FEELINGS OF BURDEN AMONG CAREGIVERS WHO LOOK AFTER THE IMPAIRED ELDERLY

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  • ARAI Yumiko
    Research Unit for Nursing Caring Sciences and Psychology, National Institute for Longevity Sciences

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  • 家族介護者の介護負担
  • カゾクカイゴシャ ノ カイゴフタン

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Abstract

One of the salient methodological issues attached to burden research is to objectively measure the degree of psychological burden of caregivers. Dr. Steve Zarit developed the Zarit caregiver burden interview in 1980, which has been widely used in North America. The lack of objective burden scales in Japanese led Dr. Yumiko Arai to devise the Japanese version of the Zarit caregiver burden interview. Currently, we have been conduction longitudinal studies in relation to caregiver burden in several communities located in different regions in Japan. So far, behavioral disturbances was identified as the most significant risk factor for worsening caregiver burden. Prior to the implementation of the long term care (LTC) insurance in April, 2000, it was shown that caregiver burden decreased over a year, indicating that the adaptation model can be applied in case of Japanese caregivers. However, the burden did not change between 1999-2000 despite the fact that there was a significant increase in the number of various services used. The following two reasons for this seeming paradox. First, the increase in the number of different services used may have created another mountain of tedious paperwork for some caregivers, if not adding to their burden, certainly not diminishing it. Second, the LTC insurance scheme recently requires a monthly premium as well as 10% co-payment (user charge) by each insured elderly person.This may well have translated into a greater economic burden for family caregivers.

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