As per Carver, found that a high caregiver burden often comes along with dysfunctional strategies what means activities which don’t solve the problem but worsen it (e.g. The (dis)balance between burden/vulnerabilities and resources of the caregiver determines the consequences of a care situation. An intensive adaptiation to the care situation is necessary.Caregiver burden comes out when the caregiver perceives the home care situation as a negative experience. The caregiver burden can be based on a variety of aspects of the care situation (e.g.

validating a model of chronic illness and family caregiving-75validating a model of chronic illness and family caregiving-86

The caregivers have to rate these items on a four-point scale from “strongly agree” to “strongly disagree”.

An evaluation is possible both on item level and on score level.

the Burden Interview, The Burden Scale for Family Caregivers, which has been developed in Germany, is now available in 20 languages.

The BSFC exists in a detailed version with 28 items, and in a short, more efficient version (BFSC-s) with ten items.

Compared to other burden scales, the BSFC has two benefits.

There is a long and a short version, both validated in separate studies.Both increases the likelihood of institutionalization. The assessment of caregiver burden enables to judge the situation of the caregiver.The correct measurement of subjective burden is necessary to draw conclusions about the effectiveness of family interventions.The secondary appraisal analyzes the own abilities and resources to cope with that situation.On this basis, the individual coping efforts are used to deal with the stressful situation.The most common form of abusive behavior is verbal aggression, The subjective burden is an important factor that influences the passing into the nursing home (institutionalization).