Caregiver distress and associated factors in dementia care in the community setting in China

Jing Wang, Lily Dongxia Xiao, Xiaomei Li, Anita De Bellis, Shahid Ullah

Research output: Contribution to journalArticlepeer-review

16 Citations (Scopus)


The aim of this study was to investigate caregiver distress in reacting to the care recipient's behavioral and psychological symptoms of dementia (BPSD) and factors contributing to caregiver distress in the community setting in China. One hundred and fifty-two family caregivers of people with dementia in community settings were assessed using the Chinese version of the Neuropsychiatric Inventory-Questionnaire and the Social Support Rating Scale. The prevalence of BPSD and caregiver distress in reacting to BPSD was higher in China than those reported in high income countries. The most common individual BPSD were apathy/indifference, depression/dysphoria and night-time behaviors. Delusions, hallucinations and apathy/indifference were rated as the most distressing to caregivers. BPSD contributed most to caregiver distress. The high level of caregiver distress identified in this study suggests that dementia services and caregiver support should be established in the public healthcare system to target the needs of people with dementia and their caregivers.

Original languageEnglish
Pages (from-to)348-354
Number of pages7
JournalGeriatric Nursing
Issue number5
Publication statusPublished - 1 Jan 2015


  • Behavioral and psychological symptoms
  • Caregiver distress
  • Cross-sectional study
  • Dementia
  • Dementia services

ASJC Scopus subject areas

  • Gerontology

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