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Factors Influencing the Zarit Burden Interview in a Japanese Community: Activities of Daily Living and Depressive State | OMICS International | Abstract
ISSN: 2329-9096

International Journal of Physical Medicine & Rehabilitation
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Research Article

Factors Influencing the Zarit Burden Interview in a Japanese Community: Activities of Daily Living and Depressive State

Shigeru Sonoda1*, Yasuhiko Shirayama2, Rie Sakamoto3, Shota Nagai4 and Shinobu Sakurai5

1Fujita Health University Nanakuri Sanatorium, Japan

2Department of Community Medicine and Welfare, Institute of Health Biosciences, University of Tokushima Graduate School, Japan

3Department of Occupational Therapy, School of Rehabilitation, Hyogo University of Health Sciences, Japan

4Department of Physical Therapy, School of Medical Health, Kinjo University, Japan

5Graduate School of Healthcare and Nursing, Juntendo Universit, Japan

*Corresponding Author:
Shigeru Sonoda
Fujita Health University Nanakuri Sanatorium
424-1, Ootori, Tsu, Mie, 514-1295, Japan
Tel: +81-59-252-1555
Fax: +81-59-252-1383
E-mail: [email protected]

Received Date: May 21, 2014; Accepted Date: July 24, 2014; Published Date: July 29, 2014

Citation: Sonoda S, Shirayama Y, Sakamoto R, Nagai S, Sakurai S (2014) Factors Influencing the Zarit Burden Interview in a Japanese Community: Activities of Daily Living and Depressive State. Int J Phys Med Rehabil 2:216. doi: 10.4172/2329-9096.1000216

Copyright: © 2014 Sonoda S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Objective: Reducing the burden on the caregiver contributes to maintaining or enhancing quality of life of people with disability since caregiver support is indispensable to them.

Methods: The Japanese short version of the Zarit Caregiver Burden Interview (J-ZBI_8) was administered to 167 families of 243 community-dwelling disabled Japanese adults covered by the long-term care insurance system in Japan to clarify the relationship between burden of care and the disability. The status of the disabled adults was evaluated by the Functional Independence Measure (FIM), Frenchay Activity Index (FAI), and Japan Stroke Scale (Depression Scale) (JSS-D). J-ZBI_8 was predicted from the FIM using the classification and regression tree (CART) method.

Results: Rank correlation coefficients between the J-ZBI_8 score and disabled adults’ motor and sensory subscores of the FIM, FAI, and JSS-D were -0.205, -0.249, -0.205 and 0.396, respectively. J-ZBI_8 score showed a relatively high relationship to depression. According to the CART method, FIM motor subscore (FIMM) was divided to 3 groups, FIMM less than 20, FIMM from 20 to 79, and FIMM of 80 or more. Scattergram indicated that FIM motor subscore of subjects whose caregiver had a high J-ZBI_8 score ranged at the mid-level of activities of daily living.

Conclusion: Since assisting movement of subjects who need a great deal of help is a harder burden of care than simply moving the subject without considering the subject’s desires, the burden of the care of subjects who can perform a few ADL is more severe than the burden of care of completely bedridden subjects.


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