Buy this Article for $10.95

Have a coupon or promotional code? Enter it here:

When you buy this you'll get access to the ePub version, a downloadable PDF, and the ability to print the full article.


Alzheimer disease, caregiver burden, dementia, depression, loneliness, perceived rewards, primary caregiver



  1. Tomita, Machiko R. PhD
  2. Lee, Kuo-Feng OT, MS
  3. Sarang, Asmita OTR/L, MS
  4. Lee, Kristen Schultz PhD
  5. Russ, Linda S. PhD, OTR/L
  6. Noe, Michael MD, MPH


This article is part II of a study of the psychological health of primary caregivers of home-based older adults with dementia in India, Taiwan, and the United States. Indian caregivers had the lowest level of all aspects of adverse psychological health, whereas Taiwanese caregivers exhibited the worst outcomes. Predictors for psychological health in each country were distinct. After adjusting for an indicator of caregivers' residence in India, education about caregivers' needs and governmental financial support were identified as necessary interventions. These findings suggest the need for separate prediction models for psychological health for caregivers in developing and developed countries.