| Family disruptions: | role changes; role overload; family conflicts |
| Psychological stress: | resentment; anger; deterioration of patient; other demands; self-blame; loneliness, depression |
| Physical fatigue: | caregiving demands of a deteriorating patient |
| Social isolation: | lack of time and energy; embarrassment over patient’s behavior leading to an avoidance of friends and social situations |
| Financial issues: | reduced income of patient or caregiver; medical expenses; anxiety about long term care costs |
| Legal issues: | mental competence of patient [14] |
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