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EBP Compendium: Summary of Systematic Review

Caregiver Strain and Caregiver Burden of Primary Caregivers of Stroke Survivors with and without Aphasia

Rombough, R. E., Howse, E. L., et al. (2006).
Rehabil Nurs, 31(5), 199-209.

Indicators of Review Quality:

The review addresses a clearly focused question Yes
Criteria for inclusion of studies are provided Yes
Search strategy is described in sufficient detail for replication Yes
Included studies are assessed for study quality Yes
Quality assessments are reproducible No

Description: This is a systematic review of peer-reviewed literature exploring the relationship between aphasia and caregiver burden. No studies were found meeting inclusion criteria. No conclusions can be drawn regarding the impact of communication impairments on caregiver burden. Further research is warranted.

Question(s) Addressed:

What is the relationship between aphasia and caregiver burden and strain?

Population: Caregivers of stroke victims with or without aphasia


  • Caregiver Burden Scale - Chinese Version (CBS-CV)
  • Caregiver Strain Index (CSI)
  • Physical Caregiving Responsibility Inventory (PCRI)
  • Sense of Competence Questionnaire (SKY)
  • Zaria Burden Interview (ZIBO).

Number of Studies Included: 14

Years Included: Through November 2004



Caregivers become more burdened physically and emotionally as the stroke severity of the patient increases. Due to the lack of literature, there are no conclusions on the relationship between aphasia and caregiver burden and strain. There needs to be further research in this area.

Keywords: Aphasia, Stroke

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Added to Compendium: December 2011

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