BACKGROUND: De-institutionalization of psychiatric patients has led to a greater emphasis on family management in the community, and family members are often overwhelmed by the demands that caring for a patient with schizophrenia involves. Most studies of family burden in schizophrenia have taken place in developed countries. The current study examined family burden and its correlates in a regional area of a medium income country in South America. METHOD: Sixty-five relatives of patients with schizophrenia who were attending a public mental health out-patient service in the province of Arica, Chile, were assessed on Spanish versions of the Zarit Caregiver Burden Scale and SF-36 Health Survey (SF-36). RESULTS: Average levels of burden were very high, particularly for mothers, carers with less education, carers of younger patients and carers of patients with more hospitalisations in the previous 3 years. Kinship and number of recent hospitalisations retained unique predictive variance in a multiple regression. Burden was the strongest predictor of SF-36 subscales, and the prediction from burden remained significant after entry of other potential predictors. CONCLUSIONS: In common with families in developed countries, family members of schizophrenia patients in regional Chile reported high levels of burden and related functional and health impact. The study highlighted the support needs of carers in contexts with high rates of poverty and limited health and community resources.
BACKGROUND: De-institutionalization of psychiatricpatients has led to a greater emphasis on family management in the community, and family members are often overwhelmed by the demands that caring for a patient with schizophrenia involves. Most studies of family burden in schizophrenia have taken place in developed countries. The current study examined family burden and its correlates in a regional area of a medium income country in South America. METHOD: Sixty-five relatives of patients with schizophrenia who were attending a public mental health out-patient service in the province of Arica, Chile, were assessed on Spanish versions of the Zarit Caregiver Burden Scale and SF-36 Health Survey (SF-36). RESULTS: Average levels of burden were very high, particularly for mothers, carers with less education, carers of younger patients and carers of patients with more hospitalisations in the previous 3 years. Kinship and number of recent hospitalisations retained unique predictive variance in a multiple regression. Burden was the strongest predictor of SF-36 subscales, and the prediction from burden remained significant after entry of other potential predictors. CONCLUSIONS: In common with families in developed countries, family members of schizophreniapatients in regional Chile reported high levels of burden and related functional and health impact. The study highlighted the support needs of carers in contexts with high rates of poverty and limited health and community resources.
Authors: L Magliano; G Fadden; M Madianos; J M de Almeida; T Held; M Guarneri; C Marasco; P Tosini; M Maj Journal: Soc Psychiatry Psychiatr Epidemiol Date: 1998-09 Impact factor: 4.328
Authors: L Magliano; G Fadden; M Economou; T Held; M Xavier; M Guarneri; C Malangone; C Marasco; M Maj Journal: Soc Psychiatry Psychiatr Epidemiol Date: 2000-03 Impact factor: 4.328
Authors: G I Szmukler; P Burgess; H Herrman; A Benson; S Colusa; S Bloch Journal: Soc Psychiatry Psychiatr Epidemiol Date: 1996-06 Impact factor: 4.328
Authors: Joachim Klosterkötter; Frauke Schultze-Lutter; Andreas Bechdolf; Stephan Ruhrmann Journal: World Psychiatry Date: 2011-10 Impact factor: 49.548