Prevalence and predictors of depressive symptoms among caregivers of patients with epilepsy in Hong Kong

• Published in: Epilepsy & behavior 2023-10, Vol.147, p.109411-109411, Article 109411
• Main Authors: Lou, Vivian W.Q., Chung, Ho-Fung, Leung, William C.Y., Chang, Richard Shek-kwan, Tsaw, Meagan, Lo, Cheuk Nam Rachel, Chiu, Annie Ting-Gee
• Format: Article
• Language: English
• Subjects: Caregiver; Caregiving burden; Depressive symptoms; Family function; Health; Patient with epilepsy
• ISSN: 1525-5050; 1525-5069
• DOI: 10.1016/j.yebeh.2023.109411

•The prevalence of high depressive symptoms for caregivers of patients with epilepsy (PWE) in Hong Kong was 23.8%.•A high perceived caregiving burden was a risk factor for elevated depressive symptoms.•Good physical health was protective against increased depressive symptoms. To estimate the prevalence of high caregiving burden and depressive symptoms among caregivers (CG) of patients with epilepsy (PWEs) in Hong Kong and identify risk and protective factors for both outcomes after the Model of Stress and Carer Burden (MSCB). This cross-sectional study recruited participants from local epilepsy clinics to complete a 15-minute survey on a tablet. Caregiving burden (CB) was assessed using the 4-item Zarit Caregiver Burden Interview. Depressive symptoms were assessed using the 2-item Patient Health Questionnaire. Family functioning was assessed using the Short-Form Family Assessment Device General Functioning Subscale. Sociodemographic data of the caregivers and clinical data of the PWE they cared for were described. Hierarchical logistic regression models were used to analyze the factors associated with the outcomes. A hundred and fifty-one CGs of PWEs were recruited for this study. The prevalence of high caregiving burden (ZBI-4 > 7) for CGs of PWEs was 58.9% (n = 89), whereas the prevalence of high depressive symptoms (PHQ2 > 2) was 23.8% (n = 36). Hierarchical logistic regression analysis revealed that entering patient characteristics and care situations did not enhance the model’s predictability. In the full model, a high perceived CB was a risk factor for elevated depressive symptoms. Good physical health protects against depressive symptoms. Among caregivers of PWE in Hong Kong, a high perceived caregiving burden was a risk factor for elevated depressive symptoms; however, the clinical characteristics of the PWEs were not. Self-reported physical health is a protective factor against increased depressive symptoms.