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Protocol - Family Burden of Mental Illness

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Protocol Name from Source:

Burden Assessment Scale (BAS)

Availability:

Publicly available

Description:

The Burden Assessment Scale (BAS) is a 19-item, self-administered scale to assess the burden on families with a seriously mentally ill family member. Items 1-10 assess objective consequences, including financial problems, limitations on personal activity, and household disruptions. Items 11-19 measure subjective consequences, including shame, stigma, guilt, and resentment. Each item is rated on a 4-point scale (1 = not at all; 4 = a lot). To score the BAS, ratings from each item are added together to give a total score, with higher scores indicating greater levels of caregiver burden.

Protocol:

BURDEN ASSESSMENT SCALE

I am going to read a list of things which other people have found to happen to them because of their relative’s illness. Would you tell me to what extent you have had any of the following experiences in the past six months.

____1____

____2____

____3____

____4____

____9____

Not at all

A little

Some

A lot

NA

Because of (name’s) illness, to what extent have you:

    ________

1. Had financial problems

____1____

____2____

____3____

____4____

____9____

Not at all

A little

Some

A lot

NA

    ________

2. Missed days at work (or school)

____1____

____2____

____3____

____4____

____9____

Not at all

A little

Some

A lot

NA

    ________

3. Found it difficult to concentrate on your own activities

____1____

____2____

____3____

____4____

____9____

Not at all

A little

Some

A lot

NA

    ________

4. Had to change your personal plans like taking a new job, or going on vacation

____1____

____2____

____3____

____4____

____9____

Not at all

A little

Some

A lot

NA

    ________

5. Cut down on leisure time

____1____

____2____

____3____

____4____

____9____

Not at all

A little

Some

A lot

NA

    ________

6. Found the household routine was upset

____1____

____2____

____3____

____4____

____9____

Not at all

A little

Some

A lot

NA

    ________

7. Had less time to spend with friends

____1____

____2____

____3____

____4____

____9____

Not at all

A little

Some

A lot

NA

    ________

8. Neglected other family members’ needs

____1____

____2____

____3____

____4____

____9____

Not at all

A little

Some

A lot

NA

    ________

9. Experienced family frictions and arguments

____1____

____2____

____3____

____4____

____9____

Not at all

A little

Some

A lot

NA

    ________

10. Experienced frictions with neighbors, friends, or relatives outside the home

____1____

____2____

____3____

____4____

____9____

Not at all

A little

Some

A lot

NA

    ________

11. Became embarrassed because of (name’s) behavior

____1____

____2____

____3____

____4____

____9____

Not at all

A little

Some

A lot

NA

    ________

12. Felt guilty because you were not doing enough to help

____1____

____2____

____3____

____4____

____9____

Not at all

A little

Some

A lot

NA

    ________

13. Felt guilty because you felt responsible for causing (name’s) problem

____1____

____2____

____3____

____4____

____9____

Not at all

A little

Some

A lot

NA

    ________

14. Resented (name) because s/he made too many demands on you

____1____

____2____

____3____

____4____

____9____

Not at all

A little

Some

A lot

NA

    ________

15. Felt trapped by your caregiving role

____1____

____2____

____3____

____4____

____9____

Not at all

A little

Some

A lot

NA

    ________

16. Were upset about how much (name) had changed from his or her former self

____1____

____2____

____3____

____4____

____9____

Not at all

A little

Some

A lot

NA

    ________

17. Worried about how your behavior with (name) might make the illness worse

____1____

____2____

____3____

____4____

____9____

Not at all

A little

Some

A lot

NA

    ________

18. Worried about what the future holds for (name)

____1____

____2____

____3____

____4____

____9____

Not at all

A little

Some

A lot

NA

    ________

19. Found the stigma of the illness upsetting

____1____

____2____

____3____

____4____

____9____

Not at all

A little

Some

A lot

NA


Scoring: Ratings from each item are added together to give a total score, with higher scores indicating greater levels of caregiver burden.

Personnel and Training Required

None

Equipment Needs

None

Requirements

Requirement CategoryRequired
Average time of greater than 15 minutes in an unaffected individualNo
Major equipmentNo
Specialized requirements for biospecimen collectionNo
Specialized trainingNo

Mode of Administration

Self-administered

Life Stage:

Adult

Specific Instructions:

None

Research Domain Information

Release Date:

January 17, 2017

Definition

A questionnaire to assess the impact of the illness on family members

Purpose

This measure can be used to investigate the caregiver burden experienced by parents and siblings of person with a serious mental disorder.

Selection Rationale

The Burden Assessment Scale (BAS) is a short, reliable, and valid self-administered questionnaire that is easy to use, score, and interpret.

Language

English

Standards

StandardNameIDSource
Common Data Elements (CDE)Mental Illness Family Burden Assessment Scale5628286CDE Browser

Process and Review

The Expert Review Panel has not reviewed this measure yet.

Source

Reinhard, S.C., Gubman, G.D., Horwitz, A.V., & Minsky, S. (1994). Burden assessment scale for families of the seriously mentally ill. Evaluation and Program Planning, 17(3): 261-269.

General References

Guada, J., Land, H., & Han, J. (2011). An exploratory factor analysis of the Burden Assessment Scale with a sample of African- American families. Community Mental Health Journal, 47(2), 233-242.

Ivarsson, A.-B., Sidenvall, B., & Carlsson, M. (2004). The factor structure of the Burden Assessment Scale and the perceived burden of caregivers for individuals with severe mental disorders. Scandinavian Journal of Caring Sciences, 18(4), 396-401.

Murdoch, D.D., Rahman, A., Barsky, V., Maunula, S., Cawthorpe, D. (2014). The use of the Burden Assessment Scale with families of a pediatric population. Community Mental Health Journal, 50(6): 703-710.

Protocol ID:

662201

Variables:

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