Contributing Factors to the Burden on Primary Family Caregivers of Stroke Survivors in South Korea

Bo Mi Kwon, Hyun Haeng Lee, Min Kyun Sohn, Deog Young Kim, Yong Il Shin, Gyung Jae Oh, Yang Soo Lee, Min Cheol Joo, So Young Lee, Min Keun Song, Junhee Han, Jeonghoon Ahn, Won Hyuk Chang, Jongmin Lee, Yun Hee Kim

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1 Scopus citations


The purpose of this study is to identify the factors associated with the burden on primary family caregivers of stroke patients at home without care services. For this study, the Korean Stroke Cohort for Functioning and Rehabilitation (KOSCO) data were used. Of the total 8010 caregivers, 1133 family caregiver burden was assessed with the shortened Caregiver Burden Inventory (CBI) 3 months after stroke. Patient and caregiver-related factors affecting the heavier burden of caregivers were identified by comparing the heavier caregiver burden group and the lighter caregiver burden group, which divided according to the CBI scores. The 719 (63.5%) family caregiver cared for patients at home without care services. Logistic regression analysis showed that four or more comorbidities (p = 0.002), neurological impairment at early onset (p < 0.001), dependence on daily life (p < 0.001), aphasia (p = 0.024), and depression(p < 0.001) were associated with a heavier burden of care. According to the shortened CBI, caregivers tended to be concerned more about psychological stress than physical strain. The findings suggest the importance of proactively guiding the emotional support services to caregivers who are at high risk of the heavier burden of patient care.

Original languageEnglish
Article number2760
JournalInternational Journal of Environmental Research and Public Health
Issue number3
StatePublished - Feb 2023

Bibliographical note

Funding Information:
The authors thank the Research Program funded by Korea Disease Control and Prevention Agency (2022-11-006).

Publisher Copyright:
© 2023 by the authors.


  • caregiver burden
  • depression
  • functional dependence
  • intimacy
  • neurological impairment
  • primary caregiver


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