The experience of dementia caregiver burden is multidimensional. Little is known about how different aspects of burden contribute to the consideration of moving a loved one to a structured living facility. In the present study, caregiver burden (Zarit Burden Interview; ZBI) and consideration of structured living arrangements (Desire to Institutionalize Scale; DIS) were self-reported by 339 caregivers. Exploratory factor analysis was used to determine the ZBI factor structure; these factors were then examined via hierarchical linear regression for prediction of DIS. Factor analysis indicated a 4-factor ZBI solution: Impact on Life, Guilt, Embarrassment/Frustration, and Escape/Uncertainty. Regression analyses indicated that only Escape/Uncertainty (p < .001) was associated with DIS. Of the 4 identified factors of caregiver burden, desire to escape the caregiving role was most related to consideration of structured living arrangements. Future work should explore longitudinal contribution of this factor to determine its role in actual changes made in living arrangements.

痴呆症照顾者负担的经历是多维的。关于将亲人转移到结构化生活设施的考虑如何影响不同方面的负担，我们知之甚少。在本研究中，339 名照顾者自我报告了照顾者负担（Zarit Burden 访谈；ZBI）和对结构化生活安排的考虑（渴望制度化量表；DIS）。采用探索性因子分析确定ZBI因子结构；然后通过分层线性回归检查这些因素以预测 DIS。因子分析表明了一个 4 因子 ZBI 解决方案：对生活的影响、内疚、尴尬/沮丧和逃避/不确定性。回归分析表明只有 Escape/Uncertainty ( p< .001) 与 DIS 相关。在确定的照顾者负担的 4 个因素中，逃避照顾者角色的愿望与考虑结构化的生活安排最相关。未来的工作应该探索这一因素的纵向贡献，以确定其在生活安排的实际变化中的作用。