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Multivariate models of subjective caregiver burden in dementia: a systematic review
van der Lee J, Bakker TJ, Duivenvoorden HJ, Dröes RM.. Ageing research reviews, 2014-03-25
Topic: Risk, prevention and care in population studies
Background Burden in dementia caregivers is a complex and multidimensional construct. Several models of burden and other representations of burden like depression or mental health are described in literature. To clarify the state of science, we systematically reviewed complex models that include both patient and caregiver determinants of caregiver burden. Objective A review of determinant models of caregiver burden. Design Systematic review. Data sources Electronic databases PubMed, PsycInfo and EMbase were searched in December 2013. Study selection and analysis Research studies with quantitative outcome measures of caregiver burden or burden-related concepts, including both patient and caregiver functional characteristics as determinants. We categorized the determinant variables in the models and calculated the percentages of proven determinants within each category. Results We found 32 studies with burden models and 24 depression and mental health models. Patient behavioral problems, caregiver coping and personality traits and competence are most consistent determinants of caregiver burden, depression and mental health. Behavioral problems are more significant than cognitive disorders or lack of self-care. Of all measured caregiver personality traits, neuroticism has the strongest impact on caregiver burden. Regarding caregiver competences, feeling competent or enjoying higher self-efficacy in general diminish caregiver burden and promote caregiver mental health.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
van der Lee, J., Bakker, T. J., Duivenvoorden, H. J., & Dröes, R. M. (2014). Multivariate models of subjective caregiver burden in dementia: a systematic review. Ageing research reviews. https://doi.org/10.1016/j.arr.2014.03.003
Vancouver
van der Lee J, Bakker TJ, Duivenvoorden HJ, Dröes RM. Multivariate models of subjective caregiver burden in dementia: a systematic review. Ageing research reviews. 2014. doi:10.1016/j.arr.2014.03.003. PMID: 24675045.
BibTeX
@article{vanderlee2014-24675045,
author = {van der Lee, J. and Bakker, T. J. and Duivenvoorden, H. J. and Dröes, R. M.},
title = {{Multivariate models of subjective caregiver burden in dementia: a systematic review}},
journal = {Ageing research reviews},
year = {2014},
doi = {10.1016/j.arr.2014.03.003},
pmid = {24675045},
url = {https://doi.org/10.1016/j.arr.2014.03.003}
}
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Key findings
- Results We found 32 studies with burden models and 24 depression and mental health models.
- Behavioral problems are more significant than cognitive disorders or lack of self-care.
Why it matters
This review of 32 studies found that patient behavioral problems, caregiver coping, personality traits and competence are the most consistent factors linked to caregiver burden, depression and mental health. It is about supporting caregivers rather than treating, curing or preventing Alzheimer's disease itself.
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Study details
- Study designsystematic review
- Evidence strengthHigh
How this study scored 63/100
Published in a peer-reviewed journal, and it is a systematic review of all the studies on the question. Scored zero for sample size, effect reported and studied in people because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Ageing research reviews) |
| Journal's citation record | 2 / 4 | Ageing Research Reviews: journal h-index 225 (OpenAlex, 2026-10-29) |
| Study design | 12 / 12 | A systematic review of all the studies on the question |
| Strength of evidence | 5 / 5 | Rated “high” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 1 / 5 | 2014 — within 20 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomised / blinded | 0 / 2 | A review of other studies — randomisation is not credited here |
| Times cited | 6 / 7 | Cited 372 times (OpenAlex, 2026-10-10) |
| Citations per year | 4 / 5 | 26.6 citations a year over 14 year(s) since 2014 |
| Impact for its field and year | 3 / 6 | Cited 4.1× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 3 / 6 | Cited by 11 other studies in this library |
| Still being cited | 3 / 4 | Cited 76 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 3 / 4 | Last-listed author Rose‐Marie Dröes: h-index 55 (OpenAlex, whole career) |
| Institution's track record | 1 / 3 | Amsterdam UMC Location Vrije Universiteit Amsterdam: institution h-index 938 (OpenAlex) |
| Multi-centre collaboration | 1 / 3 | OpenAlex lists 3 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 24675045) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Total | 63 / 100 | — |
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