Research Article | | Peer-Reviewed

Caregiver Burden and Work Productivity Loss in Caregivers of Young Patients with Inflammatory Bowel Disease

Received: 8 July 2025     Accepted: 21 July 2025     Published: 11 August 2025
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Abstract

Background: Inflammatory bowel disease (IBD) is associated with frequent hospitalizations, significant disability and impairment of quality of life. This can affect the physical, mental and overall wellbeing of not just the patients, but also the people caring for them. The aim of this study was to estimate the prevalence of burden among caregivers of young IBD patients, assess their work productivity impairment and identify the factors affecting caregiver burden. Methods: Design: This was a cross-sectional study conducted over a 16 month period at a tertiary care centre in north Kerala. Participants: 78 caregivers corresponding to 78 consecutive young IBD patients (aged 10- 24 years) were included. Two sets of questionnaires, the Zarit Burden Interview and the Work Productivity and Activity Impairment questionnaires tailored to suit IBD were used to assess burden and work productivity losses respectively. The study was approved by the institutional ethical committee. Results: A total of 78 caregivers, corresponding to 78 young IBD patients (aged 10- 24 years) were included in the study. 61 patients had Crohn’s disease and 17 patients had ulcerative colitis. Of the total number of caregivers, 47 caregivers (60.3%) experienced clinically significant caregiver burden. The mean ZBI score was 21.74± 10.3. The mean percentage work time missed (absenteeism) was 22.39%, the mean percentage impairment while working (presenteeism) was 40.0% and the mean percentage overall work impairment (loss of productivity) was 48.62%. Disease activity at the time of diagnosis (p=0.008 for Crohn’s p=0.002 for ulcerative colitis), absenteeism, presenteeism, work productivity loss and percentage activity impairment were significantly associated with caregiver burden Conclusion: Caregivers of young IBD patients experience significant burden and work productivity loss and this needs urgent attention to improve overall patient management.

Published in International Journal of Gastroenterology (Volume 9, Issue 2)
DOI 10.11648/j.ijg.20250902.12
Page(s) 94-102
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2025. Published by Science Publishing Group

Keywords

Caregiver Burden, Inflammatory Bowel Disease, Crohn’s Disease, Ulcerative Colitis, Work Productivity and Activity Impairment, Absenteeism, Presenteeism

References
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  • APA Style

    Veetil, R. P., Kandiyil, S. K., Balagopal, S., Sebastian, S., Kadavanoor, S. (2025). Caregiver Burden and Work Productivity Loss in Caregivers of Young Patients with Inflammatory Bowel Disease. International Journal of Gastroenterology, 9(2), 94-102. https://doi.org/10.11648/j.ijg.20250902.12

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    ACS Style

    Veetil, R. P.; Kandiyil, S. K.; Balagopal, S.; Sebastian, S.; Kadavanoor, S. Caregiver Burden and Work Productivity Loss in Caregivers of Young Patients with Inflammatory Bowel Disease. Int. J. Gastroenterol. 2025, 9(2), 94-102. doi: 10.11648/j.ijg.20250902.12

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    AMA Style

    Veetil RP, Kandiyil SK, Balagopal S, Sebastian S, Kadavanoor S. Caregiver Burden and Work Productivity Loss in Caregivers of Young Patients with Inflammatory Bowel Disease. Int J Gastroenterol. 2025;9(2):94-102. doi: 10.11648/j.ijg.20250902.12

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  • @article{10.11648/j.ijg.20250902.12,
      author = {Remya Puthiya Veetil and Sunil Kumar Kandiyil and Sithara Balagopal and Saji Sebastian and Srijith Kadavanoor},
      title = {Caregiver Burden and Work Productivity Loss in Caregivers of Young Patients with Inflammatory Bowel Disease
    },
      journal = {International Journal of Gastroenterology},
      volume = {9},
      number = {2},
      pages = {94-102},
      doi = {10.11648/j.ijg.20250902.12},
      url = {https://doi.org/10.11648/j.ijg.20250902.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijg.20250902.12},
      abstract = {Background: Inflammatory bowel disease (IBD) is associated with frequent hospitalizations, significant disability and impairment of quality of life. This can affect the physical, mental and overall wellbeing of not just the patients, but also the people caring for them. The aim of this study was to estimate the prevalence of burden among caregivers of young IBD patients, assess their work productivity impairment and identify the factors affecting caregiver burden. Methods: Design: This was a cross-sectional study conducted over a 16 month period at a tertiary care centre in north Kerala. Participants: 78 caregivers corresponding to 78 consecutive young IBD patients (aged 10- 24 years) were included. Two sets of questionnaires, the Zarit Burden Interview and the Work Productivity and Activity Impairment questionnaires tailored to suit IBD were used to assess burden and work productivity losses respectively. The study was approved by the institutional ethical committee. Results: A total of 78 caregivers, corresponding to 78 young IBD patients (aged 10- 24 years) were included in the study. 61 patients had Crohn’s disease and 17 patients had ulcerative colitis. Of the total number of caregivers, 47 caregivers (60.3%) experienced clinically significant caregiver burden. The mean ZBI score was 21.74± 10.3. The mean percentage work time missed (absenteeism) was 22.39%, the mean percentage impairment while working (presenteeism) was 40.0% and the mean percentage overall work impairment (loss of productivity) was 48.62%. Disease activity at the time of diagnosis (p=0.008 for Crohn’s p=0.002 for ulcerative colitis), absenteeism, presenteeism, work productivity loss and percentage activity impairment were significantly associated with caregiver burden Conclusion: Caregivers of young IBD patients experience significant burden and work productivity loss and this needs urgent attention to improve overall patient management.},
     year = {2025}
    }
    

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  • TY  - JOUR
    T1  - Caregiver Burden and Work Productivity Loss in Caregivers of Young Patients with Inflammatory Bowel Disease
    
    AU  - Remya Puthiya Veetil
    AU  - Sunil Kumar Kandiyil
    AU  - Sithara Balagopal
    AU  - Saji Sebastian
    AU  - Srijith Kadavanoor
    Y1  - 2025/08/11
    PY  - 2025
    N1  - https://doi.org/10.11648/j.ijg.20250902.12
    DO  - 10.11648/j.ijg.20250902.12
    T2  - International Journal of Gastroenterology
    JF  - International Journal of Gastroenterology
    JO  - International Journal of Gastroenterology
    SP  - 94
    EP  - 102
    PB  - Science Publishing Group
    SN  - 2640-169X
    UR  - https://doi.org/10.11648/j.ijg.20250902.12
    AB  - Background: Inflammatory bowel disease (IBD) is associated with frequent hospitalizations, significant disability and impairment of quality of life. This can affect the physical, mental and overall wellbeing of not just the patients, but also the people caring for them. The aim of this study was to estimate the prevalence of burden among caregivers of young IBD patients, assess their work productivity impairment and identify the factors affecting caregiver burden. Methods: Design: This was a cross-sectional study conducted over a 16 month period at a tertiary care centre in north Kerala. Participants: 78 caregivers corresponding to 78 consecutive young IBD patients (aged 10- 24 years) were included. Two sets of questionnaires, the Zarit Burden Interview and the Work Productivity and Activity Impairment questionnaires tailored to suit IBD were used to assess burden and work productivity losses respectively. The study was approved by the institutional ethical committee. Results: A total of 78 caregivers, corresponding to 78 young IBD patients (aged 10- 24 years) were included in the study. 61 patients had Crohn’s disease and 17 patients had ulcerative colitis. Of the total number of caregivers, 47 caregivers (60.3%) experienced clinically significant caregiver burden. The mean ZBI score was 21.74± 10.3. The mean percentage work time missed (absenteeism) was 22.39%, the mean percentage impairment while working (presenteeism) was 40.0% and the mean percentage overall work impairment (loss of productivity) was 48.62%. Disease activity at the time of diagnosis (p=0.008 for Crohn’s p=0.002 for ulcerative colitis), absenteeism, presenteeism, work productivity loss and percentage activity impairment were significantly associated with caregiver burden Conclusion: Caregivers of young IBD patients experience significant burden and work productivity loss and this needs urgent attention to improve overall patient management.
    VL  - 9
    IS  - 2
    ER  - 

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