Korean J Adult Nurs.  2013 Dec;25(6):725-735.

Effects of Burden and Family Resilience on the Family Adaptation of Family Caregivers of Elderly with Dementia

  • 1Graduate School, College of Nursing, Seoul National University, Seoul, Korea. gogo0108@snu.ac.kr
  • 2College of Nursing, Seoul National University, Seoul, Korea.
  • 3Research Institute of Nursing Science, Seoul National University, Seoul, Korea.


The purpose of this study was to investigate the levels of burden, family resilience and adaptation of caregivers of elderly patients with dementia, and further to identify factors influencing their adaptation.
A cross-sectional descriptive study was designed. Data were collected from questionnaires distributed to 131 family caregivers of elderly patients who visited at the Centers for Dementia in Seoul during 2012~2013. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation analysis, and stepwise multiple regression.
The average age of the care giving subjects was 63.58, and 31.3% were male, and 41.2% were the spouses. Statistically significant relationships were found between burden and adaptation (r=-.38, p<.001), and between family resilience and adaptation (r=.52, p<.001), and between burden and family resilience (r=-.35, p=.001). Thirty percent of adaptation was explained by burden and family resilience. The most influencing factor to adaptation was family resilience which explained about 27% of the variance.
The results of the study clearly indicate that family resilience explains better than burden on adaptation of family caregivers. Thus, to develop more effective nursing intervention for family caregivers of elderly patients with dementia, it would be necessary to integrate family resilience in the programs. 27% is not that much and I wonder if we have to do more work to identify the factors that influence care giving.

MeSH Terms

Dependency (Psychology)
Resilience, Psychological


Ahn Y. S.., Jun H. J.2010. The effects of alcoholic family's family resilience on family adaptation. Journal of Family Relations. 15(3):155–174.
Fitzpatrick K. E.., Vacha-Haase T.2010. Marital satisfaction and resilience in caregivers of spouses with dementia. Clinical Gerontologist. 33:165–180. http://dx.doi.org/10.1080/07317111003776547.
Greeff A. P.., Vansteenwegen A.., Ide M.2006. Resiliency in families with a member with a psychological disorder. American Journal of Family Therapy. 34:285–300. http://dx.doi.org/10.1080/01926180600637465.
Hawley D. R.2000. Clinical implications of family resilience. American Journal of Family Therapy. 28:101–116. http://dx.doi.org/10.1080/019261800261699.
Kim E. J.2007. The influence of family stress on the personal and social performance in schizophrenia: The moderating effect of family resilience. Unpublished master's thesis, Yonsei University, Seoul.
Kim M. O.2001. A study on the effects of family resilience of adaptation of family of children with disabilities. Korean Journal of Family Social Work. 8:9–40.
Kim S. D.., Kim Y. H.2009. The effect of family resilience on the life satisfaction of the family caregivers of the elderly with the dementia. Journal of Welfare for the Aged. 45:7–31.
Kim Y. S.., Kim K. S.., Yoo M. S.2010. A study about health related quality of life, burden and coping ability for family caregivers caring for dementia elderly. Journal of the Korean Gerontological Society. 30:1117–1127.
Kwon J. D.1996. Measuring the caregiver burden of caring for the demented elderly. Yonsei Social Welfare Review. 3:140–168.
Lee E. H.2008. A study on the level of family adaptation to family caregivers with senile dementia patients: An application of the family resiliency model. Journal of Welfare for the Aged. 39:195–216.
Lee H. J.., Woo H. J.2013. Parental burden and family adaptation among parents with disabled infants. Journal of Rehabilitation Research. 17(1):189–207.
Lee M. H.., Yoon E. K.2008. The effect of family caregivers' coping strategies on caregiving burden in South Korea. Korean Journal of Social Welfare Research. 19:31–54.
Lee Y. W.., Lim J. Y.., Kim J. Y.., Cho H. I.., Ko G. J.2011. A prediction model for caregiver burden and life satisfaction: Caring for a patient with dementia. Journal of Korean Gerontological Nursing. 13:204–214.
McCubbin H. I.., Patterson J.1982. Family member wellbeing scale (FMWB). McCubbin H. I., Thompson A. I., McCubbin M. A., editorsFamily assessment: Resiliency, coping and adaptation-Inventories for research and practice. p. 753–82. Madison, WI: University of Wisconsin System.
McCubbin M. A.., McCubbin H. I.1996. Resiliency in families: A conceptual model of family adjustment and adaptation in response to stress and crises. McCubbin H. I., Thompson A. I., McCubbin M. A., editorsFamily assessment: Resiliency, coping and adaptation-Inventories for research and practice. p. 1–64. Madison, WI: University of Wisconsin System.
Ministry of Health & Welfare. 2012. National dementia strategy 2013-2015. Retrieved January 3. , 2013, from. http://www.mw.go.kr/front_new/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&BOARD_ID=140&BOARD_FLAG=00&CONT_SEQ=274723&page=1.
Niyomthai N.., Putwatana P.., Panpakdee O.2003. Caregiving duration, family life events, family hardiness, and wellbeing of family caregivers of stroke survivors. Thai Journal of Nursing Research. 7:93–104.
Oh J. J.2008. A comparative study on the effects of an individual intervention program and a group intervention program on the demented elderly and their families. Journal of Korean Community Nursing. 19:205–215.
Orbuch T. L.., Parry C.., Chesler M.., Fritz J.., Repetto P.2005. Parent-child relationships and quality of life: Resilience among childhood cancer survivors. Family Relations. 54:171–183.
Park Y. H.., Hyun H. J.2000. Caregiver burden and family functioning of cancer patient. The Journal of Korean Academic Society of Adult Nursing. 12:384–395.
Park Y. S.., Suk M. S.2002. The improvement plan of social welfare service for advancing family resilience of caring dementias. Journal of Korean Social Welfare Administration. 6:119–144.
Pearlin L. I.., Mullan J. T.., Semple S. J.., Skaff M. M.1990. Caregiving and the stress process: An overview of concepts and their measures. The Gerontologist. 30:583–594. http://dx.doi.org/10.1093/geront/30.5.583.
Seomun G. A.2000. Development of family with elderly dementia patient adaptation model. Unpublished doctoral dissertation, Yonsei University, Seoul.
Shin K.., Han G.2011. Family caregivers of the impaired elderly: A comparison between spouses and adult children. The Korean Journal of Community Living Science. 22:35–51.
Sixbey M. T.2005. Development of the family resilience assessment scale to identify family resilience constructs. Unpublished doctoral dissertation. , University of Florida, Gainesville, Florida.
Walsh F.2003. Family resilience: A framework for clinical practice. Family Process. 42:1–18. http://dx.doi.org/10.1111/j.1545-5300.2003.00001.
Woo M. K.., Woo S. H.2006. A study on burden and adaptation of caregiver of industrial accident patient. Korean Journal of Occupational Health Nursing. 15:104–114.
Yang M. H.., Yoon G. J.2012. A study on the development and effectiveness verification of a program designed to strengthen family resilience of inpatients with cancer and their families. Journal of the Korean Home Economics Association. 50:121–139.
Yeh P. M.., Bull M.2012. Use of the resiliency model of family stress, adjustment and adaptation in the analysis of family caregiver reaction among families of older people with congestive heart failure. International Journal of Older People Nursing. 7:117–126.
Yoo Y. S.2007. The study on factors affecting adaption of the family with the elderly dementia. Journal of Welfare for the Aged. 38:31–50.
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