Caregiver burden and coping strategies in schizophrenia: a hospital based study

Mishra, SK; Pandey, Anil Kumar; Adhikari, Baikuntha Raj; Nepal, Suraj

doi:10.3126/jpan.v5i1.18328

Cited by 6 publications

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“…A total of 5034 caregivers from 23 countries were included in the analysis. Six studies were conducted in Nigeria [ 18 , 40 , 41 , 42 , 43 , 44 ], five studies in Brazil [ 45 , 46 , 47 , 48 , 49 ], three studies each in Nepal [ 50 , 51 , 52 ] and Turkey [ 53 , 54 , 55 ], two studies each in Hong Kong [ 56 , 57 ], the USA [ 58 , 59 ], and Taiwan [ 60 , 61 ], and one study each in Africa [ 62 ], China [ 63 ], Chile [ 64 ], Egypt [ 65 ], Greece [ 66 ], India [ 67 ], Ireland [ 68 ], Italy [ 69 ], Japan [ 70 ], Jordan [ 71 ], Kuwait [ 72 ], Poland [ 73 ], Portugal [ 74 ], Singapore [ 75 ], Spain [ 76 ], and the Netherlands [ 77 ]. In terms of study setting, 11 studies were conducted in the community, 18 studies in the hospital, and nine studies in the clinic (refer to Table S2 ).…”

Section: Resultsmentioning

confidence: 99%

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Caregiver Burden among Caregivers of Patients with Mental Illness: A Systematic Review and Meta-Analysis

et al. 2022

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Due to the increasing importance of caregivers in the treatment outcomes of patients with mental illness, this study aimed to systematically review studies investigating the former’s caregiver burden and determine its prevalence. An open search, without filters, was conducted. Articles were selected from Medline, Scopus, and PubMed from inception to 30 April 2022 using the PRISMA protocol. Subgroup analyses examined the between-group differences by study setting, measurements used, and disorder type. A total of 5034 caregivers from 23 countries were included in this review. Thirty-nine studies were included in the systematic review, and, among them, twenty-six were deemed eligible for meta-analysis. The overall pooled prevalence of caregiver burden among caregivers of individuals with mental illness was 31.67% (95% CI = 26.22–37.12). Pooled prevalence was the highest among care recipients receiving treatment in a hospital setting (36.06%; 95%CI = 22.50–49.63), followed by the community and clinic settings. Caregiver prevalence values were higher for burden measured using the Zarit Burden Interview (38.05%; 95%CI = 27.68–48.43). compared with other instruments, and for carers of care recipients with psychosis (35.88%; 95%CI = 27.03–44.72) compared with those without. Thus, targeted interventions should focus on caregivers of patients in hospital settings and with psychotic symptoms.

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Section: Resultsmentioning

confidence: 99%

“… Pooled prevalence of caregiver burden among caregivers of patients with mental illness [ 18 , 40 , 41 , 44 , 48 , 49 , 50 , 51 , 52 , 54 , 55 , 56 , 58 , 59 , 60 , 62 , 63 , 64 , 65 , 68 , 69 , 70 , 71 , 72 , 75 , 77 ]. …”

Section: Figurementioning

confidence: 99%

Caregiver Burden among Caregivers of Patients with Mental Illness: A Systematic Review and Meta-Analysis

et al. 2022

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“…24 The fact that caregivers of patients with schizophrenia experience substantial burden has been shown in several previous studies. 16,25,26 The mean burden score in the caregivers was 80.65 ± 12.65 years. Of the caregivers, 57.69% experienced moderate levels of burden whereas 42.31% experienced severe burden The mean score of 80.65 ± 12.65 indicating severe burden is similar to the findings of Mishra et al and Rammohan et al 26,27 Caregivers of patients with low levels of education reported greater burden.…”

Section: Discussionmentioning

confidence: 99%

“…16,25,26 The mean burden score in the caregivers was 80.65 ± 12.65 years. Of the caregivers, 57.69% experienced moderate levels of burden whereas 42.31% experienced severe burden The mean score of 80.65 ± 12.65 indicating severe burden is similar to the findings of Mishra et al and Rammohan et al 26,27 Caregivers of patients with low levels of education reported greater burden. 27 Parents and spouses reported moderately higher level of burden, a finding similar to that reported by Rammohan et al 27 but siblings reported highest level of burden.…”

Section: Discussionmentioning

confidence: 99%

A Study of Psychological Stress and Burden on Caregivers of Schizophrenic Patients

Kuchhal¹,

Kuchhal²,

Arya³

et al. 2019

IJCMR

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Introduction: Schizophrenia is a chronic severe mental illness which not only affects patients but also causes significant burden and stress to the caregivers. There is definite lack of studies in India exploring caregiver burden and psychological stress. Study objective was to assess psychological stress and burden on caregivers of schizophrenic patients. Material and methods: The study sample included 52 patients with a diagnosis of schizophrenia and their caregivers, randomly selected from the patients coming to the OPD of two tertiary care centres in Bareilly, as per inclusion and exclusion criteria. Burden Assessment Schedule and General health questionnaire-12 were used for the study. Results: Our study also shows that 42.31% caregivers experienced severe burden. Caregivers of patients with low levels of education reported greater burden. Parents and spouses reported moderately higher level of burden, but siblings reported highest level of burden. Parents had greater psychological stress as compared to spouses and siblings. Caregivers with higher psychological stress found to have heavier caregiving burden. Conclusion: Caregivers of schizophrenic patients suffered from significant burden. It thus becomes important to plan interventions that would reduce their burden of care and thus improving their psychological well-being.

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“…Studies of caregivers of patients with mental disorders like schizophrenia and bipolar disorder in Nepal have shown a high level of stress-, depression-, and anxiety-related problems [ 31 , 32 ]. A study from a hospital in the city of Dhahran found that caretakers of intellectually disabled children in the hospital had a high level of anxiety and depression [ 33 ].…”

Section: Introductionmentioning

confidence: 99%

Psychological Distress among Caregivers of Children with Neurodevelopmental Disorders in Nepal

Maridal

Bjørgaas

Hagen

et al. 2021

IJERPH

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Parenting a child with neurodevelopmental disorder (NDD) is related to a higher rate of anxiety and depression, increased stress, and reduced quality of life. Although there is reason to believe that parenting children with NDD in low- and middle-income countries (LMIC) can be challenging, there is a lack of knowledge on the psychological distress among these caregivers, especially in rural areas. The aim of the study was to examine the psychological distress among caregivers having children with NDD in rural Nepal. Sixty-three caregivers were visited in their homes and interviewed by experienced mental health professionals. This study examined demographic information, severity of disability, perceived caregiver burden, and psychological distress, measured by the General Health Questionnaire-12 (GHQ-12). The study found a high level of psychological distress in the caregivers (M = 5.38, SD = 2.8). A majority (90.5%) scored two or higher, indicating the presence of a common mental disorder (CMD). Almost half (46%) scored six or higher, indicating a high level of distress. A majority of the caregivers reported that caring for their disabled child had a negative effect on the caregiver’s economy (70%), physical health (65%), social life (64%), and dreams and expectations for the future (81%). There was a significant relationship between the caregiver’s psychological distress (GHQ-12) and degree of disability in the child (Gross Motor Function Classification System), degree of caregiver burden, feeding problems, having health workers as a possible source of help, receiving incentive from the government, having somebody to confide in, and caregiver illiteracy. A forward regression analysis entering the significant factors indicated that caregiver burden, having someone to confide in, and having health workers as a possible source of help were significant related to psychological distress. The final step of the model explained 42.4% of the variance in psychological distress among the caregivers. The study indicates a high level of psychological distress and high overall burden in caregivers of children with NDD in rural Nepal. Further implications for research and service development are discussed.

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Caregiver burden and coping strategies in schizophrenia: a hospital based study

Cited by 6 publications

References 0 publications

Caregiver Burden among Caregivers of Patients with Mental Illness: A Systematic Review and Meta-Analysis

Caregiver Burden among Caregivers of Patients with Mental Illness: A Systematic Review and Meta-Analysis

A Study of Psychological Stress and Burden on Caregivers of Schizophrenic Patients

Psychological Distress among Caregivers of Children with Neurodevelopmental Disorders in Nepal

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