.PubMedCrossRef
6.
go back to reference Zipfel, S., Specht, T., & Herzog, W. (1998). Medical complications of eating disorders. In H. W. Hoek, J. Treasure, & M. Katzman (Eds.), Neurobiology in the treatment of eating disorders (pp. 457–484). Chichester, England: Wiley. Zipfel, S., Specht, T., & Herzog, W. (1998). Medical complications of eating disorders. In H. W. Hoek, J. Treasure, & M. Katzman (Eds.), Neurobiology in the treatment of eating disorders (pp. 457–484). Chichester, England: Wiley.
7.
go back to reference Nielsen, S., & Bará-Carril, N. (2003). Family, burden of care and social consequences. In J. Treasure, U. Schmidt, & E. Van Furth (Eds.), Handbook of eating disorders, 2 ed (pp. 191–206). New York: Wiley. Nielsen, S., & Bará-Carril, N. (2003). Family, burden of care and social consequences. In J. Treasure, U. Schmidt, & E. Van Furth (Eds.), Handbook of eating disorders, 2 ed (pp. 191–206). New York: Wiley.
8.
go back to reference Treasure, J. (2010). How do families cope when a relative has an eating disorder? In J. Treasure, U. Schmidt, & P. MacDonald (Eds.), The clinician’s guide to collaborative caring in eating disorders. The New Maudsley method (pp. 145–159). East Sussex: Routledge. Treasure, J. (2010). How do families cope when a relative has an eating disorder? In J. Treasure, U. Schmidt, & P. MacDonald (Eds.), The clinician’s guide to collaborative caring in eating disorders. The New Maudsley method (pp. 145–159). East Sussex: Routledge.
9.
go back to reference Revicki, D. A., Osoba, D., Fairclough, D., Barofsky, I., Berzon, R., Leidy, N. K., et al. (2000). Recommendations on health-related quality of life research to support labeling and promotional claims in the United States. Quality of Life Research, 9, 887–900.PubMedCrossRef Revicki, D. A., Osoba, D., Fairclough, D., Barofsky, I., Berzon, R., Leidy, N. K., et al. (2000). Recommendations on health-related quality of life research to support labeling and promotional claims in the United States. Quality of Life Research, 9, 887–900.PubMedCrossRef
10.
go back to reference Markowitz, J. S., Gutterman, E. M., Sadik, K., & Papadopoulos, G. (2003). Health-related quality of life for caregivers of patients with Alzheimer disease. Alzheimer Disease and Associated Disorders, 17(4), 209–214.PubMedCrossRef Markowitz, J. S., Gutterman, E. M., Sadik, K., & Papadopoulos, G. (2003). Health-related quality of life for caregivers of patients with Alzheimer disease. Alzheimer Disease and Associated Disorders, 17(4), 209–214.PubMedCrossRef
11.
go back to reference Foldemo, A., Gullberg, M., Ek, A. C., & Bogren, L. (2005). Quality of life and burden in parents of outpatients with schizophrenia. Social Psychiatry and Psychiatric Epidemiology, 40(2), 133–138.PubMedCrossRef Foldemo, A., Gullberg, M., Ek, A. C., & Bogren, L. (2005). Quality of life and burden in parents of outpatients with schizophrenia. Social Psychiatry and Psychiatric Epidemiology, 40(2), 133–138.PubMedCrossRef
12.
go back to reference Stengler-Wenzke, K., Kroll, M., Matschinger, H., & Angermeyer, M. C. (2006). Quality of life of relatives of patients with obsessive-compulsive disorder. Comprehensive Psychiatry, 47, 523–527.PubMedCrossRef Stengler-Wenzke, K., Kroll, M., Matschinger, H., & Angermeyer, M. C. (2006). Quality of life of relatives of patients with obsessive-compulsive disorder. Comprehensive Psychiatry, 47, 523–527.PubMedCrossRef
13.
go back to reference Reinares, M., Vieta, E., Colom, F., Martínez-Arán, A., Torrent, C., Comes, M., et al. (2006). What really matters to bipolar patients’ caregivers: Sources of family burden. Journal of Affective Disorders, 94, 157–163.PubMedCrossRef Reinares, M., Vieta, E., Colom, F., Martínez-Arán, A., Torrent, C., Comes, M., et al. (2006). What really matters to bipolar patients’ caregivers: Sources of family burden. Journal of Affective Disorders, 94, 157–163.PubMedCrossRef
14.
go back to reference Spliethoff-Kamminga, N. G. A., Zwinderman, A. H., Springer, M. P., & Roos, R. A. C. (2003). A disease-specific psychosocial questionnaire for Parkinson’s disease caregivers. Journal of Neurology, 250, 1162–1168.PubMedCrossRef Spliethoff-Kamminga, N. G. A., Zwinderman, A. H., Springer, M. P., & Roos, R. A. C. (2003). A disease-specific psychosocial questionnaire for Parkinson’s disease caregivers. Journal of Neurology, 250, 1162–1168.PubMedCrossRef
15.
go back to reference De la Rie, S., Van Furth, E., De Koning, A., Noordenbos, G., & Donker, M. (2005). The quality of life of family caregivers of eating disorder patients. Eating Disorders, 13, 345–351.CrossRef De la Rie, S., Van Furth, E., De Koning, A., Noordenbos, G., & Donker, M. (2005). The quality of life of family caregivers of eating disorder patients. Eating Disorders, 13, 345–351.CrossRef
16.
go back to reference Kyriacou, O., Treasure, J., & Schmidt, U. (2008). Expressed emotion in eating disorders assessed via self-report: An examination of factors associated with expressed emotion in carers of people with anorexia nervosa in comparison to control families. International Journal of Eating Disorders, 41(1), 37–46.PubMedCrossRef Kyriacou, O., Treasure, J., & Schmidt, U. (2008). Expressed emotion in eating disorders assessed via self-report: An examination of factors associated with expressed emotion in carers of people with anorexia nervosa in comparison to control families. International Journal of Eating Disorders, 41(1), 37–46.PubMedCrossRef
17.
go back to reference Dimitropoulos, G., Klopfer, K., Lazar, L., & Schacter, R. (2009). Caring for a sibling with anorexia nervosa: A qualitative study. European Eating Disorder Review, 17(5), 350–365.CrossRef Dimitropoulos, G., Klopfer, K., Lazar, L., & Schacter, R. (2009). Caring for a sibling with anorexia nervosa: A qualitative study. European Eating Disorder Review, 17(5), 350–365.CrossRef
18.
go back to reference Perkins, S., Winn, S., Murray, J., Murphy, R., & Schmidt, U. (2004). A qualitative study of the experience of caring for a person with bulimia nervosa. Part 1: The emotional impact of caring. International Journal of Eating Disorders, 36(3), 256–268.PubMedCrossRef Perkins, S., Winn, S., Murray, J., Murphy, R., & Schmidt, U. (2004). A qualitative study of the experience of caring for a person with bulimia nervosa. Part 1: The emotional impact of caring. International Journal of Eating Disorders, 36(3), 256–268.PubMedCrossRef
19.
go back to reference Kyriacou, O., Treasure, J., & Raenker, S. (2010). The influence and importance of parents in care and treatment of an eating disorder. The Clinician`s guide to collaborative caring in eating disorders. The New Maudsley Method (pp. 241–249). East Sussex: Routledge. Kyriacou, O., Treasure, J., & Raenker, S. (2010). The influence and importance of parents in care and treatment of an eating disorder. The Clinician`s guide to collaborative caring in eating disorders. The New Maudsley Method (pp. 241–249). East Sussex: Routledge.
20.
go back to reference Murphy, F., Troop, N. A., & Treasure, J. L. (2000). Differential environmental factors in anorexia nervosa: A sibling pair study. British Journal of Clinical Psychology, 39(2), 193–203.PubMedCrossRef Murphy, F., Troop, N. A., & Treasure, J. L. (2000). Differential environmental factors in anorexia nervosa: A sibling pair study. British Journal of Clinical Psychology, 39(2), 193–203.PubMedCrossRef
21.
go back to reference Santonastaso, P., Saccon, D., & Favaro, A. (1997). Burden and psychiatric symptoms on key relatives of patients with eating disorders: A preliminary study. Eating & Weight Disorders, 2(1), 44–48. Santonastaso, P., Saccon, D., & Favaro, A. (1997). Burden and psychiatric symptoms on key relatives of patients with eating disorders: A preliminary study. Eating & Weight Disorders, 2(1), 44–48.
22.
go back to reference van Wijngaarden, B., Schene, A. H., & Koeter, M. W. (2004). Family caregiving in depression: Impact on caregivers’ daily life, distress, and help seeking. Journal of Affective Disorders, 81(3), 211–222.PubMedCrossRef van Wijngaarden, B., Schene, A. H., & Koeter, M. W. (2004). Family caregiving in depression: Impact on caregivers’ daily life, distress, and help seeking. Journal of Affective Disorders, 81(3), 211–222.PubMedCrossRef
23.
go back to reference American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed ed.). Washington, DC: American Psychiatric Association. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed ed.). Washington, DC: American Psychiatric Association.
24.
go back to reference Perlick, D. A., Hohenstein, J. M., Clarkin, J. F., Kaczynski, R., & Rosenheck, R. A. (2005). Use of mental health and primary care services by caregivers of patients with bipolar disorder: A preliminary study. Bipolar Disorders, 7(2), 126–135.PubMedCrossRef Perlick, D. A., Hohenstein, J. M., Clarkin, J. F., Kaczynski, R., & Rosenheck, R. A. (2005). Use of mental health and primary care services by caregivers of patients with bipolar disorder: A preliminary study. Bipolar Disorders, 7(2), 126–135.PubMedCrossRef
25.
go back to reference Gandek, B., Aaronson, N. K., Ware, J. E., Apolone, G., Bjorner, J. B., Brazier, J. E., et al. (1998). Cross-validation of item selection and scoring for the SF-12 Health Survey in nine countries: Results from the IQOLA Project. International quality of life assessment. Journal of Clinical Epidemiology, 51, 1171–1178.PubMedCrossRef Gandek, B., Aaronson, N. K., Ware, J. E., Apolone, G., Bjorner, J. B., Brazier, J. E., et al. (1998). Cross-validation of item selection and scoring for the SF-12 Health Survey in nine countries: Results from the IQOLA Project. International quality of life assessment. Journal of Clinical Epidemiology, 51, 1171–1178.PubMedCrossRef
26.
go back to reference Van Wijngaarden, B., Schene, A. H., Koeter, M., Vazquez-Barquero, J. L., Knudsen, H. C., Lasalvia, A., et al. (2000). Caregiving in schizophrenia: development, internal consistency and reliability of the Involvement Evaluation Questionnaire–European Version. EPSILON Study 4. European Psychiatric Services: Inputs Linked to Outcome Domains and Needs. British Journal of Psychiatry, Supplement, 39, 21–27.CrossRef Van Wijngaarden, B., Schene, A. H., Koeter, M., Vazquez-Barquero, J. L., Knudsen, H. C., Lasalvia, A., et al. (2000). Caregiving in schizophrenia: development, internal consistency and reliability of the Involvement Evaluation Questionnaire–European Version. EPSILON Study 4. European Psychiatric Services: Inputs Linked to Outcome Domains and Needs. British Journal of Psychiatry, Supplement, 39, 21–27.CrossRef
27.
go back to reference Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361–370.PubMedCrossRef Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361–370.PubMedCrossRef
28.
go back to reference Herrmann, C. (1997). International experiences with the hospital Anxiety and Depression Scale: A review of validation data and clinical results. Journal of Psychosomatic Research, 42, 17–41.PubMedCrossRef Herrmann, C. (1997). International experiences with the hospital Anxiety and Depression Scale: A review of validation data and clinical results. Journal of Psychosomatic Research, 42, 17–41.PubMedCrossRef
29.
go back to reference Quintana, J. M., Padierna, A., Esteban, C., Arostegui, I., Bilbao, A., & Ruiz, I. (2003). Evaluation of the psychometric characteristics of the Spanish version of the Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 107, 216–221.PubMedCrossRef Quintana, J. M., Padierna, A., Esteban, C., Arostegui, I., Bilbao, A., & Ruiz, I. (2003). Evaluation of the psychometric characteristics of the Spanish version of the Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 107, 216–221.PubMedCrossRef
30.
go back to reference Vandereycken, W. (1992). Validity and reliability of the anorectic behavior observation scale for parents. Acta Psychiatrica Scandinavica, 85(2), 163–166.PubMedCrossRef Vandereycken, W. (1992). Validity and reliability of the anorectic behavior observation scale for parents. Acta Psychiatrica Scandinavica, 85(2), 163–166.PubMedCrossRef
31.
go back to reference Instituto Nacional de la Salud. (1995). Protocolo de trastornos del comportamiento alimentario. Instituto Nacional de la Salud, editor (pp. 125–126). Madrid: Insalud. Instituto Nacional de la Salud. (1995). Protocolo de trastornos del comportamiento alimentario. Instituto Nacional de la Salud, editor (pp. 125–126). Madrid: Insalud.
32.
go back to reference Garner, D. M., Olmsted, M. P., Bohr, Y., & Garfinkel, P. E. (1982). The eating attitudes test: Psychometric features and clinical correlates. Psychological Medicine, 12(4), 871–878.PubMedCrossRef Garner, D. M., Olmsted, M. P., Bohr, Y., & Garfinkel, P. E. (1982). The eating attitudes test: Psychometric features and clinical correlates. Psychological Medicine, 12(4), 871–878.PubMedCrossRef
33.
go back to reference Castro, J., Toro, J., Salamero, M., & Guimera, E. (1991). The eating attitudes test: Validation of the Spanish version. Psychogical Assessment, 7, 175–190. Castro, J., Toro, J., Salamero, M., & Guimera, E. (1991). The eating attitudes test: Validation of the Spanish version. Psychogical Assessment, 7, 175–190.
34.
go back to reference Las Hayas, C., Quintana, J. M., Padierna, J. A., Bilbao, A., Munoz, P., & Cook, F. E. (2007). Health-related quality of life for eating disorders questionnaire version-2 was responsive 1-year after initial assessment. Journal of Clinical Epidemiology, 60(8), 825–833.PubMedCrossRef Las Hayas, C., Quintana, J. M., Padierna, J. A., Bilbao, A., Munoz, P., & Cook, F. E. (2007). Health-related quality of life for eating disorders questionnaire version-2 was responsive 1-year after initial assessment. Journal of Clinical Epidemiology, 60(8), 825–833.PubMedCrossRef
35.
go back to reference Las Hayas, C., Quintana, J. M., Padierna, J. A., Bilbao, A., & Munoz, P. (2010). Use of rasch methodology to develop a short version of the Health Related Quality of Life for Eating Disorders questionnaire: A prospective study. Health and Quality of life Outcomes, 8, 29.PubMedCrossRef Las Hayas, C., Quintana, J. M., Padierna, J. A., Bilbao, A., & Munoz, P. (2010). Use of rasch methodology to develop a short version of the Health Related Quality of Life for Eating Disorders questionnaire: A prospective study. Health and Quality of life Outcomes, 8, 29.PubMedCrossRef
36.
go back to reference Guy, W. (1976). Early clinical drug evaluation (ECDEU) assessment manual. Rockville, MD: National Institute Mental Health. Guy, W. (1976). Early clinical drug evaluation (ECDEU) assessment manual. Rockville, MD: National Institute Mental Health.
37.
go back to reference Kamerling, V., & Smith, G. (2010). The carers’ perspective. In J. Treasure, U. Schmidt, & P. MacDonald (Eds.), The clinician’s guide to collaborative caring in eating disorders. The New Maudsley method (pp. 20–29). East Sussex: Routledge. Kamerling, V., & Smith, G. (2010). The carers’ perspective. In J. Treasure, U. Schmidt, & P. MacDonald (Eds.), The clinician’s guide to collaborative caring in eating disorders. The New Maudsley method (pp. 20–29). East Sussex: Routledge.
38.
go back to reference Alonso, J., Angermeyer, M. C., Bernert, S., Bruffaerts, R., Brugha, T. S., Bryson, H., et al. (2004). Prevalence of mental disorders in Europe: Results from the European study of the epidemiology of mental disorders (ESEMeD) project. Acta Psychiatrica Scandinavica Suppl, 420, 21–27. Alonso, J., Angermeyer, M. C., Bernert, S., Bruffaerts, R., Brugha, T. S., Bryson, H., et al. (2004). Prevalence of mental disorders in Europe: Results from the European study of the epidemiology of mental disorders (ESEMeD) project. Acta Psychiatrica Scandinavica Suppl, 420, 21–27.
39.
go back to reference Whitney, J., Haigh, R., Weinman, J., & Treasure, J. (2007). Caring for people with eating disorders: Factors associated with psychological distress and negative caregiving appraisals in carers of people with eating disorders. British Journal of Clinical Psychology, 46(4), 413–428.PubMedCrossRef Whitney, J., Haigh, R., Weinman, J., & Treasure, J. (2007). Caring for people with eating disorders: Factors associated with psychological distress and negative caregiving appraisals in carers of people with eating disorders. British Journal of Clinical Psychology, 46(4), 413–428.PubMedCrossRef
40.
go back to reference Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal and coping. New York: Springer. Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal and coping. New York: Springer.
41.
go back to reference Caqueo-Urizar, A., Gutiérrez-Maldonado, J., & Miranda-Castillo, C. (2009). Quality of life in caregivers of patients with schizophrenia: A literature review. Health Quality of Life Outcomes, 7, 84.CrossRef Caqueo-Urizar, A., Gutiérrez-Maldonado, J., & Miranda-Castillo, C. (2009). Quality of life in caregivers of patients with schizophrenia: A literature review. Health Quality of Life Outcomes, 7, 84.CrossRef
42.
go back to reference Etters, L., Goodall, D., & Harrison, B. E. (2008). Caregiver burden among dementia patient caregivers: A review of the literature. Journal of the American Academice Nurse Practicioners, 20(8), 423–428.CrossRef Etters, L., Goodall, D., & Harrison, B. E. (2008). Caregiver burden among dementia patient caregivers: A review of the literature. Journal of the American Academice Nurse Practicioners, 20(8), 423–428.CrossRef
43.
go back to reference Caqueo-Urizar, A., & Gutiérrez-Maldonado, J. (2006). Burden of care in families of patients with schizophrenia. Quality of Life Research, 15, 719–724.PubMedCrossRef Caqueo-Urizar, A., & Gutiérrez-Maldonado, J. (2006). Burden of care in families of patients with schizophrenia. Quality of Life Research, 15, 719–724.PubMedCrossRef
Metagegevens
Titel
Quality of life among caregivers of patients with eating disorders
Auteurs
Josune Martín
Angel Padierna
Urko Aguirre
José Mª Quintana
Carlota Las Hayas
Pedro Muñoz
Publicatiedatum
01-11-2011
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 9/2011
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-011-9873-z

Andere artikelen Uitgave 9/2011

Quality of Life Research 9/2011 Naar de uitgave