Functionality and quality of life of people with amyotrophic lateral sclerosis and perception of overload and social support of informal caregivers

Authors

DOI:

https://doi.org/10.11606/issn.2317-0190.v27i3a172216

Keywords:

Amyotrophic Lateral Sclerosis, Quality of Life, Caregivers, Social Support, Rehabilitation Centers

Abstract

Objective: This research aims to measure the functionality and quality of life of Amyotrophic Lateral Sclerosis (ALS) patients and provide evidence about the potential excessive burden of care generated for their informal caregivers. Method: This is a quantitative, exploratory and descriptive study,  and cross sectional investigation. The study sample was 24 participants, being 12 patients with ALS and 12 informal caregivers, recruited at a Specialized Rehabilitation Center. Individuals with ALS were administered the following instruments: Demographic Information Questionnaire; Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised (ALSFRS-R); Amyotrophic Lateral Sclerosis Assessment Questionnaire (ALSAQ-40) and caregivers: Informal Caregiver Burden Assessment Questionnaire (QASCI); Medical Outcomes Study Social Support Survey (MOS). Results: Strong correlations were found between ALSFRS-R and ALSAQ-40 (r = - 0.709 p < 0.010), between the Daily Living Activities domain and ALSFRS-R (r = - 0.877 p < .001), between the domains of QASCI and MOS, Efficiency and Control Mechanism and material support (r = - 0.598 p < 0.040), Role and Family Satisfaction and Affective Support (r = - 0.604 p < 0.037), and Family Support and Interaction Positive Social (r = - 0.683 p < 0.014). Conclusion: The functionality and quality of life of the patient with ALS influence the provision of care, the perceived social support was a moderating variable of the caregivers' stress burden.

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References

Majmudar S, Wu J, Paganoni S. Rehabilitation in amyotrophic lateral sclerosis: why it matters. Muscle Nerve. 2014;50(1):4-13. Doi: https://doi.org/10.1002/mus.24202

Paganoni S, Karam C, Joyce N, Bedlack R, Carter GT. Comprehensive rehabilitative care across the spectrum of amyotrophic lateral sclerosis. NeuroRehabilitation. 2015;37(1):53-68. Doi: https://doi.org/10.3233/nre-151240

Rosa Silva JP, Santiago Júnior JB, Santos EL, Carvalho FO, França Costa IMP, Mendonça DMF. Quality of life and functional independence in amyotrophic lateral sclerosis: A systematic review. Neurosci Biobehav Rev. 2020;111:1-11. Doi: https://doi.org/10.1016/j.neubiorev.2019.12.032

Sandstedt P, Littorin S, Cröde Widsell G, Johansson S, Gottberg K, Ytterberg C, et al. Caregiver experience, health‐related quality of life and life satisfaction among informal caregivers to patients with amyotrophic lateral sclerosis: A cross‐sectional study. J Clin Nurs. 2018;27(23-24):4321-30. Doi: https://doi.org/10.1111/jocn.14593

Almeida LMS, Falcão IV, Carvalho TL. Evaluation of overloading on caregivers of people with Amyotrophic Lateral Sclerosis (ALS). Brazil J Occup Ther. 2017;25(3):585-93. Doi: http://dx.doi.org/10.4322/2526-8910.ctoAO0871

Johnson S, Alonso B, Faulkner K, Roberts H, Monroe B, Lehman L, et al. Quality of life perspectives of people with amyotrophic lateral sclerosis and their caregivers. Am J Occup Ther.2017;71(3):7103190010p1-p7. Doi: https://doi.org/10.5014/ajot.2017.024828

Monteiro EA, Mazin SC, Dantas RAS. Questionário de Avaliação da Sobrecarga do Cuidador Informal: validação para o Brasil. Rev Bras Enferm. 2015;68(3):421-8. Doi: https://doi.org/10.1590/0034-7167.2015680307i

Galvin M, Corr B, Madden C, Mays I, McQuillan R, Timonen V, et al. Caregiving in ALS–a mixed methods approach to the study of burden. BMC Palliative Care. 2016;15(1):81. Doi: https://doi.org/10.1186/s12904-016-0153-0

Chen D, Guo X, Zheng Z, Wei Q, Song W, Cao B, et al. Depression and anxiety in amyotrophic lateral sclerosis: correlations between the distress of patients and caregivers. Muscle Nerve. 2015;51(3):353-7. Doi: https://doi.org/10.1002/mus.24325

Zanini DS, Verolla-Moura A, Queiroz IPdAR. Apoyo social: aspectos de la validez del constructo en estudiantes universitarios. Psicol Estud. 2009;14(1):195-202. Doi: https://doi.org/10.1590/S1413-73722009000100023

Associação Brasileira de Empresas de Pesquisa. Critério de Classificação Econômica Brasil. São Paulo: ABEP; 2015.

Guedes K, Pereira C, Pavan K, Valério BCO. Cross-cultural adaptation and validation of als Functional Rating Scale-Revised in Portuguese language. Arq Neuropsiquiatr. 2010;68(1):44-47. Doi: https://doi.org/10.1590/S0004-282X2010000100010

Pavan K, Marangoni BE, Zinezzi MO, Schmidt KB, Oliveira BC, Buainain RP, et al. Validation of the Amyotrophic Lateral Sclerosis Assessment Questionnaire (ALSAQ-40) scale in the portuguese language. Arq Neuropsiquiatr. 2010;68(1):48-51. Doi: http://dx.doi.org/10.1590/S0004-282X2010000100011

Navarro D, Foxcroft D. Learning statistics with jamovi: A tutorial for psychology students and other beginners (Version 0.70). 2019. Doi: http://dx.doi.org/10.24384/hgc3-7p15

Riviere M, Meininger V, Zeisser P, Munsat T. An analysis of extended survival in patients with amyotrophic lateral sclerosis treated with riluzole. Arch Neurol. 1998;55(4):526-8. Doi: https://doi.org/doi:10.1001/archneur.55.4.526

Felgoise SH, Zaccheo V, Duff J, Simmons Z. Verbal communication impacts quality of life in patients with amyotrophic lateral sclerosis. Amyotroph Lateral Scler Frontotemporal Degener. 2016;17(3-4):179-83. Doi: https://doi.org/10.3109/21678421.2015.1125499

Schultz J. Disease-modifying treatment of amyotrophic lateral sclerosis. Am J Manag Care. 2018;24(15 Suppl):S327-35.

Wit J, Bakker LA, van Groenestijn AC, van den Berg LH, Schröder CD, Visser-Meily JM, et al. Caregiver burden in amyotrophic lateral sclerosis: a systematic review. Palliat Med. 2018;32(1):231-45. Doi: https://doi.org/10.1177/0269216317709965

Siciliano M, Santangelo G, Trojsi F, Di Somma C, Patrone M, Femiano C, et al. Coping strategies and psychological distress in caregivers of patients with Amyotrophic Lateral Sclerosis (ALS). Amyotroph Lateral Scler Frontotemporal Degener. 2017;18(5-6):367-377. Doi: https://doi.org/10.1080/21678421.2017.1285316

Segerstrom SC, Kasarskis EJ, Fardo DW, Westgate PM. Socioemotional selectivity and psychological health in amyotrophic lateral sclerosis patients and caregivers: a longitudinal, dyadic analysis. Psychol Health. 2019;34(10):1179-1195. Doi: https://doi.org/10.1080/08870446.2019.1587441

Aoun SM, Bentley B, Funk L, Toye C, Grande G, Stajduhar KJ. A 10-year literature review of family caregiving for motor neurone disease: moving from caregiver burden studies to palliative care interventions. Palliat Med. 2013;27(5):437-446. Doi: https://doi.org/10.1177/0269216312455729

Gladman M, Zinman L. The economic impact of amyotrophic lateral sclerosis: a systematic review. Expert Rev Pharmacoecon Outcomes Res. 2015;15(3):439-50. Doi: https://doi.org/10.1586/14737167.2015.1039941

Wit J, Schröder CD, El Mecky J, Beelen A, van den Berg LH, Visser-Meily JM. Support needs of caregivers of patients with amyotrophic lateral sclerosis: a qualitative study. Palliat Support Care. 2018;5:1-7. Doi: https://doi.org/10.1017/S1478951517001213

Tramonti F, Bonfiglio L, Bongioanni P, Belviso C, Fanciullacci C, Rossi B, et al. Caregiver burden and family functioning in different neurological diseases. Psychol Health Med. 2019;24(1):27-34. Doi: https://doi.org/10.1080/13548506.2018.1510131

Cipolletta S, Gammino GR, Francescon P, Palmieri A. Mutual support groups for family caregivers of people with amyotrophic lateral sclerosis in Italy: A pilot study. Health Soc Care Community. 2018;26(4):556-63. Doi: https://doi.org/10.1111/hsc.12558

Published

2021-02-02

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Original Article

How to Cite

1.
Gomes CMS, Zuqui AC, Schiavo KV, Oliveira JFP de. Functionality and quality of life of people with amyotrophic lateral sclerosis and perception of overload and social support of informal caregivers. Acta Fisiátr. [Internet]. 2021 Feb. 2 [cited 2024 Jul. 18];27(3):167-73. Available from: https://periodicos.usp.br/actafisiatrica/article/view/172216