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J Korean Gerontol Nurs > Volume 16(3):2014 > Article

Original Article

J Korean Gerontol Nurs. 2014 Dec;16(3):242-254. Korean.
Published online Dec 31, 2014.  http://dx.doi.org/10.17079/jkgn.2014.16.3.242
© 2014 Korean Gerontological Nursing Society
Factors Associated with Family Caregiver Burden for Patients with Dementia: A Literature Review
Suk Jung Han,1Seyune Lee,2Ji Yeon Kim,3and Hongsoo Kim*4
1Department of Nursing, Samyook University, Seoul, Korea.
2Graduate School of Public Health, Seoul National University, Seoul, Korea.
3Korean Institute for Health And Social Affairs, Sejong, Korea.
4Graduate School of Public Health, Seoul National University · Institute of Health & Environment, Seoul National University, Seoul, Korea.

*Corresponding author: Kim, Hongsoo. Graduate School of Public Health, Seoul National University, 1 Gwanak-ro, Gwanak-gu, Seoul 151-752, Korea. Tel: +82-2-880-2723, Fax: +82-2-762-9105, Email: hk65@snu.ac.kr
Received May 12, 2014; Revised September 24, 2014; Accepted November 15, 2014.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.



The aim of this study was to review studies on factors related to dementia caregiver burden (CB) in Korea.


By a literature search of five major health and social science databases including Pubmed, a total of 45 quantitative studies published between 2001 and 2013 were identified. A comprehensive review was conducted guided by the Pearline's Stress Process Model.


All the studies were cross-sectional studies using convenience sampling methodology and multi-variate regression analyses was conducted in only 15 studies. Almost three fourth of the studies adopted Zarit's Burden Index as the instrument to measure CB. Activities of daily living, cognitive factors including cognitive impairment and behavioral problems, and caregiver's self-rated health were the factors examined, and which were negatively associated with CB. Social support, family function, and family relationship were also all negatively associated with CB, but the measures of these independent variables varied across studies. No sociodemographic factors of dementia patients were associated with CB, but women caregivers reported higher CB than their men.


More methodologically rigorous studies on dementia CB in Korea are necessary. In particular, further investigations on the impact of family role and caregiving context on CB are recommended.

Keywords: Caregivers, Burden, Dementia, Aging, Korea.


Figure 1
The framework for review based on Pearlin's model of caregivers' stress process.


Table 1
General Characteristics (N=45)

Table 2
Instruments Measuring Caregiver Burden (N=45)

Table 3
Summary of Factors Affecting Dementia Caregiver Burden (N=15)


This study was supported by a grant of the Korea Health technology R&D Project, Ministry of Health & Welfare, Republic of Korea. (Grant Number: HI13C2250)

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