{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T23:43:13Z","timestamp":1777678993219,"version":"3.51.4"},"reference-count":42,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,9,14]],"date-time":"2020-09-14T00:00:00Z","timestamp":1600041600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Health Psychol"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Cirrhosis affects liver functions and compromises much of the body\u2019s organs. The significant increase in chronic diseases, including cirrhosis, has led to changes in medical practice and health systems, leading the informal caregiver to play a major role because of family ties or some level of proximity to the patient, assuming daily care function. However, the burden generated by informal caregivers for uninterrupted care is present at different levels (physical, mental, social, professional, and financial) and even in the prognosis of the patient.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The present study aims to evaluate the impact of stressors and overload on informal caregivers of cirrhosis patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>Cross-sectional study, conducted with 54 informal caregivers of cirrhosis patients, followed up at the Liver Transplant Service Outpatient Clinic of the University of S\u00e3o Paulo School of Medicine Hospital das Cl\u00ednicas, where they had access to a sociodemographic questionnaire, history of the patient\u2019s disease and the scale Burden Scale for Family Caregivers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>It was observed that higher levels of education and income of the caregiver correlates with a lower degree of stress. In addition, there is a significant difference found in the caregiver\u2019s age variable, which indicates that the youngest are those who have the highest degree of stress. The variable Na mEg\/l of the patient also presents a statistically significant difference.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Our study was a precursor using the BSFC scale of worldwide coverage and that had not yet been applied in any study in Brazil, thus allowing a look at the various aspects that affect the quality of life of caregivers of patients with cirrhosis.\u2009Our results and the literature corroborate the importance not only of the patient, but also the informal caregiver\u2019s health.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1359105320953464","type":"journal-article","created":{"date-parts":[[2020,9,15]],"date-time":"2020-09-15T02:03:03Z","timestamp":1600135383000},"page":"408-421","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["The impact of stressors and overload on informal caregivers of patients with cirrhosis: The first use of the Burden Scale for Family Caregivers in Brazil"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3188-0859","authenticated-orcid":false,"given":"Raquel","family":"Sanches Slusarski Martins","sequence":"first","affiliation":[{"name":"Departamento de Gastroenterologia, Hospital das Cl\u00ednicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonardo Zumerkorn","family":"Pipek","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina FMUSP, Universidade de S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gustavo Heluani Antunes de","family":"Mesquita","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina FMUSP, Universidade de S\u00e3o Paulo, SP, 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