{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T19:47:39Z","timestamp":1791229659955,"version":"4.1.0"},"reference-count":39,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2006,9,20]],"date-time":"2006-09-20T00:00:00Z","timestamp":1158710400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Geriat Psychiatry"],"published-print":{"date-parts":[[2007,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To identify carer and patient characteristics associated with various aspects of burden of care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The burden on 196 carers, each caring for one patient with dementia, was rated by means of the Relative Stress Scale (RSS). Patients were assessed with the Mini Mental State Examination (MMSE), the Disability Assessment for Dementia (DAD) and the Neuropsychiatric Inventory (NPI).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Factor analysis of the RSS resulted in three subgroups: \u2018emotional distress\u2019, \u2018social distress\u2019 and \u2018negative feelings\u2019. The total NPI score contributed to the explanation of the RSS total score and the three RSS subgroup scores with an explanatory power of 37% for total RSS, 34% for emotional distress, 27% for social distress and 20% for negative feelings. In multiple regression analysis, total NPI, DAD%, the carer being a wife and the hours spent caring per week, contributed to the explanation of total RSS with an explanatory power of 48%. Total NPI, the carer being a female and the hours spent caring, explained 38% of the variance in \u2018emotional distress\u2019. Total NPI, the DAD%\u2010score, contact with the patient on a daily basis and the hours spent caring, explained \u2018social distress\u2019 (49%). \u2018Negative feelings\u2019 were associated with total NPI, younger patients and the carer being a wife (27%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The RSS offers an opportunity to differentiate between different patterns of distress. This facilitates the creation of tailored intervention to reduce the strain of caring. Copyright \u00a9 2006 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/gps.1654","type":"journal-article","created":{"date-parts":[[2006,9,20]],"date-time":"2006-09-20T17:55:47Z","timestamp":1158774947000},"page":"61-67","source":"Crossref","is-referenced-by-count":72,"title":["The relative stress scale, a useful instrument to identify various aspects of carer burden in dementia?"],"prefix":"10.1002","volume":"22","author":[{"given":"Ingun","family":"Ulstein","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Torgeir","family":"Bruun Wyller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Knut","family":"Engedal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2006,9,20]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.1998.00711.x"},{"key":"e_1_2_1_3_1","volume-title":"Practical Statistics for Medical Research","author":"Altman DG","year":"1999"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(92)90189-T"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610204000857"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610200006426"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610204000468"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/1099-1166(200007)15:1 <::AID-GPS160>3.0.CO;2-N"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/55.1.S2"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.46.11.1006"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.48.5_Suppl_6.10S"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1099-1166(199804)13:4<248::AID-GPS770>3.0.CO;2-0"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.51.1_Suppl_1.S53"},{"key":"e_1_2_1_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/26.3.248"},{"key":"e_1_2_1_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3956(75)90026-6"},{"key":"e_1_2_1_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1099-1166(199909)14:9<784::AID-GPS16>3.0.CO;2-2"},{"key":"e_1_2_1_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/29.4.449"},{"key":"e_1_2_1_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.538"},{"key":"e_1_2_1_19_1","doi-asserted-by":"publisher","DOI":"10.1037\/0882-7974.20.1.100"},{"key":"e_1_2_1_20_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.53.5.471"},{"key":"e_1_2_1_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/26.3.253"},{"key":"e_1_2_1_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/11.2.121"},{"key":"e_1_2_1_23_1","doi-asserted-by":"publisher","DOI":"10.1037\/0882-7974.2.4.323"},{"key":"e_1_2_1_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1998.tb02542.x"},{"key":"e_1_2_1_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1099-1166(199805)13:5<323::AID-GPS768>3.0.CO;2-O"},{"key":"e_1_2_1_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/00019442-200509000-00008"},{"key":"e_1_2_1_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03337720"},{"key":"e_1_2_1_28_1","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1192\/S0007125000292027","article-title":"Gender differences in carers of dementia sufferers","volume":"10","author":"Morris RG","year":"1991","journal-title":"Br J Psychiatry Suppl"},{"key":"e_1_2_1_29_1","doi-asserted-by":"publisher","DOI":"10.3109\/02813438809009287"},{"key":"e_1_2_1_30_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/30.5.583"},{"key":"e_1_2_1_31_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/58.2.P112"},{"key":"e_1_2_1_32_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronj\/39.2.230"},{"key":"e_1_2_1_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.1267"},{"key":"e_1_2_1_34_1","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1037\/0021-843X.104.1.197","article-title":"Psychiatric disorders in spouse caregivers of care recipients with Alzheimer's disease and matched controls: a diathesis\u2010stress model of psychopathology","volume":"104","author":"Russo J","year":"1995","journal-title":"J Abnorm Psychol"},{"key":"e_1_2_1_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-172X.2003.00461.x"},{"key":"e_1_2_1_36_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronj\/45.5.P181"},{"key":"e_1_2_1_37_1","first-page":"35","article-title":"Behavior and caregiver burden: behavioral problems in patients with Alzheimer disease and its association with caregiver distress","volume":"11","author":"Teri L","year":"1997","journal-title":"Alzheimer Dis Ass Disord"},{"key":"e_1_2_1_38_1","doi-asserted-by":"publisher","DOI":"10.1177\/1099800404263288"},{"key":"e_1_2_1_39_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.wad.0000126902.37908.b2"},{"key":"e_1_2_1_40_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/26.3.260"}],"container-title":["International Journal of Geriatric Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fgps.1654","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/gps.1654","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,15]],"date-time":"2023-11-15T12:34:27Z","timestamp":1700051667000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/gps.1654"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,9,20]]},"references-count":39,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2007,1]]}},"alternative-id":["10.1002\/gps.1654"],"URL":"https:\/\/doi.org\/10.1002\/gps.1654","archive":["Portico"],"relation":{},"ISSN":["0885-6230","1099-1166"],"issn-type":[{"value":"0885-6230","type":"print"},{"value":"1099-1166","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,9,20]]}}}