Aarti Jagannathan1, Jagadisha Thirthalli2, Ameer Hamza3, H R Nagendra4, B N Gangadhar5. 1. Division of Yoga and Life Sciences, Swami Vivekananda Yoga Anusandhana Samsthana (S-VYASA), Bangalore, India. Electronic address: jaganaarti@gmail.com. 2. Department of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, India. Electronic address: jagatth@yahoo.com. 3. Department of Psychiatric Social Work, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, India. Electronic address: drameerhamza@gmail.com. 4. Swami Vivekananda Yoga Anusandhana Samsthana (SVYASA), Bangalore, India. Electronic address: hrn@vyasa.org. 5. Department of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Hosur Road, Bangalore 560029, India. Electronic address: kalyanybg@yahoo.com.
Abstract
BACKGROUND: Family caregivers experience significant burden in taking care of their patients with schizophrenia. Research on predictors of caregiver burden in India, where families are the primary caregivers of schizophrenia patients, is lacking. AIM: To study the predictors of burden experienced by the family caregivers of first admission in-patient schizophrenia patients in India. METHODS AND MATERIALS: Family caregivers of 137 schizophrenia patients admitted to an in-patient facility of a hospital in south India were interviewed using the Burden Assessment Schedule. The coping, knowledge about schizophrenia, perceived social support of the caregivers and illness severity, psychopathology and disability experienced by the patients were also assessed. STATISTICAL ANALYSIS: Bivariate correlation and multivariate regression analysis were used to study the association of different factors on burden. RESULTS: Duration of illness and levels of psychopathology and disability had significant direct correlation with total burden score; perceived social support had significant inverse correlation with total burden score. There was a high correlation between psychopathology and disability (p<0.001). Two separate regression analyses, each including total PANSS score (psychopathology) or total IDEAS score (disability) showed that duration of illness and perceived social support were significant predictors of burden in addition to psychopathology and disability. CONCLUSION: During the first hospitalization, in addition to symptom reduction and disability limitation, focus should be on enhancing social support in order to reduce caregiver burden among family members of schizophrenia patients.
BACKGROUND: Family caregivers experience significant burden in taking care of their patients with schizophrenia. Research on predictors of caregiver burden in India, where families are the primary caregivers of schizophreniapatients, is lacking. AIM: To study the predictors of burden experienced by the family caregivers of first admission in-patientschizophreniapatients in India. METHODS AND MATERIALS: Family caregivers of 137 schizophreniapatients admitted to an in-patient facility of a hospital in south India were interviewed using the Burden Assessment Schedule. The coping, knowledge about schizophrenia, perceived social support of the caregivers and illness severity, psychopathology and disability experienced by the patients were also assessed. STATISTICAL ANALYSIS: Bivariate correlation and multivariate regression analysis were used to study the association of different factors on burden. RESULTS: Duration of illness and levels of psychopathology and disability had significant direct correlation with total burden score; perceived social support had significant inverse correlation with total burden score. There was a high correlation between psychopathology and disability (p<0.001). Two separate regression analyses, each including total PANSS score (psychopathology) or total IDEAS score (disability) showed that duration of illness and perceived social support were significant predictors of burden in addition to psychopathology and disability. CONCLUSION: During the first hospitalization, in addition to symptom reduction and disability limitation, focus should be on enhancing social support in order to reduce caregiver burden among family members of schizophreniapatients.
Authors: Batool Mandani; Seyed Ali Hosseini; Mohammad Ali Hosseini; Ashraf Karbalaie Noori; Mohammad Reza Khodaie Ardakani Journal: Electron Physician Date: 2018-03-25
Authors: Ana Lúcia Rezende Souza; Rafael Alves Guimarães; Daisy de Araújo Vilela; Renata Machado de Assis; Lizete Malagoni de Almeida Cavalcante Oliveira; Mariana Rezende Souza; Douglas José Nogueira; Maria Alves Barbosa Journal: BMC Psychiatry Date: 2017-10-25 Impact factor: 3.630