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The Italian version of the Zarit Burden Interview: a validation study

Published online by Cambridge University Press:  16 December 2010

Rabih Chattat ,
Valeria Cortesi ,
Fabio Izzicupo ,
Maria Letizia Del Re ,
Cinzia Sgarbi ,
Andrea Fabbo  and
Elisa Bergonzini
Rabih Chattat*
Affiliation:
Department of Psychology, University of Bologna, Italy
Valeria Cortesi
Affiliation:
Department of Psychology, University of Bologna, Italy
Fabio Izzicupo
Affiliation:
Operative Unite Hospice Asur Marche, Fano, Pesaro-Urbino, Italy
Maria Letizia Del Re
Affiliation:
Diagnostic and Caring Center for Alzheimer's Disease, Civil Hospital of Pescara, Local Health Agency of Pescara, Italy
Cinzia Sgarbi
Affiliation:
Psychogeriatric Consulting Center, Mirandola District, Local Health Agency of Modena, Italy
Andrea Fabbo
Affiliation:
Psychogeriatric Consulting Center, Mirandola District, Local Health Agency of Modena, Italy
Elisa Bergonzini
Affiliation:
Center for Cognitive Disorders, Carpi District, Local Health Agency of Modena, Italy
*
Correspondence should be addressed to: R. Chattat, Dipartimento di Psicologia, Viale Berti Pichat 5, 40127 Bologna, Italy. Phone: +39 051 209 1821; Fax: +39 051 243 086. Email: [email protected].
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Abstract

Background: Caregiving experiences in dementia may have adverse effects on the caregiver's own physical and mental health. The Zarit Burden Interview (ZBI) is the most widely used instrument for assessing family carer burden and the purpose of the present study was to evaluate the psychometric properties of the Italian version of the ZBI (I-ZBI).

Methods: I-ZBI was administered to a non-randomized sample of 273 caregivers related to consecutively attending outpatients with a previously established primary diagnosis of dementia, according to DSM-IV criteria. Measurements used for the construct validity of the instrument were the General Health Questionnaire (GHQ-12), Hospital Anxiety and Depression Scale (HADS) and the Symptom Checklist-90-Revised (SCL-90-R). Validity and reliability were evaluated, as well as the factor structure of the instrument.

Results: Most caregivers were children (65%), female (72%) and living with the patient (53%), with quite a high level of burden. The I-ZBI demonstrates good reliability with high internal consistency (α = 0.90) and split-half correlation of 0.78, and good concurrent validity with other assessment tools. A five-factor solution was obtained for the I-ZBI and the original bi-factorial structure of the ZBI was not confirmed.

Conclusions: The Italian version of the Zarit Burden Interview is valid, reliable and useful for use in clinical contexts and in future studies that could lead to a better understanding of carer burden in dementia. Clarifying the factorial structure of the ZBI would help to further the understanding of the large body of research using it and would also help to advance the understanding of subjective burden.

Keywords

caregiverburdendementiaassessmentItalianvalidation
Type
Research Article
Information
International Psychogeriatrics , Volume 23 , Issue 5 , June 2011 , pp. 797 - 805
Copyright
Copyright © International Psychogeriatric Association 2010

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References

Ankri, J., Andrieu, S., Beaufils, B., Grand, A. and Henrad, J. C. (2005). Beyond the global score of the Zarit Burden Interview: useful dimensions for clinicians. International Journal of Geriatric Psychiatry, 20, 254–260.CrossRefGoogle ScholarPubMed
Arai, Y. and Washio, M. (1999). Burden felt by family caring for the elderly members needing care in southern Japan. Aging and Mental Health, 3, 158–164.CrossRefGoogle Scholar
Bellantuono, C., Fiorio, R., Zanotonelli, R. and Tansella, M. (1987). Psychiatric screening in general practice in Italy: a validity study of the GHQ. Social Psychiatry, 22, 113–117.CrossRefGoogle ScholarPubMed
Brodaty, H. et al. (2002). Towards harmonisation of caregiver outcome measures. Brain Aging, 2, 3–12.Google Scholar
Costantini, M. et al. (1999). Detecting psychological distress in cancer patients: validity of the Italian version of the Hospital Anxiety and Depression Scale. Support Care Cancer, 7, 121–127.CrossRefGoogle ScholarPubMed
Derogatis, L. R. et al. (1973). SCL-90: an outpatient psychiatric rating scale preliminary report. Psychopharmacology Bulletin, 9, 13–28.Google ScholarPubMed
Goldberg, D. and Williams, P. (1988). A User's Guide to the General Health Questionnaire GHQ. Windsor: NFER-Nelson Publishing Co. Ltd.Google Scholar
Hébert, R. S., Bravo, G. and Préville, M. (2000). Reliability, validity and reference values of the Zarit Burden Interview for assessing informal caregivers of community-dwelling older persons with dementia. Canadian Journal on Aging, 19, 494–507.CrossRefGoogle Scholar
Katz, S. et al. (1963). Studies of illness in the aged. The index of ADL: a standardized measure of biological and psycholosocial function. JAMA, 185, 914–919.CrossRefGoogle Scholar
Knight, B. G., Fox, L. S. and Chou, C. P. (2000). Factor structure of the Burden Interview. Journal of Clinical Geropsychology, 6, 249–258.CrossRefGoogle Scholar
Kumamoto, K. and Arai, Y. (2004). Validation of “personal strain” and “role strain”: subscales of the short version of the Japanese version of the Zarit Burden Interview (J-ZBI_8). Psychiatry and Clinical Neuroscience, 58, 606–610.CrossRefGoogle ScholarPubMed
Lawton, M. P. and Brody, E. M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. Gerontologist, 9, 179–186.CrossRefGoogle ScholarPubMed
Mahoney, R., Regan, C., Katona, C. and Livingston, G. (2005). Anxiety and depression in family caregivers of people with Alzheimer disease: the LASER-AD study. American Journal of Geriatric Psychiatry, 13, 795–801.CrossRefGoogle ScholarPubMed
Measso, G. et al. (1993). The Mini-mental State Examination: normative study of an Italian random sample. Developmental Neuropsychology, 9, 77–85.CrossRefGoogle Scholar
Mittelman, M. S. (2008). Psychosocial intervention research: challenges, strategies and measurement issues. Aging and Mental Health, 12, 1–4.CrossRefGoogle ScholarPubMed
Moniz-Cook, E. et al. (2008). A European consensus on outcome measures for psychosocial intervention research in dementia care. Aging and Mental Health, 12, 14–29.CrossRefGoogle ScholarPubMed
O'Rouke, N. and Tuokko, H. (2003). Psychometric properties of an abridged version of the Zarit Burden Interview within a representative Canadian caregiver sample. The Gerontologist, 43, 121–127.CrossRefGoogle Scholar
Pearlin, L. I. et al. (1990). Caregiving and the stress process: an overview of concepts and their measures. The Gerontologist, 30, 583–594.CrossRefGoogle ScholarPubMed
Schreiner, A. S., Morimoto, T., Arai, Y. and Zarit, S. (2006). Assessing family caregiver's mental health using a statistically derived cut-off score for the Zarit Burden Interview. Aging and Mental Health, 10, 107–111.CrossRefGoogle ScholarPubMed
Siegert, R. J., Jackson, D., Tennant, A. and Turner-Stokes, L. (2010). Factor analysis and Rasch analysis of the Zarit Burden Interview for acquired brain injury carer research. Journal of Rehabilitation Medicine, 42, 302–309.CrossRefGoogle ScholarPubMed
Sorensen, S., Duberstein, P., Gill, D. and Pinquart, M. (2006). Dementia care: mental health effects, intervention strategies and clinical applications. Lancet Neurology, 5, 961–973.CrossRefGoogle Scholar
Zarit, S. H. and Femia, E. E. (2008). A future for family care and dementia intervention research? Challenges and strategies. Aging and Mental Health, 12, 5–13.CrossRefGoogle ScholarPubMed
Zarit, S. H. and Zarit, J. M. (1987). Instructions for the Burden Interview. Technical Document, University Park, Pennsylvania State University.Google Scholar
Zarit, J. M. and Zarit, S. H. (1990). The Memory and Behavior Problems Checklist and the Burden Interview. Pennsylvania State University, Gerontology Center Reprint Series No 189, part 3. College Park, PA, Pennsylvania University Gerontology Center.Google Scholar
Zarit, S. H., Reever, K. E. and Bach-Peterson, J. (1980). Relatives of the impaired elderly: correlates of feelings of burden. The Gerontologist, 20, 649–655.CrossRefGoogle ScholarPubMed
Zigmond, A. S. and Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361–370.CrossRefGoogle ScholarPubMed