Caregiver Burden and Work Productivity Among Japanese Working Family Caregivers of People with Dementia

  • Satoko FujiharaEmail author
  • Akiomi Inoue
  • Kazumi Kubota
  • Kim Fong Roseline Yong
  • Katsunori Kondo



We examined the association between caregiver burden and work productivity (i.e., absenteeism, presenteeism, and overall work impairment) among working family caregivers of people with dementia and whether job characteristics (i.e., job demands, job control, supervisor and coworker support) moderate this association.


A cross-sectional correlational study design using a web-based questionnaire survey was conducted among 379 Japanese working family caregivers of people with dementia (105 female, age range 20–77) in May 2016, which measured caregiver burden, work productivity, care situation, job characteristics, and demographics. Caregiver burden was designated as an independent variable and each aspect of work productivity as a dependent variable in a hierarchical multiple regression analysis, adjusting for demographics. Interaction terms between caregiver burden and each job characteristic were also included in the model.


Caregiver burden was significantly and positively associated with presenteeism (β = 0.219, p < 0.001) and overall work impairment (β = 0.181, p < 0.001), while the association of caregiver burden with absenteeism was not significant (β = − 0.003, p = 0.953). Interaction effects of caregiver burden × coworker support on presenteeism (β = − 0.189, p = 0.023) and overall work impairment (β = − 0.172, p = 0.034) were significant. According to simple slope analyses, caregiver burden was greater at lower levels of coworker support compared to higher levels of coworker support for both presenteeism and overall work impairment.


Our study suggests that higher caregiver burden is associated with a decrease in work productivity. Additionally, coworker support appears to buffer the association of caregiver burden with presenteeism and overall work impairment among working family caregivers of people with dementia.


Caregivers Dementia Caregiver burden Work productivity Employment 



This study was supported by a JSPS KAKENHI Grant Number JP26861979 (Grant-in-Aid for Young Scientists [B]), JP18K12988 (Grant-in-Aid for Early-Career Scientists).

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institution and with 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© International Society of Behavioral Medicine 2018

Authors and Affiliations

  1. 1.Department of Public Health, Graduate School of MedicineChiba UniversityChiba CityJapan
  2. 2.Department of Public HealthKitasato University School of MedicineSagamihara CityJapan
  3. 3.Department of BiostatisticsYokohama City University School of MedicineYokohama CityJapan
  4. 4.Department of Public HealthAkita University Graduate School of MedicineAkita CityJapan
  5. 5.Department of Gerontological Evaluation, Center for Gerontology and Social ScienceNational Center for Geriatrics and GerontologyObu CityJapan

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