Perceived economic and behavioural effects of the mentally ill on their relatives in Kenya: a case study of the Mathari Hospital

Ndetei, David M.; Pizzo, Matteo; Khasakhala, Lincoln; Maru, H; Mutiso, Victoria; Ongecha-Owuor, Francisca; Kokonya, Donald

doi:10.4314/ajpsy.v12i4.49050

Cited by 12 publications

(10 citation statements)

References 16 publications

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“…This was in agreement with previous studies [11, 31]. As previous studies stated that most of the patients were economically dependent on a family member [32] and higher degree of burden on the caregivers were associated with low income [33]. Since caregivers were not employed and not able to work mostly [34] because they quit working or reduce their working hours and spent their time in home to take care for their mentally ill relatives [32].…”

Section: Discussionsupporting

confidence: 93%

Burden among caregivers of people with mental illness at Jimma University Medical Center, Southwest Ethiopia: a cross-sectional study

et al. 2019

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Background Burden of caregivers of people with mental illness (PWMI) is considered to be a negative impact of the care provided by the family to the patient. However, little is known about the extent of the burden among caregivers of PWMI in Ethiopia. The aim of this study, therefore, is to assess the magnitude and associated factors of burden among caregivers of PWMI at Jimma University Medical Center, 2017. Methods Institution-based cross-sectional study design was employed among 406 conveniently selected caregivers of PWMI and interviewed using a structured questionnaire. Family burden interview schedule (FBIS) was used to assess burden of caregivers. Bivariate and multivariable linear regression analyses were performed to determine the predictors of burden among caregivers. Results Nearly two-thirds [264 (65.0%)] of the participants were male with a mean age of 38.45 ± 12.03 years. The mean score for burden among caregivers on family burden interview schedule was 23.00 ± 10.71. Age of the caregivers ( β = 0.18, p < 0.001), being female caregiver ( β = 2.68, p < 0.01), duration of contact hours with the patient per day ( β = 0.74, p < 0.001), perceived stigma by the caregiver ( β = 0.47, p < 0.001), and providing care for patients who had history of substance use in life ( β = 1.52, p < 0.05) were positive predictors of higher burden among caregivers. Whereas, caregivers’ income ( β = 7.25, p < 0.001), caregivers who had no formal education ( β = 4.65, p < 0.01), and caregivers’ social support ( β = 0.78, p < 0.001) were negatively associated with higher burden among caregiver. Conclusion Caregivers of people with mental illness experience enormous burden during providing care for their relatives with mental illness. Therefore, creating community awareness and targeted interventions in the area of treatment access, stigma, financial, and other social support for people with mental illness and their caregivers would help out to reduce these burdens.

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Section: Discussionsupporting

confidence: 93%

Burden among caregivers of people with mental illness at Jimma University Medical Center, Southwest Ethiopia: a cross-sectional study

et al. 2019

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“…Caregivers -like family members or other relatives -are central to this practice most especially in Africa where the extended family system provides most of the social and economic support needed for ill patients. 1 Psychiatric illness has a major impact on both patients and their relatives. 2,3 Care giving on its own comes with several challenges and occasional distress, as the role of caring affects every aspect of the caregivers' life 4 , with this consequence formally known as "caregiver burden".…”

Section: Introductionmentioning

confidence: 99%

Burden and psychological effects : caregiver experiences in a psychiatric outpatient unit in Lagos, Nigeria

Oshodi¹,

Adeyemi²,

Aina³

et al. 2012

Afr. J. Psych

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Objective: Worldwide, research into experiences of care givers are gradually increasing and their central role in community care is being acknowledged. Caregivers experience a multidimensional range of problems, often associated with their caregiving role. It becomes important to identify these areas of burden and provide necessary support. The study sought to determine the prevalence of psychological distress and experience of burden of care among the caregivers of mentally ill patients. Method: A cross sectional descriptive study. Eligible consecutive subjects were recruited to the study over a 6 month period. Fifty three caregiver relatives of patients diagnosed with a psychiatric illness were assessed using the General Health questionnaire version 12, an Adapted Burden of Care (BOC) Schedule and a Sociodemographic questionnaire. Results: The caregivers were 51% male and 49% female. Most were above 35years in age (66.1%). They were either parents (38.8%), siblings (18.4%), uncle/aunt (14.3%), first cousin (12.2%) or other extended relatives (16.3%). Almost half of the relatives had psychological distress (43.8%) and most of which (63%) had more burden. The mean score on the BOC among the caregivers was 41 (±18.68SD), with scores ranging from 0.00-89.00, and 45.3% of relatives experiencing more than average burden of care. Conclusion: There is a significant level of burden and psychological distress experienced by caregivers in this study location. It is recommended that effectively planned interventions are targeted at alleviating this burden and at improving the ability of caregivers to cope, within the Nigerian mental health service delivery system.

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“…It is a major public health concern since it affects the quality of life of the schizophrenic patient. In Kenya approximately 20% of patients seeking outpatient care in public and private institutions do suffer from some form of mental illness [16]. The number of people living with Schizophrenia has progressively increased over the years, currently approximately 450,000 people are suffering from Schizophrenia in Kenya [1].…”

Section: Statement Of the Problemmentioning

confidence: 99%

Caregiver’s Knowledge and Attitude Regarding Care of Schizophrenia at Mathari Teaching and Referral Hospital, Kenya

Anab¹

2018

AJPN

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Schizophrenia is a mental disorder which is a major public health concern since it affects the quality of life of the schizophrenic patient. The patient requires a caregiver to support them in the entire phase of the condition. Caregiver's knowledge facilitate recognition of mental illness and health-seeking behavior. The aim of the study was to assess the caregiver knowledge and attitude regarding care of Schizophrenia. The study was conducted at Mathari Teaching and Referral Hospital, Kenya where the respondents were the caregivers of the schizophrenic patients. The research design used was cross-sectional mixed method. A total of three hundred and three respondents participated in the study, the respondents were selected by utilizing systemic sampling technique. A list was generated as the sampling frame every 3 rd patient on the list was selected. All the caregivers of the patient had an equal chance of participating in the study. Data collection instruments used were an objectively structured questionnaire and key informant guide which were used to solicit both qualitative and quantitative data. Descriptive statistics mainly measure of central tendency was used. Pearson correlation coefficient and logistic regression were used to determine the magnitude of the correlation. Qualitative data were analyzed through content analysis, similar themes were grouped. The findings indicate majority of the respondents 191 (63%) were female while 218 (72%) of the respondents did not know the name of the condition the patient was diagnosed with. Knowledge on schizophrenia significantly depended on the age of the caregiver (Pr = 0.001) and the length of time the caregiver had taken care of the patient and knowing the patient (Pr = 0.001) (Pearson chi2). Further modelling of these variables using logistic regression showed that caregivers' who have spent a long period with the patient are 3 times more likely to have a more positive attitude and be more knowledgeable compared to those who have spent a lesser period with a schizophrenic patient. The variable period with the patient is the most meaningful variable compared to the other variables in the model. Increasing the level of knowledge regarding the condition makes the caregiver more effective in their role as the patient's support system. These findings are a good opportunity for the formulation of interventions based on the identified gaps resulting to caregiver's full involvement in the care and management of the patient.

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Perceived economic and behavioural effects of the mentally ill on their relatives in Kenya: a case study of the Mathari Hospital

Cited by 12 publications

References 16 publications

Burden among caregivers of people with mental illness at Jimma University Medical Center, Southwest Ethiopia: a cross-sectional study

Burden among caregivers of people with mental illness at Jimma University Medical Center, Southwest Ethiopia: a cross-sectional study

Burden and psychological effects : caregiver experiences in a psychiatric outpatient unit in Lagos, Nigeria

Caregiver’s Knowledge and Attitude Regarding Care of Schizophrenia at Mathari Teaching and Referral Hospital, Kenya

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