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Self fulfillment .pdf


Nom original: Self-fulfillment.pdf
Auteur: Florence Potier

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Caregiving, a Source of Self-fulfillment
F.Potier1, 2, G.Aubouy1, J.Degryse2, M.de Saint-Hubert1, 2
1 Department of Geriatrics, CHU Université Catholique de Louvain, Namur, Belgium
2 Institute of Health and Society, Université Catholique de Louvain, Belgium

Introduction
Evidence suggests that providing care may have implications for the caregiver's own health.
In spite of the numerous existing instruments to assess the burden for the caregivers, only
the Caregiver Reaction Assessment (CRA) measures the positive reactions of the caregivers,
including self-esteem.
Methods
Community-dwelling spousal caregivers of frail older patients were recruited mainly by the
geriatric outpatient clinic and assessed using the CRA (self-esteem, lack of family support,
disrupted schedule, financial and health problems). Burden was assessed using the Zarit
Burden Interview (ZBI) and depression screened with the Geriatric Depression Scale (GDS15). Results are presented with mean and SD.
Results
82 caregivers (45 women, age 79.8 +-5.4). Among care-receivers (age 81.4+-5.2), 81% had
cognitive impairment. 31% of caregivers were at risk of depression. The burden (ZBI 32.4+14.4) correlated with neuropsychiatric symptoms of the care-receiver(R=0.4). Disruption of
their schedule was the strongest negative aspect (3.5+-1.0) compared to lack of family
support (2.7+-0.9), financial problems (2.3+-0.8) or health problems (2.9+-0.9). Despite this,
caregivers’ self-esteem was high (>3/5) among 69% caregivers (mean 3.8+-0.8). This
dimension takes into account the desire and pleasure to give care.
Conclusions
Caregivers carry a heavy burden and are at risk for depression. Nevertheless, 69% of them
consider caregiving as a source of self-fulfillment. Health professionals should not only
screen the caregivers for depression but also recognize their important role in order to
enhance their positive reactions.

florence.potier@uclouvain.be


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