Inventory of Overburden in Alzheimer's Patient Family Caregivers with no Specialized Training | International Journal of Clinical and Health Psychology

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P1-P8: Emotional attention (TMMS-24); P9-P16: Emotional clarity; P17-P24 (TMMS-24): Emotional repair (TMMS-24); P1AGHQ-P7AGHQ (somatic symptom); P1BGHQ-P7BGHQ (anxiety and insomnia); P1CGHQ-P7CGHQ (social dysfunction); P1DGHQ-P7DGHQ (depression)." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "María Purificación Vicente-Galindo, Helena López-Herrera, Ignacio Pedrosa, Javier Suárez-Álvarez, María Purificación Galindo-Villardón, Eduardo García-Cueto" "autores" => array:6 [ 0 => array:2 [ "nombre" => "María Purificación" "apellidos" => "Vicente-Galindo" ] 1 => array:2 [ "nombre" => "Helena" "apellidos" => "López-Herrera" ] 2 => array:2 [ "nombre" => "Ignacio" "apellidos" => "Pedrosa" ] 3 => array:2 [ "nombre" => "Javier" "apellidos" => "Suárez-Álvarez" ] 4 => array:2 [ "nombre" => "María Purificación" "apellidos" => "Galindo-Villardón" ] 5 => array:2 [ "nombre" => "Eduardo" "apellidos" => "García-Cueto" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1697260016300588?idApp=UINPBA00004N" "url" => "/16972600/0000001700000001/v1_201612260102/S1697260016300588/v1_201612260102/en/main.assets" ] "en" => array:19 [ "idiomaDefecto" => true "cabecera" => "Original article" "titulo" => "Inventory of Overburden in Alzheimer's Patient Family Caregivers with no Specialized Training" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "56" "paginaFinal" => "64" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "María del Carmen Pérez-Fuentes, José Jesús Gázquez Linares, María Dolores Ruiz Fernández, María del Mar Molero Jurado" "autores" => array:4 [ 0 => array:4 [ "nombre" => "María del Carmen" "apellidos" => "Pérez-Fuentes" "email" => array:1 [ 0 => "mpf421@ual.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "José Jesús" "apellidos" => "Gázquez Linares" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "María Dolores" "apellidos" => "Ruiz Fernández" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "María del Mar" "apellidos" => "Molero Jurado" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Universidad de Almería, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio Andaluz de Salud, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author: Psychology Department, University of Almeria, Ctra. de Sacramento s/n, 04120 La Cañada de San Urbano, Almería." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Inventario de Sobrecarga en Cuidadores Familiares sin Formación Especializada de Enfermos de Alzheimer" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2722 "Ancho" => 1584 "Tamanyo" => 338000 ] ] "descripcion" => array:1 [ "en" => "First-order factor structure of IPSO-CA24." ] ] ] "textoCompleto" => "At the present time, Alzheimer-type dementia continues to be one of the most frequent causes of dependence of the older population, posing a challenge for public health (<a class="elsevierStyleCrossRef" href="#bib0275">World Health Organization & Alzheimer's Disease International, 2012</a>), and therefore, requiring coordinated worldwide action by responsible agencies (<a class="elsevierStyleCrossRef" href="#bib0225">Prince et al., 2015</a>) (<a class="elsevierStyleCrossRef" href="#bib0280">World Health Organization, 2015</a>). According to recent reports (<a class="elsevierStyleCrossRef" href="#bib0005">Alzheimer's Association, 2016</a>), caregivers of Alzheimer's Disease and other dementia patients provide continued attention during a longer period than caregivers of persons who are dependent for other causes. The considerable demand on caregivers of a dependent relative, for example, on the activities of daily life (<a class="elsevierStyleCrossRef" href="#bib0115">Gázquez, Pérez-Fuentes, Mercader, & Molero, 2011</a>) have negative consequences to the health of the caregiver (<a class="elsevierStyleCrossRef" href="#bib0015">Berglund, Lytsy, & Westerling, 2015</a>) and their quality of life (<a class="elsevierStyleCrossRefs" href="#bib0080">Díaz-Prieto & García-Sánchez, 2015; Flores, Jenaro, Moro, & Tomşa, 2014</a>). The volume of research work analyzing the profile of the family caregiver has multiplied in recent years (<a class="elsevierStyleCrossRef" href="#bib0035">Brown & Brown, 2014</a>) mediated by the boost in quality of publications in social sciences (<a class="elsevierStyleCrossRef" href="#bib0105">García-Pereira & Quevedo-Blasco, 2015</a>). In this field, the concept of caregiver burden is of special interest and requires conceptual and dimensional consensus. However, <a class="elsevierStyleCrossRef" href="#bib0170">Martín-Carrasco, Domínguez-Panchón, Muñoz-Hermoso, González-Fraile, and Ballesteros-Rodríguez (2013)</a> warned that the burden on the family caregiver is being evaluated from different approaches, impeding comparison of the results of research.Since the first definition of caregiver burden (<a class="elsevierStyleCrossRef" href="#bib0120">Grad & Sainsbury, 1963</a>), many attempts have been made at delimiting the concept using different models to include its possible dimensions. <a class="elsevierStyleCrossRef" href="#bib0220">Poulshock and Deimling (1984)</a> proposed a multidimensional approach to this burden, where different dimensions were interrelated (patient problems, burden and its impact on the caregiver). <a class="elsevierStyleCrossRef" href="#bib0190">Montgomery, Stull & Borgatta (1985)</a> differentiated between the “objective burden” or facets related to caregiving, and “subjective burden” or the caregiver's perception of the impact the objective burden has on their physical, psychological and social condition.Caregiver stress is often considered a powerful predictive factor of burden. The Transactional Model of Stress and Coping by <a class="elsevierStyleCrossRef" href="#bib0140">Lazarus and Folkman (1984)</a> established a relationship between the caregiver's evaluation of the situation (demand) and their ability to cope with it. In other cases, the caregiving burden is related to the patient's problems and deterioration. <a class="elsevierStyleCrossRef" href="#bib0205">Pearlin, Mullan, Semple, and Skaff (1990)</a> defined burden as the caregiver's subjective evaluation of the objective demands made by the patient (patient's physical and cognitive deterioration, functional disability and behavioral problems). Later, <a class="elsevierStyleCrossRef" href="#bib0255">Sandín (1999)</a>, in his stress process model, included variables that maintain a modulating function of the response to stress, among them, psychosocial demands and state of health. In other dependent populations, daily stress is referred to as a risk to mental health (<a class="elsevierStyleCrossRef" href="#bib0260">Schönfeld, Brailovskaia, Bieda, Zhang, & Margraf, 2016</a>). Several personal resources having a protective effect against the negative influence of stress on family caregivers have been identified (<a class="elsevierStyleCrossRefs" href="#bib0110">Gázquez, Pérez-Fuentes, Molero, & Mercader, 2015; Lanzón & Díaz, 2015; Otero-López, Villardefrancos, Castro, & Santiago, 2014</a>).The goal, as stated by <a class="elsevierStyleCrossRef" href="#bib0285">Zarit, Femia, Kim and Whitlatch (2010)</a>, should therefore be to design evaluation instruments which fit to the caregiver's reality and enable intervention to be directed at specific targets, and not a generic problem, which is only theoretically common to all caregivers. Thus, the heterogeneity of the caregivers’ profiles and their needs (<a class="elsevierStyleCrossRef" href="#bib0240">Rosa et al., 2010</a>) requires studies testing intervention effectiveness (<a class="elsevierStyleCrossRef" href="#bib0045">Chacón, Sanduvete, Portell, & Anguera, 2013</a>) and the inclusion of new therapeutic variables (<a class="elsevierStyleCrossRefs" href="#bib0025">Bornas, Noguera, Pincus, & Buela-Casal, 2014; Vives, Orte, & Sánchez, 2016</a>). Along this line, a model is proposed that sustains the development of an evaluation instrument for the specific needs of the Alzheimer patient family caregiver (<a class="elsevierStyleCrossRef" href="#bib0215">Pérez-Fuentes et al., 2014</a>). A series of factors has to be taken into account for the early detection of stress or burden in this specific caregiver profile. On one hand, caregiver-related factors, such as reaction to the diagnosis (feelings), physical health and knowledge of the disease, and on the other, patient-related factors, such as level of dependence, and, finally, emphasize special attention to the symptomatology, which in this case, is a two-dimensional factor, caregiver psychological symptomatology and patient behavioral symptomatology.In absence of patient treatment, one of the concerns which caregivers often refer to is the difficulty in diagnosing dementia early. This could have a significant impact on the emotional response of caregivers, and therefore, on caregiving quality (<a class="elsevierStyleCrossRef" href="#bib0040">Caron & Caron, 2011</a>). <a class="elsevierStyleCrossRef" href="#bib0070">De Vugt and Verhey (2013)</a> believe that early diagnosis offers the opportunity of advancing in the process of adapting to the role of caregiver. Thus caregivers most able to adapt to the changes typical of dementia feel more competent to care for them and experience fewer health problems. According to <a class="elsevierStyleCrossRef" href="#bib0020">Boots, Wolfs, Verhey, Kempen, and de Vugt (2015)</a>, early intervention helps caregivers to identify their needs and increase their knowledge of the changing roles in the relationship, preventing overburdening. The use of certain coping strategies by patients and their relatives facilitates decision-making after diagnosis which will affect later adjustment of caregiving (<a class="elsevierStyleCrossRef" href="#bib0030">Bronner, Perneczky, McCabe, Kurz, & Hamann, 2016</a>).After the critical moment of the diagnosis, the caregiver often experiences feelings of doubt and unease, especially due to ignorance of the illness and caregiving required (<a class="elsevierStyleCrossRef" href="#bib0240">Rosa et al., 2010</a>). In this situation, the caregiver's previous beliefs and expectations may influence the feeling of burden positively or negatively. <a class="elsevierStyleCrossRef" href="#bib0085">Feldberg et al. (2011)</a> suggested that the more negative the caregiver's beliefs are, the higher the probability of their experiencing overburdening and therefore, becoming more vulnerable to stress and anxiety. Training caretakers in symptomatology and the evolution of the disease, or in handling daily situations, could reduce overburden and even avoid its appearance (<a class="elsevierStyleCrossRefs" href="#bib0145">Lima-Rodríguez, Lima-Serrano, & Domínguez-Sánchez, 2015; Saavedra, Bascón, Arias, García, & Mora, 2013</a>). <a class="elsevierStyleCrossRef" href="#bib0180">Molinuevo and Hernández (2011)</a> thought evolution of the patient's behavioral symptomatology is another of the factors determining how the caregiver copes with caregiving and the burden generated by it. <a class="elsevierStyleCrossRef" href="#bib0050">Corazza et al. (2014)</a> found a positive correlation between the caregiver's feeling of burnout and neuropsychiatric distress of the Alzheimer's patient. There has been a trend in recent years to analyze the relationship between patient characteristics and caregiver burden (<a class="elsevierStyleCrossRef" href="#bib0160">Lou et al., 2015</a>). Along this line, <a class="elsevierStyleCrossRef" href="#bib0210">Peña-Longobardo and Oliva-Moreno (2015)</a> found that the probability of the family caregiver having problems (health, professional and leisure) is associated positively with the degree of patient dependence. <a class="elsevierStyleCrossRef" href="#bib0235">Rogero-García and Ahmed-Mohamed (2014)</a> thought perception of uncovered needs is related to the characteristics of the dependent person, the caregiver and the caregiving context. Thus such aspects as the impact caregiving has on the health of the caregiver (<a class="elsevierStyleCrossRef" href="#bib0090">Fernández de Larrinoa et al., 2011</a>) are being evaluated. <a class="elsevierStyleCrossRef" href="#bib0075">Delgado et al. (2014)</a> found a worse state of health, heavier demand on healthcare services and use of medication by family caregivers. Recently, higher mortality rates have been shown in family caregivers, although with a slight decrease in recent years (<a class="elsevierStyleCrossRef" href="#bib0245">Roth, Fredman, & Haley, 2015</a>). Precisely because of the caretaker's fatigue, the concept of caregiver burnout is being reexamined, which in spite of being a term used in the scope of healthcare to refer to professional stress in their daily work, in the case of family caregivers, it could be performing the same function (<a class="elsevierStyleCrossRef" href="#bib0060">Da Silva, Braga, & Da Silva, 2009</a>). The study by <a class="elsevierStyleCrossRef" href="#bib0065">De Valle-Alonso, Hernández-López, Zúñiga-Vargas, and Martínez-Aguilera (2015)</a> found that overburden was a predictor of burnout in family caregivers of elderly patients, although neither the personal characteristics nor conditions of caregiving were directly related to level of burden.In parallel to the concept of evolution, several instruments have also been designed to assess caregiver burden in the area of evaluation (<a class="elsevierStyleCrossRef" href="#bib0055">Crespo & Rivas, 2015</a>). Sometimes, classification of these tests depends on what they are measuring: a) one-dimensional, such as the Burden Interview (<a class="elsevierStyleCrossRef" href="#bib0290">Zarit, Reever & Bach-Peterson, 1980</a>), the Caregiver Strain Index (<a class="elsevierStyleCrossRef" href="#bib0230">Robinson, 1983</a>) or the Caregiver Perceived Burden (<a class="elsevierStyleCrossRef" href="#bib0265">Strawbrigde & Wallhagen, 1991</a>); two-dimensional, such as Montgomery's Burden Scale (<a class="elsevierStyleCrossRef" href="#bib0185">Montgomery, Goneya, & Hooyman, 1985</a>); and multidimensional, such as the Caregiver Appraisal Scale (<a class="elsevierStyleCrossRef" href="#bib0135">Lawton, Kleban, Moss, Rovine, & Glicksman, 1989</a>), the Caregiver Burden Inventory (<a class="elsevierStyleCrossRef" href="#bib0195">Novak & Guest, 1989</a>) or the Questionnaire on Resources and Stress (<a class="elsevierStyleCrossRef" href="#bib0125">Holroyd, 1987</a>). Although a diversity of instruments are used to determine the level of caregiver burden, preference for the use of the one by <a class="elsevierStyleCrossRef" href="#bib0290">Zarit et al. (1980)</a> has been continuous since the nineties (<a class="elsevierStyleCrossRef" href="#bib0175">Martos et al., 2015</a>). Another instrument which should be pointed out is the Caregiver Burden Inventory (<a class="elsevierStyleCrossRef" href="#bib0195">Novak & Guest, 1989</a>), which although it has no Spanish adaptation, is one of the most commonly used.On top of the few tests developed or adapted for the Spanish population, authors such as <a class="elsevierStyleCrossRef" href="#bib0100">Garand et al. (2013)</a> say that interventions carried out are directed basically at caregivers who already have heavy burdens, but that intervention for so-called “new caregivers” is also necessary, that is, preventive intervention for caregivers of recently diagnosed patients. Thus the purpose of this study, from this perspective, was to validate an instrument for early detection of the needs of Alzheimer's patient family caregivers without specialized training, which would evaluate the needs for intervention in the family caregiver without specialized training and enable design of early intervention to avoid overburden of the caregiver.MethodParticipantsThe sample was selected from the medical histories in the database of the Andalusian Healthcare Service Family Caregiver Attention Plan, 843 of whom were Alzheimer's patients. Of these, those who were not part of the target population, for example, who were in an advanced stage of the disease, were eliminated, and patients who had ortho-prosthetic devices at home were also discarded. The final population consisted of 507 family caregivers of patients with Alzheimer's in its early or moderate stages. Of these, participants were chosen at random from the various Basic Healthcare Districts in Almeria, leaving a study sample of 255 caregivers (95% confidence level and confidence interval of 4.33%), all of whom were family caregivers of patients diagnosed with Alzheimer's Disease. Of this sample 85.7% were women and 14.3% were men, with a mean age of 55.39 years (SD=12.41). Of the persons cared for, 57.6% were in a moderate stage of the disease (Stage II), while 42.4% were in an early stage (Stage I). With regard to the first variable, 63.9% of the caregivers were sons/daughters, 26.7% were spouses, 2.7% were sons/daughters-in-law, 1.2% were siblings and 15.5% were other relatives.Instruments<ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005">-Ad hoc questionnaire on sociodemographic data such as age, sex, stage of disease (Early or Moderate), relationship (son/daughter, spouse, son/daughter-in-law, sibling, other relative).</li><li class="elsevierStyleListItem" id="lsti0010">-General Health Questionnaire by Goldberg (GHQ-28) (<a class="elsevierStyleCrossRef" href="#bib0150">Lobo, Pérez-Echeverría, & Artal, 1986</a>). The GHQ-28, in addition to measuring perceived health and emotional wellbeing, detects both recent and chronic health problems. It consists of a total of 28 items distributed in four components (depression, anxiety, physical social dysfunction symptoms) with seven items each and with a Cronbach's alpha of .86, .89, .70 and .87, respectively.</li><li class="elsevierStyleListItem" id="lsti0015">-Índice de Esfuerzo del Cuidador [Caregiver's Effort Index] (<a class="elsevierStyleCrossRef" href="#bib0155">López & Moral, 2005</a>). This assesses the burden and effort of caregiving based on 13 items. Validation of the instrument for the Spanish population found a Cronbach's alpha of .80, and in this study it was .75.</li><li class="elsevierStyleListItem" id="lsti0020">-Barthel Scale (<a class="elsevierStyleCrossRefs" href="#bib0010">Baztán et al., 1993; Mahoney & Barthel, 1965</a>). This questionnaire has 10 items designed to assess the functional independence/dependency in performing basic daily activities. A low score indicates a high level of dependency. Internal consistency showed a Cronbach's alpha of .86-.92 in the original version and .93 in this sample.</li><li class="elsevierStyleListItem" id="lsti0025">-Inventario de Sobrecarga en Cuidadores Familiares de Enfermos de Alzheimer [Inventory of Overburden in Alzheimer's Patient Family Caregivers with no Specialized Training] (IPSO-CA38). Its construction followed the model proposed by <a class="elsevierStyleCrossRef" href="#bib0215">Pérez-Fuentes et al. (2014)</a> with 38 items on aspects to be found included in six factors: Reaction to diagnosis (Feelings), Physical health, Psychological Symptomatology (Caregiver), Behavioral Symptomatology (Patient), Knowledge of the disease and level of dependence. The response choices are on a four-point Likert-type scale from 1=Not at all to 4=A lot.</li></ul>ProcedureWhen permission had been requested from the Almeria Healthcare District Research Committee and the corresponding Research Ethics Committee, the staff in charge of implementing the questionnaires met and was informed of how to proceed with each subject. Thus each of the caregivers was informed about the purpose of the study, the confidentiality of the data and filled in the required informed participation consent form. First the target group for instrument design was formed, and all the points indicated by the caregivers were included in a pilot version, and that first 38-item version of the IPSO was given to 20 caregivers to evaluate their understanding of the items. Interrater validation was also carried out (by four specialists) to analyze the theoretical-logical domain. When the modifications had been made as suggested by both groups, the final version of the IPSO was drafted. It was then given individually in a structured interview lasting from about ten to fifteen minutes.Data analysisThis is a descriptive cross-study in which the descriptive data and reliability were calculated using SPSS.22 (2013) and confirmatory factor analysis was done with AMOS.22 (2013). The analysis was done in three steps. First reliability and validity of the original 38-item IPSO-CA38 model were analyzed. Then, because reliability and goodness of fit were unacceptable, errors causing the lack of fit were analyzed by reliability analysis of each item, measurement error, estimation error and correlated measurement errors. Based on the analysis of these indicators, the number of items in the inventory was reduced to 24, for which descriptive and reliability analyses were done before confirmatory factor analysis. In a third step, fit of this reduced 24-item version of the inventory (IPSO-CA24) with six factors (maintaining the model proposed by <a class="elsevierStyleCrossRef" href="#bib0215">Pérez-Fuentes et al. (2014)</a> in two ways, with and without a general overburden index. To determine the degree of fit of the models, the statistics and indices most commonly used for this were calculated: χ2, χ2/df (degrees of freedom), Adjusted Goodness-of-Fit Index (AGFI), Comparative Fit Index (CFI), and Root Mean Square Error of Approximation (RMSEA).ResultsDescriptive statisticsThe correlations of the 24 items in the reduced version of the Inventory of Overburden in Alzheimer's Patient Family Caregivers with no Specialized Training (IPSO-CA24), and the means, standard deviations, asymmetry and kurtosis are shown in <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>. It may be observed that most of the correlations are statistically significant and kurtosis and asymmetry of each variable are acceptable, so the use of the method of maximum similarity seems justified for estimating the model's goodness of fit. Furthermore, exploratory factor analysis was performed using maximum likelihood with oblique rotation, for which the KMO coefficient was .82 and Bartlett's sphericity test found χ2=2916.33, which is significant with 276 degrees of freedom (p<.001). As shown in <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>, six factors explained 66.52% of the variance, where Factor 1 had the most weight, although the rest of the factors had saturations over .40. In addition, the percentage of variance explained by Factor 1 Knowledge of the disease, which is comprised of four items, is slightly higher than the rest (23.76%).<elsevierMultimedia ident="tbl0005"></elsevierMultimedia>Internal consistency of the inventory is good (α=.85), and also of each of the scales: Reaction to diagnosis (Feelings) α=.75; Physical health α=.75; Psychological symptomatology (Caregiver) α=.84; Behavioral symptomatology (Patient) α=.77; Knowledge of the disease α=.93; and Level of dependence α=.79.Confirmatory Factor AnalysisAfter checking that asymmetry (-1.4–1.2) and kurtosis (-1.3–.1) were adequate, the structure of the questionnaire was evaluated by comparing goodness of fit of the two alternative models, one model with six first-order factors (Model 1) and a model with a hierarchical structure (six first-order factors and a general second-order factor) (Model 2). The results show that both models have similar fit (Model 1: χ2=458.56; df=237; p < .001; χ2/df=1.94; GFI=.87; AGFI=.83; CFI=.92; RMSEA=.06 (.05-.06; p < .05); Model 2: χ2=498.52; df=246; p<.001; χ2/df=2.02; GFI=.86; AGFI=.83; CFI=.91; RMSEA=.06 (.05-.07; p<.01)). Although at first Model 1 seemed to show better fit, the models are nested and their fit can be compared statistically. The result of this test shows the existence of significant statistical differences in the fit of the two models (Δχ2=4.44; p<.001). Therefore, based on this statistical criterion and parsimony, Model 1 was selected as the best for representing the structure of the IPSO-CA24. Specific fit of Model 1 is modest or acceptable, depending on the criterion used (acceptable if going by χ2/df, CFI or RMSEA; modest if using GFI or AGFI). In any case, it should be considered that the fit of this type of instruments (self-report) is difficult to optimize without estimating the correlations of the measurement errors (which are common, both from the effect of the method of accessing information in itself and how some of the items are written). Therefore, and keeping in mind that in estimating the model's goodness of fit these covariates were not included, it is possible to assume that goodness of fit of Model 1 is acceptable (<a class="elsevierStyleCrossRefs" href="#fig0005">Figures 1 and 2</a>, <a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>).<elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="tbl0010"></elsevierMultimedia>Validity analysis of the constructConvergent validity testing of the questionnaire with the Barthel Scale shows that only the IPSO-CA24 dependence factor shows any correlation, and that is negative, that is, as independence of the person cared for diminishes importance of the level of dependence factor increases for the caregiver. It should also be emphasized that practically all the health factors (GHQ-28) are correlated with the General Overburden Index as well as with several factors of the IPSO-CA24, showing how social dysfunction is only related positively to physical health of the caregiver. Finally, both total score or General Overburden Index and factors comprising the IPSO-CA24 show positive correlation with the General Caregiver's Effort Index, except Knowledge of the disease, that is, the greater the effort made by the caregiver, the more importance given to different facets of caregiving (<a class="elsevierStyleCrossRef" href="#tbl0015">Table 3</a>).<elsevierMultimedia ident="tbl0015"></elsevierMultimedia>DiscussionFactor analysis of the IPSO-CA24 identified six robust dimensions of overburden in Alzheimer's patient family caregivers with no specialized training: Reaction to diagnosis, Physical health, Psychological symptomatology (caregiver), Behavioral symptomatology (patient), Knowledge of the disease and Level of dependence. Although, adjusting the Model 1, six-factor model without the general overburden index, is acceptable, we analyzed the properties of both, leaving the selection of one of them for future studies. The questionnaire, the scales, etc., may be found at the link: <a id="intr0005" class="elsevierStyleInterRef" href="http://www.grupocuidadores.com/ipso">www.grupocuidadores.com/ipso</a>.The consequences to physical health derived from caring for a family member make this dimension highly of overburden (<a class="elsevierStyleCrossRefs" href="#bib0015">Berglund et al., 2015; Delgado et al., 2014; Roth et al., 2015</a>), and is more likely as the degree of patient dependence increases (<a class="elsevierStyleCrossRef" href="#bib0210">Peña-Longobardo & Oliva-Moreno, 2015</a>). Furthermore, with the inclusion of two symptomatology factors (psychological in the caregiver and behavioral in the patient), the IPSO-CA24 can subjectively evaluate the caregiver in other more objective facets of burden (<a class="elsevierStyleCrossRef" href="#bib0205">Pearlin et al., 1990</a>). Apart from this, the knowledge caregivers have about the disease is related to their expectations (<a class="elsevierStyleCrossRef" href="#bib0085">Feldberg et al., 2011</a>), the attitude with which they cope with situations derived from caregiving (<a class="elsevierStyleCrossRef" href="#bib0250">Saavedra et al., 2013</a>), and therefore, how they manage the disease (<a class="elsevierStyleCrossRef" href="#bib0145">Lima-Rodríguez et al., 2015</a>). Another of the components that directly influences the quality of caregiving is their reaction to the diagnosis (<a class="elsevierStyleCrossRef" href="#bib0040">Caron & Caron, 2011</a>). Specifically, the protective effect which having an early diagnosis might have in the long term becomes more obvious in family caregivers (Vugt & Verhey, 2013) both in decision-making and in adapting to the caregiver roll (<a class="elsevierStyleCrossRefs" href="#bib0020">Boots et al., 2015; Bronner et al., 2016</a>).Some of these dimensions, although already found in other measures of caregiver burden (<a class="elsevierStyleCrossRefs" href="#bib0055">Crespo & Rivas, 2015; Martos et al., 2015</a>), have not been included in methodological proposals where they combine in an evaluation instrument such as this one. Furthermore, the diversity of approaches that evaluate the burden (<a class="elsevierStyleCrossRef" href="#bib0170">Martín-Carrasco et al., 2013</a>) must be added to the difficulty entailed in the heterogeneity of the caregiver profile itself (<a class="elsevierStyleCrossRef" href="#bib0240">Rosa et al., 2010</a>). All of this makes comparison of measurement instruments in this field (<a class="elsevierStyleCrossRef" href="#bib0035">Brown & Brown, 2014</a>) a difficult task.To conclude, IPSO-CA24 component interactions with other measures show adequate levels of construct validity and the need to continue working in the line of the model proposed by <a class="elsevierStyleCrossRef" href="#bib0215">Pérez-Fuentes et al. (2014)</a>, thereby insisting on a multidimensional approach to burden (<a class="elsevierStyleCrossRefs" href="#bib0220">Poulshock & Deimling, 1984; Rogero-García & Ahmed-Mohamed, 2014</a>), and the current trend to consider patient and caregiver characteristics together (<a class="elsevierStyleCrossRef" href="#bib0160">Lou et al., 2015</a>). This instrument therefore responds to the need for multidimensional evaluation of the burden of family caregivers without specialized training." "textoCompletoSecciones" => array:1 [ "secciones" => array:8 [ 0 => array:3 [ "identificador" => "xres782338" "titulo" => "Abstract" "secciones" => array:1 [ 0 => array:1 [ "identificador" => "abst0005" ] ] ] 1 => array:2 [ "identificador" => "xpalclavsec781431" "titulo" => "Keywords" ] 2 => array:3 [ "identificador" => "xres782337" "titulo" => "Resumen" "secciones" => array:1 [ 0 => array:1 [ "identificador" => "abst0010" ] ] ] 3 => array:2 [ "identificador" => "xpalclavsec781432" "titulo" => "Palabras clave" ] 4 => array:3 [ "identificador" => "sec0005" "titulo" => "Method" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "sec0010" "titulo" => "Participants" ] 1 => array:2 [ "identificador" => "sec0015" "titulo" => "Instruments" ] 2 => array:2 [ "identificador" => "sec0020" "titulo" => "Procedure" ] 3 => array:2 [ "identificador" => "sec0025" "titulo" => "Data analysis" ] ] ] 5 => array:3 [ "identificador" => "sec0030" "titulo" => "Results" "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0035" "titulo" => "Descriptive statistics" ] 1 => array:2 [ "identificador" => "sec0040" "titulo" => "Confirmatory Factor Analysis" ] 2 => array:2 [ "identificador" => "sec0045" "titulo" => "Validity analysis of the construct" ] ] ] 6 => array:2 [ "identificador" => "sec0050" "titulo" => "Discussion" ] 7 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2016-06-21" "fechaAceptado" => "2016-09-26" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec781431" "palabras" => array:5 [ 0 => "Inventory" 1 => "Overload" 2 => "Caregivers" 3 => "Alzheimer" 4 => "Instrumental study" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec781432" "palabras" => array:5 [ 0 => "Inventario" 1 => "sobrecarga" 2 => "cuidadores" 3 => "Alzheimer" 4 => "estudio instrumental" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "Background/Objective: Alzheimer-type dementia is one of the most frequent causes of dependence in an aging population, which combines with a considerable demand for care. Furthermore, when the caregiver is a family member or person without specialized training, such care impacts on that person's health. The Inventory of Overburden in Alzheimer's Patient Family Caregivers with no Specialized Training (IPSO-CA24) was designed to find out the needs of these caregivers and evaluate the caregiver's burden or distress. Method: The psychometric properties of the questionnaire were analyzed (in a reliability analysis, exploratory factor analysis and confirmatory analysis) based on the responses of 255 caregivers. Results: The factor analyses showed a six-factor structure (Reaction to diagnosis, Physical health, Psychological symptomatology (caretaker), Behavioral symptomatology (patient), Knowledge of the illness, and Level of dependence) explaining 66.52% of the total variance with a reliability of .75 to .93. Support was also found for its convergent validity. Conclusions: The IPSO-CA24 responds to the need for an instrument enabling multidimensional evaluation of the burden on the family caregiver without specialized training." ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "Antecedentes/Objetivo: La demencia tipo Alzheimer es una de las causas más frecuentes de dependencia en población mayor, a lo que se une, la considerable demanda de cuidados. Además, cuando el cuidador es un familiar o una persona sin formación especializada, el cuidado tiene un impacto sobre su salud. Para conocer las necesidades de estos cuidadores y evaluar el nivel de sobrecarga o malestar del cuidador, se realiza la propuesta del Inventario de Sobrecarga en Cuidadores Familiares sin Formación Especializada de Enfermos de Alzheimer (IPSO-CA24). Método: En base a las respuestas de 255 cuidadores, se analizaron las propiedades psicométricas del cuestionario, mediante análisis de fiabilidad, análisis factoriales exploratorios y confirmatorios. Resultados: Los análisis factoriales informan de una estructura de seis factores relacionados (Reacción ante el diagnóstico, Salud física, Sintomatología psicológica (cuidador), Sintomatología conductual (enfermo), Conocimientos de la enfermedad y Nivel de dependencia), con una fiabilidad entre 0,75 y 0,93, que explican el 66,52% de la varianza total. También se obtiene apoyo para su validez convergente. Conclusiones: El IPSO-CA24 viene a dar respuesta a la necesidad de un instrumento que permita una valoración multidimensional de la sobrecarga del cuidador familiar sin formación especializada." ] ] "multimedia" => array:5 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2722 "Ancho" => 1584 "Tamanyo" => 338000 ] ] "descripcion" => array:1 [ "en" => "First-order factor structure of IPSO-CA24." ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 3099 "Ancho" => 1595 "Tamanyo" => 327818 ] ] "descripcion" => array:1 [ "en" => "Hierarchical factor structure of IPSO-CA24." ] ] 2 => array:8 [ "identificador" => "tbl0005" "etiqueta" => "Table 1" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at1" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:2 [ "leyenda" => "Note. Extraction method: Principal axis factoring. Rotation method: Equamax. Rotation converged in seven iterations." "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head " align="" valign="top" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">1 \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">2 \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">3 \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">4 \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">5 \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">6 \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">α \t\t\t\t\t\t\n \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.66 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.46 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.59 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.39 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.63 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.44 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 4 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.65 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.48 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.48 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.30 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 6 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.43 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.25 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 7 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.84 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.82 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 8 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.66 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.52 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.78 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.68 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 10 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.61 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.43 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 11 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.71 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.61 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 12 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.66 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.30 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.61 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 13 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.39 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.43 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.37 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 14 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.35 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.50 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.40 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 15 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.92 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.85 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 16 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.89 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.82 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 17 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.82 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.68 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 18 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.87 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.76 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 19 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.77 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.67 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 20 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.47 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.48 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.52 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 21 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.85 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.75 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 22 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.85 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.75 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 23 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.38 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.42 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.35 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 24 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.75 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.64 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Eigenvalue \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">5.70 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">3.40 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">2.32 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">2.03 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.35 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.18 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">% de variance \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">23.76 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">14.16 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">9.65 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">8.44 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">5.61 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">4.91 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">% of rotated variance \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">21.95 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">13.13 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">7.57 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">6.85 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">3.79 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">3.18 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab1300025.png" ] ] ] ] "descripcion" => array:1 [ "en" => "Matrix of rotated components (IPSO-CA24)." ] ] 3 => array:8 [ "identificador" => "tbl0010" "etiqueta" => "Table 2" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at2" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:2 [ "leyenda" => "Note. R.D.=Reaction to diagnosis (Feeling); SA=Physical health; PSYC S.=Psychological symptomatology (Caregiver); BEHAV S.=Behavioral symptomatology (Patient); KNOW=Knowledge of disease; DEPEN=Level of dependence; λ=Standardized regression coefficient; EE=Standardized Errors; C.R.=Critical ratio; P=Probability; R2=Squared Multiple Correlation of each item; ***=p< .001." "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head " align="" valign="top" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Item \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Unstandardized Coefficient \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">λ \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">S.E. \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">C.R. \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">P \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">R2 \t\t\t\t\t\t\n \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">R.D. \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.00 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.65 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">.42 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.03 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.62 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.14 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">7.52 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">*** \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">.38 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.03 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.68 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.13 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">7.97 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">*** \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">.46 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">4 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.31 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.68 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.16 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">8.02 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">*** \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">.47 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">SA \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.00 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.52 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">.27 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">6 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.92 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.47 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.15 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">5.92 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">*** \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">.22 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">7 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.55 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.89 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.19 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">8.14 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">*** \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">.79 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">8 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.40 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.75 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.18 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">7.85 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">*** \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">.56 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">PSYC S. \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.00 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.81 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">.65 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">10 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.91 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.66 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.09 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">10.53 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">*** \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">.44 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">11 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.08 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.77 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.09 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">12.56 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">*** \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">.60 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">12 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.07 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.79 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.08 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">12.78 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">*** \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">.62 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">BEHAV S. \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">13 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.00 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.56 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">.31 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">14 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.09 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.59 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.16 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">6.99 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">*** \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">.35 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">19 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">2.11 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.81 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.26 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">8.27 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">*** \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">.66 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">24 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">2.03 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.76 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.25 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">8.08 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">*** \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">.57 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">KNOW \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">15 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.00 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.92 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">.85 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">16 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.93 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.91 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.04 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">23.27 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">*** \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">.82 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">17 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.81 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.82 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.04 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">18.53 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">*** \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">.67 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">18 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.92 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.87 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.04 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">20.83 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">*** \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">.75 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">DEPEN \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">20 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.00 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.57 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">.33 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">21 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.35 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.89 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.15 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">9.19 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">*** \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">.79 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">22 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.21 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.82 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.13 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">9.10 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">*** \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">.68 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">23 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.79 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.49 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.12 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">6.48 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">*** \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">.24 \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab1300026.png" ] ] ] ] "descripcion" => array:1 [ "en" => "Goodness of fit of the IPSO-CA24 model." ] ] 4 => array:8 [ "identificador" => "tbl0015" "etiqueta" => "Table 3" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at3" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:3 [ "leyenda" => "Note." "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head " align="" valign="top" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Somatic Symptoms \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Anxiety-Insomnia \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Social Dysfunction \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Depression \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Total GHQ \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">IEC \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">R.D. \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">SA \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">PSYC S. \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">BEHAV S. \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">KNOW \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">DEPEN \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">I.G.S. \t\t\t\t\t\t\n \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Barthel Scale \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">−.07 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">−.00 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.04 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">−.07 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">−.05 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">−.16<a class="elsevierStyleCrossRef" href="#tblfn0010">*</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.02 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">−.06 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">−.12 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.11 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">−.03 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">−.26<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">−.09 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Somatic Symptoms \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.60<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.16<a class="elsevierStyleCrossRef" href="#tblfn0010">*</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.29<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.77<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.32<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.12 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.47<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.32<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.17<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.01 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.16<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.34<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Anxiety-Insomnia \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">−.01 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.44<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.80<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.39<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.08 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.31<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.38<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.28<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">−.08 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.21<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.32<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Social Dysfunction \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">−.11 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.23<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">−.05 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.09 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.13<a class="elsevierStyleCrossRef" href="#tblfn0010">*</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.01 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.05 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.11 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.04 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.12 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Depression \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.66<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.25<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.04 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.19<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.28<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.21<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">−.11 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.21<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.22<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Total GHQ \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.37<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.12 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.39<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.39<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.29<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">−.07 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.25<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.37<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">IEC \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.21<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.39<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.64<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.43<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.02 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.27<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.54<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">R.D. \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.38<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.18<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.11 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.17<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.19<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.57<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">SA \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.44<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.29<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.09 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.29<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.67<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">PSYC S. \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.46<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">−.01 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.31<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.65<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">BEHAV S. \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.14<a class="elsevierStyleCrossRef" href="#tblfn0010">*</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.45<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.67<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">KNOW \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.03 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.41<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">DEPEN \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.63<a class="elsevierStyleCrossRef" href="#tblfn0005">**</a> \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab1300027.png" ] ] ] "notaPie" => array:2 [ 0 => array:3 [ "identificador" => "tblfn0005" "etiqueta" => "**" "nota" => "p<.01." ] 1 => array:3 [ "identificador" => "tblfn0010" "etiqueta" => "*" "nota" => "p<.05; 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Convergent validity analysis of IPSO-CA24." ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:58 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "Alzheimer's Association, 2016" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Alzheimer's Association (2016). 2016 Alzheimer's Disease: Facts and figures. Alzheimer's & Dementia 12, 1-80." ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "Baztán et al., 1993" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Índice de Barthel: Instrumento válido para la valoración funcional de pacientes con enfermedad cerebrovascular" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J.J. Baztán" 1 => "J. Pérez del Molino" 2 => "T. Alarcón" 3 => "E. San Cristobal" 4 => "G. Izquierdo" 5 => "J. Manzarbeitia" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Revista Española de Geriatría y Gerontología" "fecha" => "1993" "volumen" => "28" "paginaInicial" => "32" "paginaFinal" => "40" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "Berglund et al., 2015" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Health and wellbeing in informal caregivers and non-caregivers: A comparative cross-sectional study of the Swedish a general population" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "E. Berglund" 1 => "P. Lytsy" 2 => "R. Westerling" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1186/s12955-015-0309-2" "Revista" => array:4 [ "tituloSerie" => "Health Quality Life Outcomes" "fecha" => "2015" "volumen" => "13" "paginaInicial" => "109" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "Boots et al., 2015" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Qualitative study on needs and wishes of early-stage dementia caregivers: The paradox between needing and accepting help" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "L.M.M. Boots" 1 => "C.A.G. Wolfs" 2 => "F.R.J. Verhey" 3 => "G.I.J.M. Kempen" 4 => "M.E. de Vugt" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1017/S1041610214002804" "Revista" => array:6 [ "tituloSerie" => "International Psychogeriatrics" "fecha" => "2015" "volumen" => "27" "paginaInicial" => "927" "paginaFinal" => "936" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25566686" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "Bornas et al., 2014" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Emotional inertia: A key to understanding psychotherapy process and outcome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "X. Bornas" 1 => "M. Noguera" 2 => "D. Pincus" 3 => "G. Buela-Casal" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ijchp.2014.03.001" "Revista" => array:5 [ "tituloSerie" => "International Journal of Clinical and Health Psychology" "fecha" => "2014" "volumen" => "14" "paginaInicial" => "232" "paginaFinal" => "239" ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "Bronner et al., 2016" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => ". Which medical and social decision topics are important after early diagnosis of Alzheimer's Disease from the perspectives of people with Alzheimer's Disease, spouses and professionals?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "K. Bronner" 1 => "R. Perneczky" 2 => "R. McCabe" 3 => "A. Kurz" 4 => "J. Hamann" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1186/s13104-016-1960-3" "Revista" => array:6 [ "tituloSerie" => "BMC Research Notes" "fecha" => "2016" "volumen" => "9" "paginaInicial" => "1" "paginaFinal" => "10" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26725043" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "Brown and Brown, 2014" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Informal caregiving: A reappraisal of effects on caregivers" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "R.M. Brown" 1 => "S.L. Brown" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/sipr.12002" "Revista" => array:5 [ "tituloSerie" => "Social Issues and Policy Review" "fecha" => "2014" "volumen" => "8" "paginaInicial" => "74" "paginaFinal" => "102" ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "Caron and Caron, 2011" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The mental stress of the accompaniment in Alzheimer's disease" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "R. Caron" 1 => "L. Caron" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.encep.2010.12.002" "Revista" => array:6 [ "tituloSerie" => "Encephale" "fecha" => "2011" "volumen" => "37" "paginaInicial" => "439" "paginaFinal" => "447" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22137216" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "Chacón et al., 2013" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Reporting a program evaluation: Needs, program plan, intervention, and decisions" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "S. Chacón" 1 => "S. Sanduvete" 2 => "M. Portell" 3 => "M.T. Anguera" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "International Journal of Clinical and Health Psychology" "fecha" => "2013" "volumen" => "13" "paginaInicial" => "58" "paginaFinal" => "66" ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "Corazza et al., 2014" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Los predictores psiconeuroinmunológicos de la sobrecarga de cuidado en ancianos cuidadores de pacientes con enfermedad de Alzheimer" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:7 [ 0 => "D.I. Corazza" 1 => "R.V. Pedroso" 2 => "C.A. Andreatto" 3 => "L. Scarpari" 4 => "M. Garuffi" 5 => "J.L. Costa" 6 => "R.F. Santos-Galduróz" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.regg.2014.03.007" "Revista" => array:5 [ "tituloSerie" => "Revista Española de Geriatría y Gerontología" "fecha" => "2014" "volumen" => "49" "paginaInicial" => "173" "paginaFinal" => "178" ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0055" "etiqueta" => "Crespo and Rivas, 2015" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "La evaluación de la carga del cuidador: Una revisión más allá de la escala de Zarit" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M. Crespo" 1 => "M.T. Rivas" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.clysa.2014.07.002" "Revista" => array:5 [ "tituloSerie" => "Clínica y Salud" "fecha" => "2015" "volumen" => "26" "paginaInicial" => "9" "paginaFinal" => "16" ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0060" "etiqueta" => "Da Silva et al., 2009" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evaluación de la presencia del síndrome de burnout en cuidadores de ancianos" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M.A. Da Silva" 1 => "M. Braga" 2 => "C.T. Da Silva" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Enfermería Global" "fecha" => "2009" "volumen" => "16" "paginaInicial" => "1" "paginaFinal" => "11" ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib0065" "etiqueta" => "De Valle-Alonso et al., 2015" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sobrecarga y Burnout en cuidadores informales del adulto mayor" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M.J. De Valle-Alonso" 1 => "I.E. Hernández-López" 2 => "M.L. Zúñiga-Vargas" 3 => "P. Martínez-Aguilera" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Enfermería Universitaria" "fecha" => "2015" "volumen" => "12" "paginaInicial" => "19" "paginaFinal" => "27" ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib0070" "etiqueta" => "De Vugt and Verhey, 2013" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The impact of early dementia diagnosis and intervention on informal caregivers" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M.E. De Vugt" 1 => "F.R. Verhey" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.pneurobio.2013.04.005" "Revista" => array:6 [ "tituloSerie" => "Progress in Neurobiology" "fecha" => "2013" "volumen" => "110" "paginaInicial" => "54" "paginaFinal" => "62" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23689068" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib0075" "etiqueta" => "Delgado et al., 2014" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Características y factores relacionados con sobrecarga en una muestra de cuidadores principales de pacientes ancianos con demencia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "E. Delgado" 1 => "O. Suárez" 2 => "R. de Dios" 3 => "I. Valdespino" 4 => "Y. Sousa" 5 => "G. Braña" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Revista Española de Medicina de Familia" "fecha" => "2014" "volumen" => "40" "paginaInicial" => "57" "paginaFinal" => "64" ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib0080" "etiqueta" => "Díaz-Prieto and García-Sánchez, 2015" "referencia" => array:1 [ 0 => array:3 [ "comentario" => "<a class="elsevierStyleInterRef" id="intr0010" href="http://dx.doi.org/10.1387/RevPsicodidact.13854">http://dx.doi.org/10.1387/RevPsicodidact.13854</a>" "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Identification of relevant elements for promoting effective interventions in old age" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "C. Díaz-Prieto" 1 => "J. García-Sánchez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Revista de Psicodidáctica" "fecha" => "2015" "volumen" => "21" "paginaInicial" => "157" "paginaFinal" => "173" ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib0085" "etiqueta" => "Feldberg et al., 2011" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Vulnerabilidad psicosocial del cuidador familiar. Creencias acerca del estado de salud del paciente neurológico y el sentimiento de sobrecarga" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "C. Feldberg" 1 => "M.F. Tartaglini" 2 => "M.A. Clemente" 3 => "G. Petracca" 4 => "F. Cáceres" 5 => "D. Stefani" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/S1853-0028(11)70003-9" "Revista" => array:5 [ "tituloSerie" => "Neurología" "fecha" => "2011" "volumen" => "3" "paginaInicial" => "11" "paginaFinal" => "16" ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bib0090" "etiqueta" => "Fernández de Larrinoa et al., 2011" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Autopercepción del estado de salud en familiares cuidadores y su relación con el nivel de sobrecarga" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "P. Fernández de Larrinoa" 1 => "S. Martínez" 2 => "N. Ortiz" 3 => "M. Carrasco" 4 => "J. Solabarrieta" 5 => "I. Gómez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Psicothema" "fecha" => "2011" "volumen" => "23" "paginaInicial" => "388" "paginaFinal" => "393" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21774890" "web" => "Medline" ] ] ] ] ] ] ] ] 18 => array:3 [ "identificador" => "bib0095" "etiqueta" => "Flores et al., 2014" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Salud y calidad de vida de cuidadores familiares y profesionales de personas mayores dependientes: estudio comparativo" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "N. Flores" 1 => "C. Jenaro" 2 => "L. Moro" 3 => "R. Tomşa" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1989/ejihpe.v4i2.55" "Revista" => array:5 [ "tituloSerie" => "European Journal of Investigation in Health, Psychology and Education" "fecha" => "2014" "volumen" => "4" "paginaInicial" => "79" "paginaFinal" => "88" ] ] ] ] ] ] 19 => array:3 [ "identificador" => "bib0100" "etiqueta" => "Garand et al., 2013" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Effects of problem a solving therapy on mental health outcomes in family caregivers of persons with a new diagnosis of mild cognitive impairment or early dementia: A randomized controlled trial" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:7 [ 0 => "L. Garand" 1 => "D.E. Rinaldo" 2 => "M.M. Alberth" 3 => "J. Delany" 4 => "S.L. Beasock" 5 => "O.L. Lopez" 6 => "M.A. Dew" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jagp.2013.07.007" "Revista" => array:6 [ "tituloSerie" => "The American Journal of Geriatric Psychiatry" "fecha" => "2013" "volumen" => "22" "paginaInicial" => "771" "paginaFinal" => "781" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24119856" "web" => "Medline" ] ] ] ] ] ] ] ] 20 => array:3 [ "identificador" => "bib0105" "etiqueta" => "García-Pereira and Quevedo-Blasco, 2015" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Análisis de las revistas iberoamericanas de Psicología y de Educación indexadas en el Journal Citation Reports del 2013" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "S. García-Pereira" 1 => "R. Quevedo-Blasco" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ejeps.2015.09.003" "Revista" => array:5 [ "tituloSerie" => "European Journal of Education and Psychology" "fecha" => "2015" "volumen" => "8" "paginaInicial" => "85" "paginaFinal" => "96" ] ] ] ] ] ] 21 => array:3 [ "identificador" => "bib0110" "etiqueta" => "Gázquez et al., 2015" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Inteligencia emocional y calidad de vida del cuidador familiar de pacientes con demencia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J.J. Gázquez" 1 => "M.C. Pérez-Fuentes" 2 => "M.M. Molero" 3 => "I. Mercader" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Revista de Comunicación y Salud" "fecha" => "2015" "volumen" => "5" "paginaInicial" => "1" "paginaFinal" => "15" ] ] ] ] ] ] 22 => array:3 [ "identificador" => "bib0115" "etiqueta" => "Gázquez et al., 2011" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prevalencia de la dependencia funcional en personas mayores" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J.J. Gázquez" 1 => "M.C. Pérez-Fuentes" 2 => "I. Mercader" 3 => "M.M. Molero" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Anales de Psicología" "fecha" => "2011" "volumen" => "27" "paginaInicial" => "871" "paginaFinal" => "876" ] ] ] ] ] ] 23 => array:3 [ "identificador" => "bib0120" "etiqueta" => "Grad and Sainsbury, 1963" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Mental illness and the family" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J. Grad" 1 => "P. Sainsbury" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/S0140-6736(63)91339-4" "Revista" => array:6 [ "tituloSerie" => "Lancet" "fecha" => "1963" "volumen" => "1" "paginaInicial" => "544" "paginaFinal" => "547" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2881087" "web" => "Medline" ] ] ] ] ] ] ] ] 24 => array:3 [ "identificador" => "bib0125" "etiqueta" => "Holroyd, 1987" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Questionnaire on Resources and Stress" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J. Holroyd" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "1987" "editorial" => "Clinical Psychology Publishing Company" "editorialLocalizacion" => "Brandon (Vermont)" ] ] ] ] ] ] 25 => array:3 [ "identificador" => "bib0130" "etiqueta" => "Lanzón and Díaz, 2015" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Papel predictor de las variables tipo de cuidador, nivel de dependencia y tiempo dedicado al cuidado en el impacto del estresor: cuidar a un familiar dependiente" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "T. Lanzón" 1 => "A. Díaz" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1989/ejihpe.v4i3.66" "Revista" => array:5 [ "tituloSerie" => "European Journal of Investigation in Health, Psychology and Education" "fecha" => "2015" "volumen" => "4" "paginaInicial" => "193" "paginaFinal" => "202" ] ] ] ] ] ] 26 => array:3 [ "identificador" => "bib0135" "etiqueta" => "Lawton et al., 1989" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Measuring Caregiving Appraisal" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M.P. Lawton" 1 => "M.H. Kleban" 2 => "M. Moss" 3 => "M. Rovine" 4 => "A. Glicksman" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Journal of Gerontology" "fecha" => "1989" "volumen" => "44" "paginaInicial" => "61" "paginaFinal" => "71" ] ] ] ] ] ] 27 => array:3 [ "identificador" => "bib0140" "etiqueta" => "Lazarus and Folkman, 1984" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Estrés y procesos cognitivos" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "R.S. Lazarus" 1 => "S. Folkman" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "1984" "editorial" => "Martínez Roca" "editorialLocalizacion" => "Barcelona" ] ] ] ] ] ] 28 => array:3 [ "identificador" => "bib0145" "etiqueta" => "Lima-Rodríguez et al., 2015" "referencia" => array:1 [ 0 => array:3 [ "comentario" => "<a class="elsevierStyleInterRef" id="intr0015" href="http://dx.doi.org/10.1016/j.ijchp.2015.05.002">http://dx.doi.org/10.1016/j.ijchp.2015.05.002</a>" "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Psychometric properties of an instrument to measure family disease management" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J.S. Lima-Rodríguez" 1 => "M. Lima-Serrano" 2 => "I. Domínguez-Sánchez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "International Journal of Clinical and Health Psychology" "fecha" => "2015" "volumen" => "15" "paginaInicial" => "253" "paginaFinal" => "264" ] ] ] ] ] ] 29 => array:3 [ "identificador" => "bib0150" "etiqueta" => "Lobo et al., 1986" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Validity of the scaled version of the General Health Questionnaire (GHQ-28) in a Spanish population" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A. Lobo" 1 => "M.J. Perez-Echeverría" 2 => "J. Artal" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Psychological Medicine" "fecha" => "1986" "volumen" => "16" "paginaInicial" => "135" "paginaFinal" => "140" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3961039" "web" => "Medline" ] ] ] ] ] ] ] ] 30 => array:3 [ "identificador" => "bib0155" "etiqueta" => "López and Moral, 2005" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Validación del Indice de Esfuerzo del Cuidador en la población española" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "S.R. López" 1 => "M.S. Moral" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Enfermería Comunitaria" "fecha" => "2005" "volumen" => "1" "paginaInicial" => "12" "paginaFinal" => "17" ] ] ] ] ] ] 31 => array:3 [ "identificador" => "bib0160" "etiqueta" => "Lou et al., 2015" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Comprehensive analysis of patient and caregiver predictors for caregiver burden, anxiety and depression in Alzheimer's disease" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "Q. Lou" 1 => "S. Liu" 2 => "Y.R. Huo" 3 => "M. Liu" 4 => "S. Liu" 5 => "Y. Ji" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/jocn.12870" "Revista" => array:2 [ "tituloSerie" => "Journal of Clinical Nursing" "fecha" => "2015" ] ] ] ] ] ] 32 => array:3 [ "identificador" => "bib0165" "etiqueta" => "Mahoney and Barthel, 1965" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Functional evaluation: The Barthel Index" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "F.I. Mahoney" 1 => "D. Barthel" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Maryland State Medical Journal" "fecha" => "1965" "volumen" => "14" "paginaInicial" => "56" "paginaFinal" => "61" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14293095" "web" => "Medline" ] ] ] ] ] ] ] ] 33 => array:3 [ "identificador" => "bib0170" "etiqueta" => "Martín-Carrasco et al., 2013" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Instrumentos para medir la sobrecarga en el cuidador informal del paciente con demencia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M. Martín-Carrasco" 1 => "A.I. Domínguez-Panchón" 2 => "P. Muñoz-Hermoso" 3 => "E. González-Fraile" 4 => "J. Ballesteros-Rodríguez" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.regg.2013.06.002" "Revista" => array:5 [ "tituloSerie" => "Revista Española de Geriatría y Gerontología" "fecha" => "2013" "volumen" => "48" "paginaInicial" => "276" "paginaFinal" => "284" ] ] ] ] ] ] 34 => array:3 [ "identificador" => "bib0175" "etiqueta" => "Martos et al., 2015" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Instrumentos para la evaluación de la sobrecarga del cuidador familiar de personas con demencia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "A. Martos" 1 => "F. Cardila" 2 => "A. Barragán" 3 => "M.C. Pérez-Fuentes" 4 => "M.M. Molero" 5 => "J.J. Gázquez" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1989/ejihpe.v5i2.119" "Revista" => array:5 [ "tituloSerie" => "European Journal of Investigation in Health, Psychology and Education" "fecha" => "2015" "volumen" => "5" "paginaInicial" => "281" "paginaFinal" => "292" ] ] ] ] ] ] 35 => array:3 [ "identificador" => "bib0180" "etiqueta" => "Molinuevo and Hernández, 2011" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Perfil del cuidador informal asociado al manejo clínico del paciente con enfermedad de Alzheimer no respondedor al tratamiento sintomático de la enfermedad" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J.L. Molinuevo" 1 => "B. Hernández" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.nrl.2011.05.011" "Revista" => array:5 [ "tituloSerie" => "Neurología" "fecha" => "2011" "volumen" => "26" "paginaInicial" => "518" "paginaFinal" => "527" ] ] ] ] ] ] 36 => array:3 [ "identificador" => "bib0185" "etiqueta" => "Montgomery et al., 1985a" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Caregiving and the Experience of Subjective and Objective Burden" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "R. Montgomery" 1 => "J. Gonyea" 2 => "N. Hooyman" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Family Relations" "fecha" => "1985" "volumen" => "34" "paginaInicial" => "19" "paginaFinal" => "26" ] ] ] ] ] ] 37 => array:3 [ "identificador" => "bib0190" "etiqueta" => "Montgomery et al., 1985b" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Measurement and the analysis of burden" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "R.V. Montgomery" 1 => "D.E. Stull" 2 => "E.F. Borgatta" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1177/0164027585007001007" "Revista" => array:6 [ "tituloSerie" => "Research on Aging" "fecha" => "1985" "volumen" => "7" "paginaInicial" => "137" "paginaFinal" => "152" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4059631" "web" => "Medline" ] ] ] ] ] ] ] ] 38 => array:3 [ "identificador" => "bib0195" "etiqueta" => "Novak and Guest, 1989" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Application of a multidimensional caregiver burden inventory" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M. Novak" 1 => "C.I. Guest" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Gerontologist" "fecha" => "1989" "volumen" => "29" "paginaInicial" => "798" "paginaFinal" => "803" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2516000" "web" => "Medline" ] ] ] ] ] ] ] ] 39 => array:3 [ "identificador" => "bib0200" "etiqueta" => "Otero-López et al., 2014" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Stress, positive personal variables and burnout: A path analytic approach" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J. Otero-López" 1 => "E. Villardefrancos" 2 => "C. Castro" 3 => "M. Santiago" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1989/ejep.v7i2.182" "Revista" => array:5 [ "tituloSerie" => "European Journal of Education and Psychology" "fecha" => "2014" "volumen" => "7" "paginaInicial" => "95" "paginaFinal" => "106" ] ] ] ] ] ] 40 => array:3 [ "identificador" => "bib0205" "etiqueta" => "Pearlin et al., 1990" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Caregiving and the stress process: An overview of concepts and their measures" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "L.I. Pearlin" 1 => "J.T. Mullan" 2 => "S.J. Semple" 3 => "M.M. Skaff" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1093/geront/30.5.583" "Revista" => array:6 [ "tituloSerie" => "The Gerontologist" "fecha" => "1990" "volumen" => "30" "paginaInicial" => "583" "paginaFinal" => "594" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2276631" "web" => "Medline" ] ] ] ] ] ] ] ] 41 => array:3 [ "identificador" => "bib0210" "etiqueta" => "Peña-Longobardo and Oliva-Moreno, 2015" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Caregiver burden in Alzheimer's disease patients in Spain" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "L.M. Peña-Longobardo" 1 => "J. Oliva-Moreno" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3233/JAD-141374" "Revista" => array:6 [ "tituloSerie" => "Journal of Alzheimer's Disease" "fecha" => "2015" "volumen" => "43" "paginaInicial" => "1293" "paginaFinal" => "1302" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25159671" "web" => "Medline" ] ] ] ] ] ] ] ] 42 => array:3 [ "identificador" => "bib0215" "etiqueta" => "Pérez-Fuentes et al., 2014" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Pérez-Fuentes, M.C., Molero, M.M, Gázquez, J.J., Mercader, I., Soler, F., & Núñez, A. (2014). Factores a tener en cuenta en la detección precoz del burnout en cuidadores familiares de enfermos de Alzheimer. En J.J. Gázquez, M.C. Pérez-Fuentes, M.M., Molero, I. Mercader, & F. Soler (Eds.), Calidad de vida, cuidadores e intervención para la mejora de la salud en el envejecimiento. Volume II (pp. 155-160). Almería: ASUNIVEP." ] ] ] 43 => array:3 [ "identificador" => "bib0220" "etiqueta" => "Poulshock and Deimling, 1984" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Families caring for elders in residence: Issues in the measurement of burden" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "S.W. Poulshock" 1 => "G.T. Deimling" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1093/geronj/39.2.230" "Revista" => array:6 [ "tituloSerie" => "Journal of Gerontology" "fecha" => "1984" "volumen" => "39" "paginaInicial" => "230" "paginaFinal" => "239" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6699382" "web" => "Medline" ] ] ] ] ] ] ] ] 44 => array:3 [ "identificador" => "bib0225" "etiqueta" => "Prince et al., 2015" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The burden of disease in older people and implications for health policy and practice" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:7 [ 0 => "M.J. Prince" 1 => "F. Wu" 2 => "Y. Guo" 3 => "L.M. Gutierrez" 4 => "M. O’Donnell" 5 => "R. Sullivan" 6 => "S. 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Robinson" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Journal of Gerontology" "fecha" => "1983" "volumen" => "38" "paginaInicial" => "344" "paginaFinal" => "348" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6841931" "web" => "Medline" ] ] ] ] ] ] ] ] 46 => array:3 [ "identificador" => "bib0235" "etiqueta" => "Rogero-García and Ahmed-Mohamed, 2014" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "What is the best care for community-dwelling dependent adults? Sources of care and perception of unmet needs in Spain" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J. Rogero-García" 1 => "K. Ahmed-Mohamed" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3989/ris.2012.09.12" "Revista" => array:2 [ "tituloSerie" => "Revista Internacional de Sociología." "fecha" => "2014" ] ] ] ] ] ] 47 => array:3 [ "identificador" => "bib0240" "etiqueta" => "Rosa et al., 2010" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Needs of caregivers of the patients with dementia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:7 [ 0 => "E. Rosa" 1 => "G. Lussignoli" 2 => "F. Sabbatini" 3 => "A. Chiappa" 4 => "S. Di Cesare" 5 => "L. Lamanna" 6 => "O. Zanetti" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.archger.2009.07.008" "Revista" => array:6 [ "tituloSerie" => "Archives of Gerontology and Geriatrics" "fecha" => "2010" "volumen" => "51" "paginaInicial" => "54" "paginaFinal" => "58" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19853313" "web" => "Medline" ] ] ] ] ] ] ] ] 48 => array:3 [ "identificador" => "bib0245" "etiqueta" => "Roth et al., 2015" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Informal caregiving and its impact on health: A reappraisal from population-based studies" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "D.L. Roth" 1 => "L. Fredman" 2 => "W.E. Haley" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1093/geront/gnu177" "Revista" => array:6 [ "tituloSerie" => "The Gerontologist" "fecha" => "2015" "volumen" => "55" "paginaInicial" => "309" "paginaFinal" => "319" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26035608" "web" => "Medline" ] ] ] ] ] ] ] ] 49 => array:3 [ "identificador" => "bib0250" "etiqueta" => "Saavedra et al., 2013" "referencia" => array:1 [ 0 => array:3 [ "comentario" => "<a class="elsevierStyleInterRef" id="intr0020" href="http://dx.doi.org/10.5093/cl2013a10">http://dx.doi.org/10.5093/cl2013a10</a>" "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cuidadoras de familiares dependientes y salud: influencia de la participación en un taller de control de estrés" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "F.J. Saavedra" 1 => "M.J. Bascón" 2 => "S. Arias" 3 => "M. García" 4 => "D. Mora" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Clínica y Salud" "fecha" => "2013" "volumen" => "24" "paginaInicial" => "85" "paginaFinal" => "93" ] ] ] ] ] ] 50 => array:3 [ "identificador" => "bib0255" "etiqueta" => "Sandín, 1999" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Sandín, B. (1999) (Ed.). El estrés psicosocial: Conceptos y consecuencias clínicas. Madrid: Klinik." ] ] ] 51 => array:3 [ "identificador" => "bib0260" "etiqueta" => "Schönfeld et al., 2016" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The effects of daily stress on positive and negative mental health: Mediation through self-efficacy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "P. Schönfeld" 1 => "J. Brailovskaia" 2 => "A. Bieda" 3 => "X.C. Zhang" 4 => "J. Margraf" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ijchp.2015.08.005" "Revista" => array:5 [ "tituloSerie" => "International Journal of Clinical and Health Psychology" "fecha" => "2016" "volumen" => "16" "paginaInicial" => "1" "paginaFinal" => "10" ] ] ] ] ] ] 52 => array:3 [ "identificador" => "bib0265" "etiqueta" => "Strawbridge and Wallhagen, 1991" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Impact of family conflict on adult child caregivers" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "W.J. Strawbridge" 1 => "M.I. Wallhagen" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1093/geront/31.6.770" "Revista" => array:6 [ "tituloSerie" => "Gerontologist" "fecha" => "1991" "volumen" => "31" "paginaInicial" => "770" "paginaFinal" => "777" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1800250" "web" => "Medline" ] ] ] ] ] ] ] ] 53 => array:3 [ "identificador" => "bib0270" "etiqueta" => "Vives et al., 2016" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Identificación de competencias y habilidades del buen profesional que trabaja con personas mayores a través de la técnica Delphi" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M. Vives" 1 => "C. Orte" 2 => "L. 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Geneva: World Health Organization." ] ] ] 55 => array:3 [ "identificador" => "bib0280" "etiqueta" => "World Health Organization, 2015" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "First WHO Ministerial Conference on Global Action Against Dementia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "World Health Organization" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "2015" "editorial" => "World Health Organization" "editorialLocalizacion" => "Geneva. Switzerland" ] ] ] ] ] ] 56 => array:3 [ "identificador" => "bib0285" "etiqueta" => "Zarit et al., 2010" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The structure of risk factors and outcomes for family caregivers: Implications for assessment and treatment" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "S.H. Zarit" 1 => "E.E. 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Original article

Inventory of Overburden in Alzheimer's Patient Family Caregivers with no Specialized Training

Inventario de Sobrecarga en Cuidadores Familiares sin Formación Especializada de Enfermos de Alzheimer

María del Carmen Pérez-Fuentesa,

Corresponding author

mpf421@ual.es

Corresponding author: Psychology Department, University of Almeria, Ctra. de Sacramento s/n, 04120 La Cañada de San Urbano, Almería.

, José Jesús Gázquez Linaresa, María Dolores Ruiz Fernándezb, María del Mar Molero Juradoa

a Universidad de Almería, Spain

b Servicio Andaluz de Salud, Spain

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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">At the present time&#44; Alzheimer-type dementia continues to be one of the most frequent causes of dependence of the older population&#44; posing a challenge for public health &#40;<a class="elsevierStyleCrossRef" href="#bib0275">World Health Organization &#38; Alzheimer&#39;s Disease International&#44; 2012</a>&#41;&#44; and therefore&#44; requiring coordinated worldwide action by responsible agencies &#40;<a class="elsevierStyleCrossRef" href="#bib0225">Prince et al&#46;&#44; 2015</a>&#41; &#40;<a class="elsevierStyleCrossRef" href="#bib0280">World Health Organization&#44; 2015</a>&#41;&#46; According to recent reports &#40;<a class="elsevierStyleCrossRef" href="#bib0005">Alzheimer&#39;s Association&#44; 2016</a>&#41;&#44; caregivers of Alzheimer&#39;s Disease and other dementia patients provide continued attention during a longer period than caregivers of persons who are dependent for other causes&#46; The considerable demand on caregivers of a dependent relative&#44; for example&#44; on the activities of daily life &#40;<a class="elsevierStyleCrossRef" href="#bib0115">G&#225;zquez&#44; P&#233;rez-Fuentes&#44; Mercader&#44; &#38; Molero&#44; 2011</a>&#41; have negative consequences to the health of the caregiver &#40;<a class="elsevierStyleCrossRef" href="#bib0015">Berglund&#44; Lytsy&#44; &#38; Westerling&#44; 2015</a>&#41; and their quality of life &#40;<a class="elsevierStyleCrossRefs" href="#bib0080">D&#237;az-Prieto &#38; Garc&#237;a-S&#225;nchez&#44; 2015&#59; Flores&#44; Jenaro&#44; Moro&#44; &#38; Tom&#351;a&#44; 2014</a>&#41;&#46; The volume of research work analyzing the profile of the family caregiver has multiplied in recent years &#40;<a class="elsevierStyleCrossRef" href="#bib0035">Brown &#38; Brown&#44; 2014</a>&#41; mediated by the boost in quality of publications in social sciences &#40;<a class="elsevierStyleCrossRef" href="#bib0105">Garc&#237;a-Pereira &#38; Quevedo-Blasco&#44; 2015</a>&#41;&#46; In this field&#44; the concept of caregiver burden is of special interest and requires conceptual and dimensional consensus&#46; However&#44; <a class="elsevierStyleCrossRef" href="#bib0170">Mart&#237;n-Carrasco&#44; Dom&#237;nguez-Panch&#243;n&#44; Mu&#241;oz-Hermoso&#44; Gonz&#225;lez-Fraile&#44; and Ballesteros-Rodr&#237;guez &#40;2013&#41;</a> warned that the burden on the family caregiver is being evaluated from different approaches&#44; impeding comparison of the results of research&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Since the first definition of caregiver burden &#40;<a class="elsevierStyleCrossRef" href="#bib0120">Grad &#38; Sainsbury&#44; 1963</a>&#41;&#44; many attempts have been made at delimiting the concept using different models to include its possible dimensions&#46; <a class="elsevierStyleCrossRef" href="#bib0220">Poulshock and Deimling &#40;1984&#41;</a> proposed a multidimensional approach to this burden&#44; where different dimensions were interrelated &#40;patient problems&#44; burden and its impact on the caregiver&#41;&#46; <a class="elsevierStyleCrossRef" href="#bib0190">Montgomery&#44; Stull &#38; Borgatta &#40;1985&#41;</a> differentiated between the &#8220;objective burden&#8221; or facets related to caregiving&#44; and &#8220;subjective burden&#8221; or the caregiver&#39;s perception of the impact the objective burden has on their physical&#44; psychological and social condition&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Caregiver stress is often considered a powerful predictive factor of burden&#46; The Transactional Model of Stress and Coping by <a class="elsevierStyleCrossRef" href="#bib0140">Lazarus and Folkman &#40;1984&#41;</a> established a relationship between the caregiver&#39;s evaluation of the situation &#40;demand&#41; and their ability to cope with it&#46; In other cases&#44; the caregiving burden is related to the patient&#39;s problems and deterioration&#46; <a class="elsevierStyleCrossRef" href="#bib0205">Pearlin&#44; Mullan&#44; Semple&#44; and Skaff &#40;1990&#41;</a> defined burden as the caregiver&#39;s subjective evaluation of the objective demands made by the patient &#40;patient&#39;s physical and cognitive deterioration&#44; functional disability and behavioral problems&#41;&#46; Later&#44; <a class="elsevierStyleCrossRef" href="#bib0255">Sand&#237;n &#40;1999&#41;</a>&#44; in his stress process model&#44; included variables that maintain a modulating function of the response to stress&#44; among them&#44; psychosocial demands and state of health&#46; In other dependent populations&#44; daily stress is referred to as a risk to mental health &#40;<a class="elsevierStyleCrossRef" href="#bib0260">Sch&#246;nfeld&#44; Brailovskaia&#44; Bieda&#44; Zhang&#44; &#38; Margraf&#44; 2016</a>&#41;&#46; Several personal resources having a protective effect against the negative influence of stress on family caregivers have been identified &#40;<a class="elsevierStyleCrossRefs" href="#bib0110">G&#225;zquez&#44; P&#233;rez-Fuentes&#44; Molero&#44; &#38; Mercader&#44; 2015&#59; Lanz&#243;n &#38; D&#237;az&#44; 2015&#59; Otero-L&#243;pez&#44; Villardefrancos&#44; Castro&#44; &#38; Santiago&#44; 2014</a>&#41;&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">The goal&#44; as stated by <a class="elsevierStyleCrossRef" href="#bib0285">Zarit&#44; Femia&#44; Kim and Whitlatch &#40;2010&#41;</a>&#44; should therefore be to design evaluation instruments which fit to the caregiver&#39;s reality and enable intervention to be directed at specific targets&#44; and not a generic problem&#44; which is only theoretically common to all caregivers&#46; Thus&#44; the heterogeneity of the caregivers&#8217; profiles and their needs &#40;<a class="elsevierStyleCrossRef" href="#bib0240">Rosa et al&#46;&#44; 2010</a>&#41; requires studies testing intervention effectiveness &#40;<a class="elsevierStyleCrossRef" href="#bib0045">Chac&#243;n&#44; Sanduvete&#44; Portell&#44; &#38; Anguera&#44; 2013</a>&#41; and the inclusion of new therapeutic variables &#40;<a class="elsevierStyleCrossRefs" href="#bib0025">Bornas&#44; Noguera&#44; Pincus&#44; &#38; Buela-Casal&#44; 2014&#59; Vives&#44; Orte&#44; &#38; S&#225;nchez&#44; 2016</a>&#41;&#46; Along this line&#44; a model is proposed that sustains the development of an evaluation instrument for the specific needs of the Alzheimer patient family caregiver &#40;<a class="elsevierStyleCrossRef" href="#bib0215">P&#233;rez-Fuentes et al&#46;&#44; 2014</a>&#41;&#46; A series of factors has to be taken into account for the early detection of stress or burden in this specific caregiver profile&#46; On one hand&#44; caregiver-related factors&#44; such as reaction to the diagnosis &#40;feelings&#41;&#44; physical health and knowledge of the disease&#44; and on the other&#44; patient-related factors&#44; such as level of dependence&#44; and&#44; finally&#44; emphasize special attention to the symptomatology&#44; which in this case&#44; is a two-dimensional factor&#44; caregiver psychological symptomatology and patient behavioral symptomatology&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">In absence of patient treatment&#44; one of the concerns which caregivers often refer to is the difficulty in diagnosing dementia early&#46; This could have a significant impact on the emotional response of caregivers&#44; and therefore&#44; on caregiving quality &#40;<a class="elsevierStyleCrossRef" href="#bib0040">Caron &#38; Caron&#44; 2011</a>&#41;&#46; <a class="elsevierStyleCrossRef" href="#bib0070">De Vugt and Verhey &#40;2013&#41;</a> believe that early diagnosis offers the opportunity of advancing in the process of adapting to the role of caregiver&#46; Thus caregivers most able to adapt to the changes typical of dementia feel more competent to care for them and experience fewer health problems&#46; According to <a class="elsevierStyleCrossRef" href="#bib0020">Boots&#44; Wolfs&#44; Verhey&#44; Kempen&#44; and de Vugt &#40;2015&#41;</a>&#44; early intervention helps caregivers to identify their needs and increase their knowledge of the changing roles in the relationship&#44; preventing overburdening&#46; The use of certain coping strategies by patients and their relatives facilitates decision-making after diagnosis which will affect later adjustment of caregiving &#40;<a class="elsevierStyleCrossRef" href="#bib0030">Bronner&#44; Perneczky&#44; McCabe&#44; Kurz&#44; &#38; Hamann&#44; 2016</a>&#41;&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">After the critical moment of the diagnosis&#44; the caregiver often experiences feelings of doubt and unease&#44; especially due to ignorance of the illness and caregiving required &#40;<a class="elsevierStyleCrossRef" href="#bib0240">Rosa et al&#46;&#44; 2010</a>&#41;&#46; In this situation&#44; the caregiver&#39;s previous beliefs and expectations may influence the feeling of burden positively or negatively&#46; <a class="elsevierStyleCrossRef" href="#bib0085">Feldberg et al&#46; &#40;2011&#41;</a> suggested that the more negative the caregiver&#39;s beliefs are&#44; the higher the probability of their experiencing overburdening and therefore&#44; becoming more vulnerable to stress and anxiety&#46; Training caretakers in symptomatology and the evolution of the disease&#44; or in handling daily situations&#44; could reduce overburden and even avoid its appearance &#40;<a class="elsevierStyleCrossRefs" href="#bib0145">Lima-Rodr&#237;guez&#44; Lima-Serrano&#44; &#38; Dom&#237;nguez-S&#225;nchez&#44; 2015&#59; Saavedra&#44; Basc&#243;n&#44; Arias&#44; Garc&#237;a&#44; &#38; Mora&#44; 2013</a>&#41;&#46; <a class="elsevierStyleCrossRef" href="#bib0180">Molinuevo and Hern&#225;ndez &#40;2011&#41;</a> thought evolution of the patient&#39;s behavioral symptomatology is another of the factors determining how the caregiver copes with caregiving and the burden generated by it&#46; <a class="elsevierStyleCrossRef" href="#bib0050">Corazza et al&#46; &#40;2014&#41;</a> found a positive correlation between the caregiver&#39;s feeling of burnout and neuropsychiatric distress of the Alzheimer&#39;s patient&#46; There has been a trend in recent years to analyze the relationship between patient characteristics and caregiver burden &#40;<a class="elsevierStyleCrossRef" href="#bib0160">Lou et al&#46;&#44; 2015</a>&#41;&#46; Along this line&#44; <a class="elsevierStyleCrossRef" href="#bib0210">Pe&#241;a-Longobardo and Oliva-Moreno &#40;2015&#41;</a> found that the probability of the family caregiver having problems &#40;health&#44; professional and leisure&#41; is associated positively with the degree of patient dependence&#46; <a class="elsevierStyleCrossRef" href="#bib0235">Rogero-Garc&#237;a and Ahmed-Mohamed &#40;2014&#41;</a> thought perception of uncovered needs is related to the characteristics of the dependent person&#44; the caregiver and the caregiving context&#46; Thus such aspects as the impact caregiving has on the health of the caregiver &#40;<a class="elsevierStyleCrossRef" href="#bib0090">Fern&#225;ndez de Larrinoa et al&#46;&#44; 2011</a>&#41; are being evaluated&#46; <a class="elsevierStyleCrossRef" href="#bib0075">Delgado et al&#46; &#40;2014&#41;</a> found a worse state of health&#44; heavier demand on healthcare services and use of medication by family caregivers&#46; Recently&#44; higher mortality rates have been shown in family caregivers&#44; although with a slight decrease in recent years &#40;<a class="elsevierStyleCrossRef" href="#bib0245">Roth&#44; Fredman&#44; &#38; Haley&#44; 2015</a>&#41;&#46; Precisely because of the caretaker&#39;s fatigue&#44; the concept of caregiver burnout is being reexamined&#44; which in spite of being a term used in the scope of healthcare to refer to professional stress in their daily work&#44; in the case of family caregivers&#44; it could be performing the same function &#40;<a class="elsevierStyleCrossRef" href="#bib0060">Da Silva&#44; Braga&#44; &#38; Da Silva&#44; 2009</a>&#41;&#46; The study by <a class="elsevierStyleCrossRef" href="#bib0065">De Valle-Alonso&#44; Hern&#225;ndez-L&#243;pez&#44; Z&#250;&#241;iga-Vargas&#44; and Mart&#237;nez-Aguilera &#40;2015&#41;</a> found that overburden was a predictor of burnout in family caregivers of elderly patients&#44; although neither the personal characteristics nor conditions of caregiving were directly related to level of burden&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">In parallel to the concept of evolution&#44; several instruments have also been designed to assess caregiver burden in the area of evaluation &#40;<a class="elsevierStyleCrossRef" href="#bib0055">Crespo &#38; Rivas&#44; 2015</a>&#41;&#46; Sometimes&#44; classification of these tests depends on what they are measuring&#58; a&#41; one-dimensional&#44; such as the <span class="elsevierStyleItalic">Burden Interview</span> &#40;<a class="elsevierStyleCrossRef" href="#bib0290">Zarit&#44; Reever &#38; Bach-Peterson&#44; 1980</a>&#41;&#44; the <span class="elsevierStyleItalic">Caregiver Strain Index</span> &#40;<a class="elsevierStyleCrossRef" href="#bib0230">Robinson&#44; 1983</a>&#41; or the <span class="elsevierStyleItalic">Caregiver Perceived Burden</span> &#40;<a class="elsevierStyleCrossRef" href="#bib0265">Strawbrigde &#38; Wallhagen&#44; 1991</a>&#41;&#59; two-dimensional&#44; such as <span class="elsevierStyleItalic">Montgomery&#39;s Burden Scale</span> &#40;<a class="elsevierStyleCrossRef" href="#bib0185">Montgomery&#44; Goneya&#44; &#38; Hooyman&#44; 1985</a>&#41;&#59; and multidimensional&#44; such as the <span class="elsevierStyleItalic">Caregiver Appraisal Scale</span> &#40;<a class="elsevierStyleCrossRef" href="#bib0135">Lawton&#44; Kleban&#44; Moss&#44; Rovine&#44; &#38; Glicksman&#44; 1989</a>&#41;&#44; the <span class="elsevierStyleItalic">Caregiver Burden Inventory</span> &#40;<a class="elsevierStyleCrossRef" href="#bib0195">Novak &#38; Guest&#44; 1989</a>&#41; or the <span class="elsevierStyleItalic">Questionnaire on Resources and Stress</span> &#40;<a class="elsevierStyleCrossRef" href="#bib0125">Holroyd&#44; 1987</a>&#41;&#46; Although a diversity of instruments are used to determine the level of caregiver burden&#44; preference for the use of the one by <a class="elsevierStyleCrossRef" href="#bib0290">Zarit et al&#46; &#40;1980&#41;</a> has been continuous since the nineties &#40;<a class="elsevierStyleCrossRef" href="#bib0175">Martos et al&#46;&#44; 2015</a>&#41;&#46; Another instrument which should be pointed out is the <span class="elsevierStyleItalic">Caregiver Burden Inventory</span> &#40;<a class="elsevierStyleCrossRef" href="#bib0195">Novak &#38; Guest&#44; 1989</a>&#41;&#44; which although it has no Spanish adaptation&#44; is one of the most commonly used&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">On top of the few tests developed or adapted for the Spanish population&#44; authors such as <a class="elsevierStyleCrossRef" href="#bib0100">Garand et al&#46; &#40;2013&#41;</a> say that interventions carried out are directed basically at caregivers who already have heavy burdens&#44; but that intervention for so-called &#8220;new caregivers&#8221; is also necessary&#44; that is&#44; preventive intervention for caregivers of recently diagnosed patients&#46; Thus the purpose of this study&#44; from this perspective&#44; was to validate an instrument for early detection of the needs of Alzheimer&#39;s patient family caregivers without specialized training&#44; which would evaluate the needs for intervention in the family caregiver without specialized training and enable design of early intervention to avoid overburden of the caregiver&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Method</span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Participants</span><p id="par0045" class="elsevierStylePara elsevierViewall">The sample was selected from the medical histories in the database of the Andalusian Healthcare Service Family Caregiver Attention Plan&#44; 843 of whom were Alzheimer&#39;s patients&#46; Of these&#44; those who were not part of the target population&#44; for example&#44; who were in an advanced stage of the disease&#44; were eliminated&#44; and patients who had ortho-prosthetic devices at home were also discarded&#46; The final population consisted of 507 family caregivers of patients with Alzheimer&#39;s in its early or moderate stages&#46; Of these&#44; participants were chosen at random from the various Basic Healthcare Districts in Almeria&#44; leaving a study sample of 255 caregivers &#40;95&#37; confidence level and confidence interval of 4&#46;33&#37;&#41;&#44; all of whom were family caregivers of patients diagnosed with Alzheimer&#39;s Disease&#46; Of this sample 85&#46;7&#37; were women and 14&#46;3&#37; were men&#44; with a mean age of 55&#46;39 years &#40;<span class="elsevierStyleItalic">SD</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>12&#46;41&#41;&#46; Of the persons cared for&#44; 57&#46;6&#37; were in a moderate stage of the disease &#40;Stage II&#41;&#44; while 42&#46;4&#37; were in an early stage &#40;Stage I&#41;&#46; With regard to the first variable&#44; 63&#46;9&#37; of the caregivers were sons&#47;daughters&#44; 26&#46;7&#37; were spouses&#44; 2&#46;7&#37; were sons&#47;daughters-in-law&#44; 1&#46;2&#37; were siblings and 15&#46;5&#37; were other relatives&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Instruments</span><p id="par0050" class="elsevierStylePara elsevierViewall"><ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><span class="elsevierStyleLabel">-</span><p id="par0055" class="elsevierStylePara elsevierViewall">Ad hoc questionnaire on sociodemographic data such as age&#44; sex&#44; stage of disease &#40;Early or Moderate&#41;&#44; relationship &#40;son&#47;daughter&#44; spouse&#44; son&#47;daughter-in-law&#44; sibling&#44; other relative&#41;&#46;</p></li><li class="elsevierStyleListItem" id="lsti0010"><span class="elsevierStyleLabel">-</span><p id="par0060" class="elsevierStylePara elsevierViewall">General Health Questionnaire by Goldberg &#40;GHQ-28&#41; &#40;<a class="elsevierStyleCrossRef" href="#bib0150">Lobo&#44; P&#233;rez-Echeverr&#237;a&#44; &#38; Artal&#44; 1986</a>&#41;&#46; The GHQ-28&#44; in addition to measuring perceived health and emotional wellbeing&#44; detects both recent and chronic health problems&#46; It consists of a total of 28 items distributed in four components &#40;depression&#44; anxiety&#44; physical social dysfunction symptoms&#41; with seven items each and with a Cronbach&#39;s alpha of &#46;86&#44; &#46;89&#44; &#46;70 and &#46;87&#44; respectively&#46;</p></li><li class="elsevierStyleListItem" id="lsti0015"><span class="elsevierStyleLabel">-</span><p id="par0065" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">&#205;ndice de Esfuerzo del Cuidador</span> &#91;Caregiver&#39;s Effort Index&#93; &#40;<a class="elsevierStyleCrossRef" href="#bib0155">L&#243;pez &#38; Moral&#44; 2005</a>&#41;&#46; This assesses the burden and effort of caregiving based on 13 items&#46; Validation of the instrument for the Spanish population found a Cronbach&#39;s alpha of &#46;80&#44; and in this study it was &#46;75&#46;</p></li><li class="elsevierStyleListItem" id="lsti0020"><span class="elsevierStyleLabel">-</span><p id="par0070" class="elsevierStylePara elsevierViewall">Barthel Scale &#40;<a class="elsevierStyleCrossRefs" href="#bib0010">Bazt&#225;n et al&#46;&#44; 1993&#59; Mahoney &#38; Barthel&#44; 1965</a>&#41;&#46; This questionnaire has 10 items designed to assess the functional independence&#47;dependency in performing basic daily activities&#46; A low score indicates a high level of dependency&#46; Internal consistency showed a Cronbach&#39;s alpha of &#46;86-&#46;92 in the original version and &#46;93 in this sample&#46;</p></li><li class="elsevierStyleListItem" id="lsti0025"><span class="elsevierStyleLabel">-</span><p id="par0075" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Inventario de Sobrecarga en Cuidadores Familiares de Enfermos de Alzheimer</span> &#91;Inventory of Overburden in Alzheimer&#39;s Patient Family Caregivers with no Specialized Training&#93; &#40;IPSO-CA38&#41;&#46; Its construction followed the model proposed by <a class="elsevierStyleCrossRef" href="#bib0215">P&#233;rez-Fuentes et al&#46; &#40;2014&#41;</a> with 38 items on aspects to be found included in six factors&#58; <span class="elsevierStyleItalic">Reaction to diagnosis &#40;Feelings&#41;</span>&#44; <span class="elsevierStyleItalic">Physical health&#44; Psychological Symptomatology &#40;Caregiver&#41;</span>&#44; <span class="elsevierStyleItalic">Behavioral Symptomatology &#40;Patient&#41;</span>&#44; <span class="elsevierStyleItalic">Knowledge of the disease and level of dependence</span>&#46; The response choices are on a four-point Likert-type scale from 1<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Not at all</span> to 4<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">A lot</span>&#46;</p></li></ul></p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Procedure</span><p id="par0080" class="elsevierStylePara elsevierViewall">When permission had been requested from the Almeria Healthcare District Research Committee and the corresponding Research Ethics Committee&#44; the staff in charge of implementing the questionnaires met and was informed of how to proceed with each subject&#46; Thus each of the caregivers was informed about the purpose of the study&#44; the confidentiality of the data and filled in the required informed participation consent form&#46; First the target group for instrument design was formed&#44; and all the points indicated by the caregivers were included in a pilot version&#44; and that first 38-item version of the IPSO was given to 20 caregivers to evaluate their understanding of the items&#46; Interrater validation was also carried out &#40;by four specialists&#41; to analyze the theoretical-logical domain&#46; When the modifications had been made as suggested by both groups&#44; the final version of the IPSO was drafted&#46; It was then given individually in a structured interview lasting from about ten to fifteen minutes&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Data analysis</span><p id="par0085" class="elsevierStylePara elsevierViewall">This is a descriptive cross-study in which the descriptive data and reliability were calculated using SPSS&#46;22 &#40;2013&#41; and confirmatory factor analysis was done with AMOS&#46;22 &#40;2013&#41;&#46; The analysis was done in three steps&#46; First reliability and validity of the original 38-item IPSO-CA38 model were analyzed&#46; Then&#44; because reliability and goodness of fit were unacceptable&#44; errors causing the lack of fit were analyzed by reliability analysis of each item&#44; measurement error&#44; estimation error and correlated measurement errors&#46; Based on the analysis of these indicators&#44; the number of items in the inventory was reduced to 24&#44; for which descriptive and reliability analyses were done before confirmatory factor analysis&#46; In a third step&#44; fit of this reduced 24-item version of the inventory &#40;IPSO-CA24&#41; with six factors &#40;maintaining the model proposed by <a class="elsevierStyleCrossRef" href="#bib0215">P&#233;rez-Fuentes et al&#46; &#40;2014&#41;</a> in two ways&#44; with and without a general overburden index&#46; To determine the degree of fit of the models&#44; the statistics and indices most commonly used for this were calculated&#58; &#967;<span class="elsevierStyleSup">2</span>&#44; &#967;<span class="elsevierStyleSup">2</span>&#47;<span class="elsevierStyleItalic">df</span> &#40;degrees of freedom&#41;&#44; Adjusted Goodness-of-Fit Index &#40;AGFI&#41;&#44; Comparative Fit Index &#40;CFI&#41;&#44; and Root Mean Square Error of Approximation &#40;RMSEA&#41;&#46;</p></span></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Results</span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Descriptive statistics</span><p id="par0090" class="elsevierStylePara elsevierViewall">The correlations of the 24 items in the reduced version of the Inventory of Overburden in Alzheimer&#39;s Patient Family Caregivers with no Specialized Training &#40;IPSO-CA24&#41;&#44; and the means&#44; standard deviations&#44; asymmetry and kurtosis are shown in <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#46; It may be observed that most of the correlations are statistically significant and kurtosis and asymmetry of each variable are acceptable&#44; so the use of the method of maximum similarity seems justified for estimating the model&#39;s goodness of fit&#46; Furthermore&#44; exploratory factor analysis was performed using maximum likelihood with oblique rotation&#44; for which the KMO coefficient was &#46;82 and Bartlett&#39;s sphericity test found <span class="elsevierStyleItalic">&#967;</span><span class="elsevierStyleSup">2</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2916&#46;33&#44; which is significant with 276 degrees of freedom &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;001&#41;&#46; As shown in <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#44; six factors explained 66&#46;52&#37; of the variance&#44; where Factor 1 had the most weight&#44; although the rest of the factors had saturations over &#46;40&#46; In addition&#44; the percentage of variance explained by Factor 1 <span class="elsevierStyleItalic">Knowledge of the disease</span>&#44; which is comprised of four items&#44; is slightly higher than the rest &#40;23&#46;76&#37;&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0095" class="elsevierStylePara elsevierViewall">Internal consistency of the inventory is good &#40;&#945;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#46;85&#41;&#44; and also of each of the scales&#58; <span class="elsevierStyleItalic">Reaction to diagnosis &#40;Feelings&#41;</span> &#945;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#46;75&#59; <span class="elsevierStyleItalic">Physical health</span> &#945;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#46;75&#59; <span class="elsevierStyleItalic">Psychological symptomatology &#40;Caregiver&#41;</span> &#945;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#46;84&#59; <span class="elsevierStyleItalic">Behavioral symptomatology &#40;Patient&#41;</span> &#945;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#46;77&#59; <span class="elsevierStyleItalic">Knowledge of the disease</span> &#945;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#46;93&#59; and <span class="elsevierStyleItalic">Level of dependence</span> &#945;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#46;79&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Confirmatory Factor Analysis</span><p id="par0100" class="elsevierStylePara elsevierViewall">After checking that asymmetry &#40;-1&#46;4&#8211;1&#46;2&#41; and kurtosis &#40;-1&#46;3&#8211;&#46;1&#41; were adequate&#44; the structure of the questionnaire was evaluated by comparing goodness of fit of the two alternative models&#44; one model with six first-order factors &#40;Model 1&#41; and a model with a hierarchical structure &#40;six first-order factors and a general second-order factor&#41; &#40;Model 2&#41;&#46; The results show that both models have similar fit &#40;Model 1&#58; &#967;<span class="elsevierStyleSup"><span class="elsevierStyleItalic">2</span></span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>458&#46;56&#59; <span class="elsevierStyleItalic">df</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>237&#59; <span class="elsevierStyleItalic">p</span>&#160;<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>&#160;&#46;001&#59; &#967;<span class="elsevierStyleSup"><span class="elsevierStyleItalic">2</span></span><span class="elsevierStyleItalic">&#47;df<span class="elsevierStyleHsp" style=""></span></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#46;94&#59; <span class="elsevierStyleItalic">GFI</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#46;87&#59; <span class="elsevierStyleItalic">AGFI</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#46;83&#59; <span class="elsevierStyleItalic">CFI</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#46;92&#59; <span class="elsevierStyleItalic">RMSEA</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#46;06 &#40;&#46;05-&#46;06&#59; <span class="elsevierStyleItalic">p</span>&#160;<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>&#160;&#46;05&#41;&#59; Model 2&#58; &#967;<span class="elsevierStyleSup"><span class="elsevierStyleItalic">2</span></span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>498&#46;52&#59; <span class="elsevierStyleItalic">df</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>246&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;001&#59; &#967;<span class="elsevierStyleSup"><span class="elsevierStyleItalic">2</span></span><span class="elsevierStyleItalic">&#47;df<span class="elsevierStyleHsp" style=""></span></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#46;02&#59; <span class="elsevierStyleItalic">GFI</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#46;86&#59; <span class="elsevierStyleItalic">AGFI</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#46;83&#59; <span class="elsevierStyleItalic">CFI</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#46;91&#59; <span class="elsevierStyleItalic">RMSEA</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#46;06 &#40;&#46;05-&#46;07&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;01&#41;&#41;&#46; Although at first Model 1 seemed to show better fit&#44; the models are nested and their fit can be compared statistically&#46; The result of this test shows the existence of significant statistical differences in the fit of the two models &#40;&#916;&#967;<span class="elsevierStyleSup"><span class="elsevierStyleItalic">2</span></span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>4&#46;44&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;001&#41;&#46; Therefore&#44; based on this statistical criterion and parsimony&#44; Model&#160;1 was selected as the best for representing the structure of the IPSO-CA24&#46; Specific fit of Model 1 is modest or acceptable&#44; depending on the criterion used &#40;acceptable if going by &#967;<span class="elsevierStyleSup"><span class="elsevierStyleItalic">2</span></span><span class="elsevierStyleItalic">&#47;df</span>&#44; <span class="elsevierStyleItalic">CFI</span> or <span class="elsevierStyleItalic">RMSEA</span>&#59; modest if using <span class="elsevierStyleItalic">GFI</span> or <span class="elsevierStyleItalic">AGFI</span>&#41;&#46; In any case&#44; it should be considered that the fit of this type of instruments &#40;self-report&#41; is difficult to optimize without estimating the correlations of the measurement errors &#40;which are common&#44; both from the effect of the method of accessing information in itself and how some of the items are written&#41;&#46; Therefore&#44; and keeping in mind that in estimating the model&#39;s goodness of fit these covariates were not included&#44; it is possible to assume that goodness of fit of Model 1 is acceptable &#40;<a class="elsevierStyleCrossRefs" href="#fig0005">Figures 1 and 2</a>&#44; <a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="tbl0010"></elsevierMultimedia></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Validity analysis of the construct</span><p id="par0105" class="elsevierStylePara elsevierViewall">Convergent validity testing of the questionnaire with the Barthel Scale shows that only the IPSO-CA24 dependence factor shows any correlation&#44; and that is negative&#44; that is&#44; as independence of the person cared for diminishes importance of the level of dependence factor increases for the caregiver&#46; It should also be emphasized that practically all the health factors &#40;GHQ-28&#41; are correlated with the General Overburden Index as well as with several factors of the IPSO-CA24&#44; showing how social dysfunction is only related positively to physical health of the caregiver&#46; Finally&#44; both total score or General Overburden Index and factors comprising the IPSO-CA24 show positive correlation with the General Caregiver&#39;s Effort Index&#44; except Knowledge of the disease&#44; that is&#44; the greater the effort made by the caregiver&#44; the more importance given to different facets of caregiving &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">Table 3</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia></span></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Discussion</span><p id="par0110" class="elsevierStylePara elsevierViewall">Factor analysis of the IPSO-CA24 identified six robust dimensions of overburden in Alzheimer&#39;s patient family caregivers with no specialized training&#58; <span class="elsevierStyleItalic">Reaction to diagnosis&#44; Physical health&#44; Psychological symptomatology &#40;caregiver&#41;&#44; Behavioral symptomatology &#40;patient&#41;&#44; Knowledge of the disease</span> and <span class="elsevierStyleItalic">Level of dependence&#46;</span> Although&#44; adjusting the Model 1&#44; six-factor model without the general overburden index&#44; is acceptable&#44; we analyzed the properties of both&#44; leaving the selection of one of them for future studies&#46; The questionnaire&#44; the scales&#44; etc&#46;&#44; may be found at the link&#58; <a id="intr0005" class="elsevierStyleInterRef" href="http://www.grupocuidadores.com/ipso">www&#46;grupocuidadores&#46;com&#47;ipso</a>&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">The consequences to physical health derived from caring for a family member make this dimension highly of overburden &#40;<a class="elsevierStyleCrossRefs" href="#bib0015">Berglund et al&#46;&#44; 2015&#59; Delgado et al&#46;&#44; 2014&#59; Roth et al&#46;&#44; 2015</a>&#41;&#44; and is more likely as the degree of patient dependence increases &#40;<a class="elsevierStyleCrossRef" href="#bib0210">Pe&#241;a-Longobardo &#38; Oliva-Moreno&#44; 2015</a>&#41;&#46; Furthermore&#44; with the inclusion of two symptomatology factors &#40;psychological in the caregiver and behavioral in the patient&#41;&#44; the IPSO-CA24 can subjectively evaluate the caregiver in other more objective facets of burden &#40;<a class="elsevierStyleCrossRef" href="#bib0205">Pearlin et al&#46;&#44; 1990</a>&#41;&#46; Apart from this&#44; the knowledge caregivers have about the disease is related to their expectations &#40;<a class="elsevierStyleCrossRef" href="#bib0085">Feldberg et al&#46;&#44; 2011</a>&#41;&#44; the attitude with which they cope with situations derived from caregiving &#40;<a class="elsevierStyleCrossRef" href="#bib0250">Saavedra et al&#46;&#44; 2013</a>&#41;&#44; and therefore&#44; how they manage the disease &#40;<a class="elsevierStyleCrossRef" href="#bib0145">Lima-Rodr&#237;guez et al&#46;&#44; 2015</a>&#41;&#46; Another of the components that directly influences the quality of caregiving is their reaction to the diagnosis &#40;<a class="elsevierStyleCrossRef" href="#bib0040">Caron &#38; Caron&#44; 2011</a>&#41;&#46; Specifically&#44; the protective effect which having an early diagnosis might have in the long term becomes more obvious in family caregivers &#40;Vugt &#38; Verhey&#44; 2013&#41; both in decision-making and in adapting to the caregiver roll &#40;<a class="elsevierStyleCrossRefs" href="#bib0020">Boots et al&#46;&#44; 2015&#59; Bronner et al&#46;&#44; 2016</a>&#41;&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">Some of these dimensions&#44; although already found in other measures of caregiver burden &#40;<a class="elsevierStyleCrossRefs" href="#bib0055">Crespo &#38; Rivas&#44; 2015&#59; Martos et al&#46;&#44; 2015</a>&#41;&#44; have not been included in methodological proposals where they combine in an evaluation instrument such as this one&#46; Furthermore&#44; the diversity of approaches that evaluate the burden &#40;<a class="elsevierStyleCrossRef" href="#bib0170">Mart&#237;n-Carrasco et al&#46;&#44; 2013</a>&#41; must be added to the difficulty entailed in the heterogeneity of the caregiver profile itself &#40;<a class="elsevierStyleCrossRef" href="#bib0240">Rosa et al&#46;&#44; 2010</a>&#41;&#46; All of this makes comparison of measurement instruments in this field &#40;<a class="elsevierStyleCrossRef" href="#bib0035">Brown &#38; Brown&#44; 2014</a>&#41; a difficult task&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">To conclude&#44; IPSO-CA24 component interactions with other measures show adequate levels of construct validity and the need to continue working in the line of the model proposed by <a class="elsevierStyleCrossRef" href="#bib0215">P&#233;rez-Fuentes et al&#46; &#40;2014&#41;</a>&#44; thereby insisting on a multidimensional approach to burden &#40;<a class="elsevierStyleCrossRefs" href="#bib0220">Poulshock &#38; Deimling&#44; 1984&#59; Rogero-Garc&#237;a &#38; Ahmed-Mohamed&#44; 2014</a>&#41;&#44; and the current trend to consider patient and caregiver characteristics together &#40;<a class="elsevierStyleCrossRef" href="#bib0160">Lou et al&#46;&#44; 2015</a>&#41;&#46; This instrument therefore responds to the need for multidimensional evaluation of the burden of family caregivers without specialized training&#46;</p></span></span>"
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            1 => "Overload"
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            3 => "Alzheimer"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Background&#47;Objective</span>&#58; Alzheimer-type dementia is one of the most frequent causes of dependence in an aging population&#44; which combines with a considerable demand for care&#46; Furthermore&#44; when the caregiver is a family member or person without specialized training&#44; such care impacts on that person&#39;s health&#46; The Inventory of Overburden in Alzheimer&#39;s Patient Family Caregivers with no Specialized Training &#40;IPSO-CA24&#41; was designed to find out the needs of these caregivers and evaluate the caregiver&#39;s burden or distress&#46; <span class="elsevierStyleItalic">Method</span>&#58; The psychometric properties of the questionnaire were analyzed &#40;in a reliability analysis&#44; exploratory factor analysis and confirmatory analysis&#41; based on the responses of 255 caregivers&#46; <span class="elsevierStyleItalic">Results</span>&#58; The factor analyses showed a six-factor structure &#40;<span class="elsevierStyleItalic">Reaction to diagnosis</span>&#44; <span class="elsevierStyleItalic">Physical health</span>&#44; <span class="elsevierStyleItalic">Psychological symptomatology &#40;caretaker&#41;</span>&#44; <span class="elsevierStyleItalic">Behavioral symptomatology &#40;patient&#41;</span>&#44; <span class="elsevierStyleItalic">Knowledge of the illness</span>&#44; and <span class="elsevierStyleItalic">Level of dependence</span>&#41; explaining 66&#46;52&#37; of the total variance with a reliability of &#46;75 to &#46;93&#46; Support was also found for its convergent validity&#46; <span class="elsevierStyleItalic">Conclusions</span>&#58; The IPSO-CA24 responds to the need for an instrument enabling multidimensional evaluation of the burden on the family caregiver without specialized training&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Antecedentes&#47;Objetivo</span>&#58; La demencia tipo Alzheimer es una de las causas m&#225;s frecuentes de dependencia en poblaci&#243;n mayor&#44; a lo que se une&#44; la considerable demanda de cuidados&#46; Adem&#225;s&#44; cuando el cuidador es un familiar o una persona sin formaci&#243;n especializada&#44; el cuidado tiene un impacto sobre su salud&#46; Para conocer las necesidades de estos cuidadores y evaluar el nivel de sobrecarga o malestar del cuidador&#44; se realiza la propuesta del Inventario de Sobrecarga en Cuidadores Familiares sin Formaci&#243;n Especializada de Enfermos de Alzheimer &#40;IPSO-CA24&#41;&#46; <span class="elsevierStyleItalic">M&#233;todo</span>&#58; En base a las respuestas de 255 cuidadores&#44; se analizaron las propiedades psicom&#233;tricas del cuestionario&#44; mediante an&#225;lisis de fiabilidad&#44; an&#225;lisis factoriales exploratorios y confirmatorios&#46; <span class="elsevierStyleItalic">Resultados</span>&#58; Los an&#225;lisis factoriales informan de una estructura de seis factores relacionados &#40;<span class="elsevierStyleItalic">Reacci&#243;n ante el diagn&#243;stico</span>&#44; <span class="elsevierStyleItalic">Salud f&#237;sica</span>&#44; <span class="elsevierStyleItalic">Sintomatolog&#237;a psicol&#243;gica &#40;cuidador&#41;</span>&#44; <span class="elsevierStyleItalic">Sintomatolog&#237;a conductual &#40;enfermo&#41;</span>&#44; <span class="elsevierStyleItalic">Conocimientos de la enfermedad</span> y <span class="elsevierStyleItalic">Nivel de dependencia</span>&#41;&#44; con una fiabilidad entre 0&#44;75 y 0&#44;93&#44; que explican el 66&#44;52&#37; de la varianza total&#46; Tambi&#233;n se obtiene apoyo para su validez convergente&#46; <span class="elsevierStyleItalic">Conclusiones</span>&#58; El IPSO-CA24 viene a dar respuesta a la necesidad de un instrumento que permita una valoraci&#243;n multidimensional de la sobrecarga del cuidador familiar sin formaci&#243;n especializada&#46;</p></span>"
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#945;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top"><span class="elsevierStyleBold">&#46;66</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;46&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top"><span class="elsevierStyleBold">&#46;59</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;39&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top"><span class="elsevierStyleBold">&#46;63</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;44&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top"><span class="elsevierStyleBold">&#46;65</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;48&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top"><span class="elsevierStyleBold">&#46;48</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;30&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top"><span class="elsevierStyleBold">&#46;43</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;25&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top"><span class="elsevierStyleBold">&#46;84</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;82&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top"><span class="elsevierStyleBold">&#46;66</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;52&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top"><span class="elsevierStyleBold">&#46;78</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;68&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top"><span class="elsevierStyleBold">&#46;61</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;43&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top"><span class="elsevierStyleBold">&#46;71</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;61&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top"><span class="elsevierStyleBold">&#46;66</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;30&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;61&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;39&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top"><span class="elsevierStyleBold">&#46;43</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;37&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;35&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top"><span class="elsevierStyleBold">&#46;50</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;40&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top"><span class="elsevierStyleBold">&#46;92</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;85&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top"><span class="elsevierStyleBold">&#46;89</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;82&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top"><span class="elsevierStyleBold">&#46;82</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;68&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top"><span class="elsevierStyleBold">&#46;87</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;76&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top"><span class="elsevierStyleBold">&#46;77</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;67&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;47&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top"><span class="elsevierStyleBold">&#46;48</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;52&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 21&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top"><span class="elsevierStyleBold">&#46;85</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;75&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 22&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top"><span class="elsevierStyleBold">&#46;85</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;75&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 23&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;38&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top"><span class="elsevierStyleBold">&#46;42</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;35&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Item 24&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top"><span class="elsevierStyleBold">&#46;75</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;64&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Eigenvalue&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">5&#46;70&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3&#46;40&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&#46;32&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&#46;03&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#46;35&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#46;18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">&#37; de variance&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">23&#46;76&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">14&#46;16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">9&#46;65&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8&#46;44&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">5&#46;61&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4&#46;91&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">&#37; of rotated variance&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">21&#46;95&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">13&#46;13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">7&#46;57&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">6&#46;85&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3&#46;79&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3&#46;18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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          "en" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Matrix of rotated components &#40;IPSO-CA24&#41;&#46;</p>"
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          "leyenda" => "<p id="spar0070" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Note</span>&#46; R&#46;D&#46;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>Reaction to diagnosis &#40;Feeling&#41;&#59; SA<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>Physical health&#59; PSYC S&#46;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>Psychological symptomatology &#40;Caregiver&#41;&#59; BEHAV S&#46;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>Behavioral symptomatology &#40;Patient&#41;&#59; KNOW<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>Knowledge of disease&#59; DEPEN<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>Level of dependence&#59; &#955;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>Standardized regression coefficient&#59; EE<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>Standardized Errors&#59; C&#46;R&#46;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>Critical ratio&#59; P<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>Probability&#59; <span class="elsevierStyleItalic">R</span><span class="elsevierStyleSup"><span class="elsevierStyleItalic">2</span></span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>Squared Multiple Correlation of each item&#59; &#42;&#42;&#42;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>&#160;&#46;001&#46;</p>"
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                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Item&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Unstandardized Coefficient&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#955;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">S&#46;E&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">C&#46;R&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">P&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">R</span><span class="elsevierStyleSup"><span class="elsevierStyleItalic">2</span></span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">R&#46;D&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#46;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;65&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#46;42&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#46;03&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;62&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">7&#46;52&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#42;&#42;&#42;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#46;38&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#46;03&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;68&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">7&#46;97&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#42;&#42;&#42;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#46;46&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#46;31&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;68&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8&#46;02&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#42;&#42;&#42;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#46;47&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">SA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#46;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;52&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#46;27&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;92&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;47&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">5&#46;92&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#42;&#42;&#42;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#46;22&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#46;55&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;89&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8&#46;14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#42;&#42;&#42;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#46;79&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#46;40&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;75&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">7&#46;85&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#42;&#42;&#42;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#46;56&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">PSYC S&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#46;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;81&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#46;65&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;91&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;66&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;09&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">10&#46;53&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#42;&#42;&#42;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#46;44&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#46;08&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;77&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;09&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">12&#46;56&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#42;&#42;&#42;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#46;60&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#46;07&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;79&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;08&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">12&#46;78&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#42;&#42;&#42;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#46;62&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">BEHAV S&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#46;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;56&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#46;31&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#46;09&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;59&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">6&#46;99&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#42;&#42;&#42;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#46;35&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&#46;11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;81&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;26&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8&#46;27&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#42;&#42;&#42;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#46;66&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">24&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&#46;03&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;76&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;25&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8&#46;08&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#42;&#42;&#42;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#46;57&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">KNOW&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#46;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;92&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#46;85&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;93&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;91&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;04&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">23&#46;27&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#42;&#42;&#42;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#46;82&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;81&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;82&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;04&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">18&#46;53&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#42;&#42;&#42;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#46;67&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;92&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;87&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;04&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">20&#46;83&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#42;&#42;&#42;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#46;75&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">DEPEN&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#46;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;57&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#46;33&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">21&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#46;35&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;89&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">9&#46;19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#42;&#42;&#42;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#46;79&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">22&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#46;21&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;82&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;13&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">23&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">6&#46;48&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#46;24&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Somatic Symptoms&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Anxiety-Insomnia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Social Dysfunction&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Depression&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Total GHQ&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">PSYC S&#46;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8722;&#46;05&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8722;&#46;16<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;02&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8722;&#46;06&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8722;&#46;12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8722;&#46;03&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8722;&#46;26<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8722;&#46;09&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Somatic Symptoms&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;32<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;47<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;32<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;17<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;16<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;34<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Anxiety-Insomnia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8722;&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;44<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;80<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;39<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;08&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;31<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;38<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;28<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8722;&#46;08&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;21<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;32<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Social Dysfunction&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8722;&#46;11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;23<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8722;&#46;05&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;09&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;13<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;05&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;04&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Depression&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;66<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;25<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;04&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;19<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;28<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;21<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8722;&#46;11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;21<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;22<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Total GHQ&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;37<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;39<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;39<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;29<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8722;&#46;07&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;25<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#46;37<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">IEC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
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                            0 => "X&#46; Bornas"
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                          0 => array:2 [
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                      "titulo" => "Questionnaire on Resources and Stress"
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                          "autores" => array:1 [
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                      "Libro" => array:3 [
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                        "editorial" => "Clinical Psychology Publishing Company"
                        "editorialLocalizacion" => "Brandon &#40;Vermont&#41;"
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Papel predictor de las variables tipo de cuidador&#44; nivel de dependencia y tiempo dedicado al cuidado en el impacto del estresor&#58; cuidar a un familiar dependiente"
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                        "tituloSerie" => "European Journal of Investigation in Health&#44; Psychology and Education"
                        "fecha" => "2015"
                        "volumen" => "4"
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            26 => array:3 [
              "identificador" => "bib0135"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Measuring Caregiving Appraisal"
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                          "etal" => false
                          "autores" => array:5 [
                            0 => "M&#46;P&#46; Lawton"
                            1 => "M&#46;H&#46; Kleban"
                            2 => "M&#46; Moss"
                            3 => "M&#46; Rovine"
                            4 => "A&#46; Glicksman"
                          ]
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Journal of Gerontology"
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                        "volumen" => "44"
                        "paginaInicial" => "61"
                        "paginaFinal" => "71"
                      ]
                    ]
                  ]
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            27 => array:3 [
              "identificador" => "bib0140"
              "etiqueta" => "Lazarus and Folkman&#44; 1984"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Estr&#233;s y procesos cognitivos"
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                            0 => "R&#46;S&#46; Lazarus"
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                        "editorial" => "Mart&#237;nez Roca"
                        "editorialLocalizacion" => "Barcelona"
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            28 => array:3 [
              "identificador" => "bib0145"
              "etiqueta" => "Lima-Rodr&#237;guez et al&#46;&#44; 2015"
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                0 => array:3 [
                  "comentario" => "<a class="elsevierStyleInterRef" id="intr0015" href="http://dx.doi.org/10.1016/j.ijchp.2015.05.002">http&#58;&#47;&#47;dx&#46;doi&#46;org&#47;10&#46;1016&#47;j&#46;ijchp&#46;2015&#46;05&#46;002</a>"
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                      "titulo" => "Psychometric properties of an instrument to measure family disease management"
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                          "autores" => array:3 [
                            0 => "J&#46;S&#46; Lima-Rodr&#237;guez"
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                            2 => "I&#46; Dom&#237;nguez-S&#225;nchez"
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                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "International Journal of Clinical and Health Psychology"
                        "fecha" => "2015"
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                        "paginaFinal" => "264"
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              "identificador" => "bib0150"
              "etiqueta" => "Lobo et al&#46;&#44; 1986"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Validity of the scaled version of the General Health Questionnaire &#40;GHQ-28&#41; in a Spanish population"
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                          "etal" => false
                          "autores" => array:3 [
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                            1 => "M&#46;J&#46; Perez-Echeverr&#237;a"
                            2 => "J&#46; Artal"
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                      "Revista" => array:6 [
                        "tituloSerie" => "Psychological Medicine"
                        "fecha" => "1986"
                        "volumen" => "16"
                        "paginaInicial" => "135"
                        "paginaFinal" => "140"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3961039"
                            "web" => "Medline"
                          ]
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              "identificador" => "bib0155"
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                0 => array:2 [
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                      "titulo" => "Validaci&#243;n del Indice de Esfuerzo del Cuidador en la poblaci&#243;n espa&#241;ola"
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                        "tituloSerie" => "Enfermer&#237;a Comunitaria"
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              "identificador" => "bib0160"
              "etiqueta" => "Lou et al&#46;&#44; 2015"
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                      "titulo" => "Comprehensive analysis of patient and caregiver predictors for caregiver burden&#44; anxiety and depression in Alzheimer&#39;s disease"
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                          "etal" => false
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                            4 => "S&#46; Liu"
                            5 => "Y&#46; Ji"
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                    0 => array:2 [
                      "doi" => "10.1111/jocn.12870"
                      "Revista" => array:2 [
                        "tituloSerie" => "Journal of Clinical Nursing"
                        "fecha" => "2015"
                      ]
                    ]
                  ]
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              ]
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            32 => array:3 [
              "identificador" => "bib0165"
              "etiqueta" => "Mahoney and Barthel&#44; 1965"
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                    0 => array:2 [
                      "titulo" => "Functional evaluation&#58; The Barthel Index"
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                            0 => "F&#46;I&#46; Mahoney"
                            1 => "D&#46; Barthel"
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                      "Revista" => array:6 [
                        "tituloSerie" => "Maryland State Medical Journal"
                        "fecha" => "1965"
                        "volumen" => "14"
                        "paginaInicial" => "56"
                        "paginaFinal" => "61"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14293095"
                            "web" => "Medline"
                          ]
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            33 => array:3 [
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                0 => array:2 [
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                      "titulo" => "Instrumentos para medir la sobrecarga en el cuidador informal del paciente con demencia"
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                            2 => "P&#46; Mu&#241;oz-Hermoso"
                            3 => "E&#46; Gonz&#225;lez-Fraile"
                            4 => "J&#46; Ballesteros-Rodr&#237;guez"
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                    0 => array:2 [
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                        "tituloSerie" => "Revista Espa&#241;ola de Geriatr&#237;a y Gerontolog&#237;a"
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              "identificador" => "bib0175"
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                            1 => "F&#46; Cardila"
                            2 => "A&#46; Barrag&#225;n"
                            3 => "M&#46;C&#46; P&#233;rez-Fuentes"
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                            5 => "J&#46;J&#46; G&#225;zquez"
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                        "tituloSerie" => "European Journal of Investigation in Health&#44; Psychology and Education"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Perfil del cuidador informal asociado al manejo cl&#237;nico del paciente con enfermedad de Alzheimer no respondedor al tratamiento sintom&#225;tico de la enfermedad"
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            36 => array:3 [
              "identificador" => "bib0185"
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                0 => array:2 [
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                      "titulo" => "Caregiving and the Experience of Subjective and Objective Burden"
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                            2 => "N&#46; Hooyman"
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Family Relations"
                        "fecha" => "1985"
                        "volumen" => "34"
                        "paginaInicial" => "19"
                        "paginaFinal" => "26"
                      ]
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Measurement and the analysis of burden"
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                            2 => "E&#46;F&#46; Borgatta"
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                      "doi" => "10.1177/0164027585007001007"
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                        "tituloSerie" => "Research on Aging"
                        "fecha" => "1985"
                        "volumen" => "7"
                        "paginaInicial" => "137"
                        "paginaFinal" => "152"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4059631"
                            "web" => "Medline"
                          ]
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              "identificador" => "bib0195"
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Application of a multidimensional caregiver burden inventory"
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                        0 => array:2 [
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                          "autores" => array:2 [
                            0 => "M&#46; Novak"
                            1 => "C&#46;I&#46; Guest"
                          ]
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                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Gerontologist"
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                        "volumen" => "29"
                        "paginaInicial" => "798"
                        "paginaFinal" => "803"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2516000"
                            "web" => "Medline"
                          ]
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            39 => array:3 [
              "identificador" => "bib0200"
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                0 => array:2 [
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                          "autores" => array:4 [
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                            3 => "M&#46; Santiago"
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                        "tituloSerie" => "European Journal of Education and Psychology"
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                        "paginaInicial" => "95"
                        "paginaFinal" => "106"
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            40 => array:3 [
              "identificador" => "bib0205"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Caregiving and the stress process&#58; An overview of concepts and their measures"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "L&#46;I&#46; Pearlin"
                            1 => "J&#46;T&#46; Mullan"
                            2 => "S&#46;J&#46; Semple"
                            3 => "M&#46;M&#46; Skaff"
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                    0 => array:2 [
                      "doi" => "10.1093/geront/30.5.583"
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                        "tituloSerie" => "The Gerontologist"
                        "fecha" => "1990"
                        "volumen" => "30"
                        "paginaInicial" => "583"
                        "paginaFinal" => "594"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2276631"
                            "web" => "Medline"
                          ]
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                ]
              ]
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            41 => array:3 [
              "identificador" => "bib0210"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Caregiver burden in Alzheimer&#39;s disease patients in Spain"
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                          "autores" => array:2 [
                            0 => "L&#46;M&#46; Pe&#241;a-Longobardo"
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                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3233/JAD-141374"
                      "Revista" => array:6 [
                        "tituloSerie" => "Journal of Alzheimer&#39;s Disease"
                        "fecha" => "2015"
                        "volumen" => "43"
                        "paginaInicial" => "1293"
                        "paginaFinal" => "1302"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25159671"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
            ]
            42 => array:3 [
              "identificador" => "bib0215"
              "etiqueta" => "P&#233;rez-Fuentes et al&#46;&#44; 2014"
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                  "referenciaCompleta" => "P&#233;rez-Fuentes&#44; M&#46;C&#46;&#44; Molero&#44; M&#46;M&#44; G&#225;zquez&#44; J&#46;J&#46;&#44; Mercader&#44; I&#46;&#44; Soler&#44; F&#46;&#44; &#38; N&#250;&#241;ez&#44; A&#46; &#40;2014&#41;&#46; Factores a tener en cuenta en la detecci&#243;n precoz del burnout en cuidadores familiares de enfermos de Alzheimer&#46; En J&#46;J&#46; G&#225;zquez&#44; M&#46;C&#46; P&#233;rez-Fuentes&#44; M&#46;M&#46;&#44; Molero&#44; I&#46; Mercader&#44; &#38; F&#46; Soler &#40;Eds&#46;&#41;&#44; <span class="elsevierStyleItalic">Calidad de vida&#44; cuidadores e intervenci&#243;n para la mejora de la salud en el envejecimiento</span>&#46; Volume II &#40;pp&#46; 155-160&#41;&#46; Almer&#237;a&#58; ASUNIVEP&#46;"
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              "identificador" => "bib0220"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Families caring for elders in residence&#58; Issues in the measurement of burden"
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                        "tituloSerie" => "Journal of Gerontology"
                        "fecha" => "1984"
                        "volumen" => "39"
                        "paginaInicial" => "230"
                        "paginaFinal" => "239"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6699382"
                            "web" => "Medline"
                          ]
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                      ]
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                  ]
                ]
              ]
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            44 => array:3 [
              "identificador" => "bib0225"
              "etiqueta" => "Prince et al&#46;&#44; 2015"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The burden of disease in older people and implications for health policy and practice"
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                            1 => "F&#46; Wu"
                            2 => "Y&#46; Guo"
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                        "paginaInicial" => "344"
                        "paginaFinal" => "348"
                        "link" => array:1 [
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6841931"
                            "web" => "Medline"
                          ]
                        ]
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                ]
              ]
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                    ]
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                        "tituloSerie" => "Revista Internacional de Sociolog&#237;a&#46;"
                        "fecha" => "2014"
                      ]
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                            0 => "E&#46; Rosa"
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                      ]
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                        "tituloSerie" => "Archives of Gerontology and Geriatrics"
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                        "volumen" => "51"
                        "paginaInicial" => "54"
                        "paginaFinal" => "58"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19853313"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            48 => array:3 [
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
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                      "autores" => array:1 [
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                          "etal" => false
                          "autores" => array:3 [
                            0 => "D&#46;L&#46; Roth"
                            1 => "L&#46; Fredman"
                            2 => "W&#46;E&#46; Haley"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1093/geront/gnu177"
                      "Revista" => array:6 [
                        "tituloSerie" => "The Gerontologist"
                        "fecha" => "2015"
                        "volumen" => "55"
                        "paginaInicial" => "309"
                        "paginaFinal" => "319"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26035608"
                            "web" => "Medline"
                          ]
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                    ]
                  ]
                ]
              ]
            ]
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                            4 => "D&#46; Mora"
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                      ]
                    ]
                  ]
                  "host" => array:1 [
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                        "tituloSerie" => "Cl&#237;nica y Salud"
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                        "paginaInicial" => "85"
                        "paginaFinal" => "93"
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                  ]
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                  "referenciaCompleta" => "Sand&#237;n&#44; B&#46; &#40;1999&#41; &#40;Ed&#46;&#41;&#46; <span class="elsevierStyleItalic">El estr&#233;s psicosocial&#58; Conceptos y consecuencias cl&#237;nicas</span>&#46; Madrid&#58; Klinik&#46;"
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                            3 => "X&#46;C&#46; Zhang"
                            4 => "J&#46; Margraf"
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                        ]
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                        "tituloSerie" => "International Journal of Clinical and Health Psychology"
                        "fecha" => "2016"
                        "volumen" => "16"
                        "paginaInicial" => "1"
                        "paginaFinal" => "10"
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                  ]
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                0 => array:2 [
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                      "titulo" => "Impact of family conflict on adult child caregivers"
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                        "tituloSerie" => "Gerontologist"
                        "fecha" => "1991"
                        "volumen" => "31"
                        "paginaInicial" => "770"
                        "paginaFinal" => "777"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1800250"
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                    ]
                  ]
                ]
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                  "referenciaCompleta" => "World Health Organization and Alzheimer&#39;s Disease International &#40;2012&#41;&#46; <span class="elsevierStyleItalic">Dementia&#58; A Public Health Priority</span>&#46; Geneva&#58; World Health Organization&#46;"
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                      "titulo" => "First WHO Ministerial Conference on Global Action Against Dementia"
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Article information

ISSN: 16972600
Original language: English

DOI:10.1016/j.ijchp.2016.09.004

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Year/Month	Html	Pdf	Total

2024 October	29	6	35
2024 September	28	20	48
2024 August	42	13	55
2024 July	44	8	52
2024 June	43	20	63
2024 May	52	16	68
2024 April	57	27	84
2024 March	53	22	75
2024 February	59	17	76
2024 January	40	9	49
2023 December	29	24	53
2023 November	44	24	68
2023 October	68	27	95
2023 September	26	15	41
2023 August	33	24	57
2023 July	14	29	43
2023 June	26	28	54
2023 May	31	30	61
2023 April	24	14	38
2023 March	25	19	44
2023 February	20	11	31
2023 January	29	22	51
2022 December	32	32	64
2022 November	32	49	81
2022 October	39	29	68
2022 September	35	28	63
2022 August	34	28	62
2022 July	28	29	57
2022 June	23	26	49
2022 May	45	15	60
2022 April	31	20	51
2022 March	48	38	86
2022 February	32	22	54
2022 January	76	17	93
2021 December	49	39	88
2021 November	51	31	82
2021 October	46	30	76
2021 September	38	27	65
2021 August	46	23	69
2021 July	79	18	97
2021 June	56	26	82
2021 May	47	27	74
2021 April	122	79	201
2021 March	61	34	95
2021 February	51	26	77
2021 January	85	40	125
2020 December	58	34	92
2020 November	58	28	86
2020 October	67	17	84
2020 September	50	24	74
2020 August	35	28	63
2020 July	33	22	55
2020 June	32	18	50
2020 May	57	31	88
2020 April	47	16	63
2020 March	60	17	77
2020 February	37	12	49
2020 January	32	12	44
2019 December	31	17	48
2019 November	31	11	42
2019 October	25	8	33
2019 September	34	5	39
2019 August	20	4	24
2019 July	32	20	52
2019 June	53	17	70
2019 May	124	10	134
2019 April	71	7	78
2019 March	31	10	41
2019 February	37	11	48
2019 January	39	10	49
2018 December	36	3	39
2018 November	43	19	62
2018 October	69	19	88
2018 September	54	6	60
2018 August	39	9	48
2018 July	25	18	43
2018 June	12	11	23
2018 May	35	17	52
2018 April	21	18	39
2018 March	15	13	28
2018 February	138	23	161
2018 January	76	24	100
2017 December	138	29	167
2017 November	75	13	88
2017 October	13	27	40
2017 September	15	19	34
2017 August	16	35	51
2017 July	22	21	43
2017 June	43	55	98
2017 May	45	29	74
2017 April	26	30	56
2017 March	40	56	96
2017 February	42	13	55
2017 January	47	26	73
2016 December	9	19	28
2016 November	4	15	19
2016 October	0	4	4

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