The impact of persons with mental health problems on family members and their coping strategies in Afghanistan

Oriya, Spozhmay; Alekozai, Tayeba

doi:10.4103/intv.intv_13_21

Cited by 2 publications

(2 citation statements)

References 26 publications

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“…The likelihood that a financial impact would occur was higher for caregivers aged 26 and older, those with higher monthly incomes, higher educational attainments, who identified as Christians, Buddhists, or other religious groups, who had jobs, longer durations of mental illness, and longer amounts of time spent caring for mentally ill patients. The findings of this study are similar with those of other studies in that these sociodemographic characteristics had an impact on the financial impact [14,15,16] . Also, it was found that the social impact on caregivers was remarkably associated with their level of income, education, religion, occupation, and length of mental illness.…”

Section: Discussionsupporting

confidence: 91%

Impact of Caring for Mentally Ill Patient on Caregivers

Ramtel,

KC,

Achhami

2023

Int J Sci Healthcare Res

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Mentally ill person needs caretakers during hospitalization for severe conditions, continuing care, and rehabilitation. Caretakers experience mental illness when providing care for their mentally ill patients in Nepal. About 24.5% of caretakers had anxiety and 19.6% had depression. The financial, social, and psychological health of caregivers may all impact. The objective was to examine the psychological, financial and social impact on caregivers. A descriptive study was conducted on 207 caregivers’ of mentally ill patients at mental hospital, Nepal. Purposive sampling technique was used. Semi-structured questionnaires were developed to assess psychological and financial impacts and Likert scale questions were included to assess social impact. Information was gathered using a structured face-to-face interview. Impacts on caregivers’ psychological, economic and social were associated to their sociodemographic characteristics. Education, religion, and the patient's length of mental illness were all associated with psychological impact (χ2=54.37; df=5; p= <0.001). Education and the duration of their mental illness are also related to the financial impact (χ2=31.95; df=7; p= <0.001). The social impact experienced by caregivers is similarly associated with education, occupation, and the length of mental illness (χ2=61.03; df=5; p= <0.001). The association between caregivers' sociodemographic factors and the psychological, financial, and social impacts on them was observed. This justifies encouraging caregivers to be a part of the support group in order to increase the information and emotional support they get from other caregivers who have similar experiences. Keywords: Impact, psychological, financial, social, mentally ill patient, caregiver

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Section: Discussionsupporting

confidence: 91%

Impact of Caring for Mentally Ill Patient on Caregivers

Ramtel,

KC,

Achhami

2023

Int J Sci Healthcare Res

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“…Afghans are reluctant to self-identify as having mental health issues, 132 which puts a major stress upon families. 133 Afghans with persistent states of sadness may seek help from psychiatrists, ‘ mullahs ’ (religious leaders) or ‘tabibs’ (herbalists); take anti-depressants or turn to religious activities. Thus, in Afghanistan, mentally ill people are traditionally brought to mullahs , then to healing centres, often centred around the tomb of a holy man, such as the Sufi shrine of Mia Ali Baba.…”

Section: Resultsmentioning

confidence: 99%

Afghan mental health and psychosocial well-being: thematic review of four decades of research and interventions

Alemi,

Panter-Brick,

Oriya

et al. 2023

BJPsych open

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Background Four decades of war, political upheaval, economic deprivation and forced displacement have profoundly affected both in-country and refugee Afghan populations. Aims We reviewed literature on mental health and psychosocial well-being, to assess the current evidence and describe mental healthcare systems, including government programmes and community-based interventions. Method In 2022, we conducted a systematic search in Google Scholar, PTSDpubs, PubMed and PsycINFO, and a hand search of grey literature (N = 214 papers). We identified the main factors driving the epidemiology of mental health problems, culturally salient understandings of psychological distress, coping strategies and help-seeking behaviours, and interventions for mental health and psychosocial support. Results Mental health problems and psychological distress show higher risks for women, ethnic minorities, people with disabilities and youth. Issues of suicidality and drug use are emerging problems that are understudied. Afghans use specific vocabulary to convey psychological distress, drawing on culturally relevant concepts of body–mind relationships. Coping strategies are largely embedded in one's faith and family. Over the past two decades, concerted efforts were made to integrate mental health into the nation's healthcare system, train cadres of psychosocial counsellors, and develop community-based psychosocial initiatives with the help of non-governmental organisations. A small but growing body of research is emerging around psychological interventions adapted to Afghan contexts and culture. Conclusions We make four recommendations to promote health equity and sustainable systems of care. Interventions must build cultural relevance, invest in community-based psychosocial support and evidence-based psychological interventions, maintain core mental health services at logical points of access and foster integrated systems of care.

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The impact of persons with mental health problems on family members and their coping strategies in Afghanistan

Cited by 2 publications

References 26 publications

Impact of Caring for Mentally Ill Patient on Caregivers

Impact of Caring for Mentally Ill Patient on Caregivers

Afghan mental health and psychosocial well-being: thematic review of four decades of research and interventions

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