Skip to main content
Top
Gepubliceerd in: Quality of Life Research 2/2016

24-07-2015

Burden of caregivers of adult patients with schizophrenia in a predominantly African ancestry population

Auteurs: Gabrielle Alexander, Charlotte-Ellen Bebee, Kelly-Maria Chen, Ross-Michael Des Vignes, Brandon Dixon, Richard Escoffery, Chazine Francis, DeAngelo Francis, Zahra Mendoza, Skyla Montano, Maxine Nelson, Stephon Ramcharan, Siobhan Richards, Maria D. Jackson

Gepubliceerd in: Quality of Life Research | Uitgave 2/2016

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Purpose

There is relative inattention to caregiving burden in black populations in developing economies. This study seeks to assess the level of perceived burden and social determinants of burden of care in caregivers of adult patients with schizophrenia.

Methods

In this cross-sectional study, 115 dyads of patients with schizophrenia caregivers attending public mental health clinics were consecutively recruited. Burden of care was evaluated using the 22-item Zarit Burden Scale (maximum score, 88). Multiple linear regression model explored factors associated with caregiver burden.

Results

Caregivers were predominantly females (75.7 %) and were on average 50.8 ± 15.0 years. Most patients with schizophrenia were males (65.2 %) and were on average 43.6 ± 17.2 years old. Caregivers showed on average, mild-to-moderate burden (score, 30.0 ± 14.7; median, 28.0). There was tendency for caregivers of patients who were parents or spouses to have higher levels of burden. In multivariable analyses, higher burden of caregiving was associated with patient’s inability to perform self-care (B ± SE, 5.12 ± 1.40; p = 0.0001), closer kinship and higher numbers of psychotic episodes in previous year. The length of caregiving relationship was inversely related.

Conclusions

Poorer functioning and demographic factors were important determinants of caregiver burden. Community mental health services should include self-care interventions in rehabilitation programs in Jamaica.
Literatuur
1.
go back to reference Kessler, R. C., Chiu, W. T., Demler, O., Merikangas, K. R., & Walters, E. E. (2005). Prevalence, severity, a comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 617–627.PubMedCentralCrossRefPubMed Kessler, R. C., Chiu, W. T., Demler, O., Merikangas, K. R., & Walters, E. E. (2005). Prevalence, severity, a comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 617–627.PubMedCentralCrossRefPubMed
2.
go back to reference Hickling, F. W. (2005). The epidemiology of schizophrenia and other common mental health disorders in the English-speaking Caribbean. Revista Panamericana de Salud Publica, 18, 256–262.CrossRefPubMed Hickling, F. W. (2005). The epidemiology of schizophrenia and other common mental health disorders in the English-speaking Caribbean. Revista Panamericana de Salud Publica, 18, 256–262.CrossRefPubMed
3.
go back to reference Carlborg, A., Winnerback, K., Jonsson, E. G., Jokinen, J., & Nordstrom, P. (2010). Suicide in schizophrenia. Expert Review of Neurotherapeutics, 10, 1153–1164.CrossRefPubMed Carlborg, A., Winnerback, K., Jonsson, E. G., Jokinen, J., & Nordstrom, P. (2010). Suicide in schizophrenia. Expert Review of Neurotherapeutics, 10, 1153–1164.CrossRefPubMed
4.
go back to reference Andreasen, N. C., Carpenter, W. T, Jr, Kane, J. M., Lasser, R. A., Marder, S. R., & Weinberger, D. R. (2005). Remission in schizophrenia: Proposed criteria and rationale for consensus. American Journal of Psychiatry, 162, 441–449.CrossRefPubMed Andreasen, N. C., Carpenter, W. T, Jr, Kane, J. M., Lasser, R. A., Marder, S. R., & Weinberger, D. R. (2005). Remission in schizophrenia: Proposed criteria and rationale for consensus. American Journal of Psychiatry, 162, 441–449.CrossRefPubMed
5.
go back to reference Dillehay, R. C., & Sandys, M. R. (1990). Caregivers for Alzheimer’s patients: What we are learning from research. International Journal of Aging and Human Development, 30, 263–285.CrossRefPubMed Dillehay, R. C., & Sandys, M. R. (1990). Caregivers for Alzheimer’s patients: What we are learning from research. International Journal of Aging and Human Development, 30, 263–285.CrossRefPubMed
6.
go back to reference Hoenig, J., & Hamilton, M. W. (1966). The schizophrenic patient in the community and his effect on the household. International Journal of Social Psychiatry, 12, 165–176.CrossRefPubMed Hoenig, J., & Hamilton, M. W. (1966). The schizophrenic patient in the community and his effect on the household. International Journal of Social Psychiatry, 12, 165–176.CrossRefPubMed
7.
go back to reference Logdberg, B., Nilsson, L. L., Levander, M. T., & Levander, S. (2004). Schizophrenia, neighbourhood, and crime. Acta Psychiatrica Scandinavica, 110, 92–97.CrossRefPubMed Logdberg, B., Nilsson, L. L., Levander, M. T., & Levander, S. (2004). Schizophrenia, neighbourhood, and crime. Acta Psychiatrica Scandinavica, 110, 92–97.CrossRefPubMed
8.
go back to reference McDonell, M. G., Short, R. A., Berry, C. M., & Dyck, D. G. (2003). Burden in schizophrenia caregivers: Impact of family psychoeducation and awareness of patient suicidality. Family Process, 42, 91–103.CrossRefPubMed McDonell, M. G., Short, R. A., Berry, C. M., & Dyck, D. G. (2003). Burden in schizophrenia caregivers: Impact of family psychoeducation and awareness of patient suicidality. Family Process, 42, 91–103.CrossRefPubMed
9.
go back to reference Bonnel, W. B. (1996). Not gone and not forgotten: A spouse’s experience of late-stage Alzheimer’s disease. Journal of Psychosocial Nursing and Mental Health Services, 34, 23–27.PubMed Bonnel, W. B. (1996). Not gone and not forgotten: A spouse’s experience of late-stage Alzheimer’s disease. Journal of Psychosocial Nursing and Mental Health Services, 34, 23–27.PubMed
10.
go back to reference Stommel, M., Collins, C. E., & Given, B. A. (1994). The costs of family contributions to the care of persons with dementia. Gerontologist, 34, 199–205.CrossRefPubMed Stommel, M., Collins, C. E., & Given, B. A. (1994). The costs of family contributions to the care of persons with dementia. Gerontologist, 34, 199–205.CrossRefPubMed
11.
go back to reference Gibbons, J. S., Horn, S. H., Powell, J. M., & Gibbons, J. L. (1984). Schizophrenic patients and their families. A survey in a psychiatric service based on a DGH unit. British Journal of Psychiatry, 144, 70–77.CrossRefPubMed Gibbons, J. S., Horn, S. H., Powell, J. M., & Gibbons, J. L. (1984). Schizophrenic patients and their families. A survey in a psychiatric service based on a DGH unit. British Journal of Psychiatry, 144, 70–77.CrossRefPubMed
12.
go back to reference Winefield, H. R., & Harvey, E. J. (1994). Needs of family caregivers in chronic schizophrenia. Schizophrenia Bulletin, 20, 557–566.CrossRefPubMed Winefield, H. R., & Harvey, E. J. (1994). Needs of family caregivers in chronic schizophrenia. Schizophrenia Bulletin, 20, 557–566.CrossRefPubMed
13.
go back to reference Zahid, M. A., & Ohaeri, J. U. (2010). Relationship of family caregiver burden with quality of care and psychopathology in a sample of Arab subjects with schizophrenia. BMC Psychiatry, 10, 71.PubMedCentralCrossRefPubMed Zahid, M. A., & Ohaeri, J. U. (2010). Relationship of family caregiver burden with quality of care and psychopathology in a sample of Arab subjects with schizophrenia. BMC Psychiatry, 10, 71.PubMedCentralCrossRefPubMed
14.
go back to reference Adeosun, I. I. (2013). Correlates of caregiver burden among family members of patients with schizophrenia in Lagos, Nigeria. Schizophrenia Research and Treatment, 2013, 353809.PubMedCentralPubMed Adeosun, I. I. (2013). Correlates of caregiver burden among family members of patients with schizophrenia in Lagos, Nigeria. Schizophrenia Research and Treatment, 2013, 353809.PubMedCentralPubMed
15.
go back to reference Ohaeri, J. U. (2001). Caregiver burden and psychotic patients’ perception of social support in a Nigerian setting. Social Psychiatry and Psychiatric Epidemiology, 36, 86–93.CrossRefPubMed Ohaeri, J. U. (2001). Caregiver burden and psychotic patients’ perception of social support in a Nigerian setting. Social Psychiatry and Psychiatric Epidemiology, 36, 86–93.CrossRefPubMed
16.
go back to reference Caqueo-Urizar, A., Gutierrez-Maldonado, J., & Miranda-Castillo, C. (2009). Quality of life in caregivers of patients with schizophrenia: A literature review. Health and Quality of Life Outcomes, 7, 84.PubMedCentralCrossRefPubMed Caqueo-Urizar, A., Gutierrez-Maldonado, J., & Miranda-Castillo, C. (2009). Quality of life in caregivers of patients with schizophrenia: A literature review. Health and Quality of Life Outcomes, 7, 84.PubMedCentralCrossRefPubMed
17.
go back to reference Caqueo-Urizar, A., Miranda-Castillo, C., Lemos, G. S., Maturana, S. L. L., Ramirez, P. M., & Mascayano, T. F. (2014). An updated review on burden on caregivers of schizophrenia patients. Psicothema, 26, 235–243.PubMed Caqueo-Urizar, A., Miranda-Castillo, C., Lemos, G. S., Maturana, S. L. L., Ramirez, P. M., & Mascayano, T. F. (2014). An updated review on burden on caregivers of schizophrenia patients. Psicothema, 26, 235–243.PubMed
18.
go back to reference Awad, A. G., & Voruganti, L. N. (2008). The burden of schizophrenia on caregivers: A review. Pharmacoeconomics, 26, 149–162.CrossRefPubMed Awad, A. G., & Voruganti, L. N. (2008). The burden of schizophrenia on caregivers: A review. Pharmacoeconomics, 26, 149–162.CrossRefPubMed
19.
go back to reference Rosenfarb, I. S., Bellack, A. S., & Aziz, N. (2006). A sociocultural stress, appraisal, and coping model of subjective burden and family attitudes toward patients with schizophrenia. Journal of Abnormal Psychology, 115, 157–165.CrossRefPubMed Rosenfarb, I. S., Bellack, A. S., & Aziz, N. (2006). A sociocultural stress, appraisal, and coping model of subjective burden and family attitudes toward patients with schizophrenia. Journal of Abnormal Psychology, 115, 157–165.CrossRefPubMed
20.
go back to reference Lefley, H. P. (1998). The family experience in cultural context: Implications for further research and practice. New Directions for Mental Health Services, 77, 97–106.CrossRefPubMed Lefley, H. P. (1998). The family experience in cultural context: Implications for further research and practice. New Directions for Mental Health Services, 77, 97–106.CrossRefPubMed
21.
go back to reference Stueve, A., Vine, P., & Struening, E. L. (1997). Perceived burden among caregivers of adults with serious mental illness: Comparison of black, Hispanic, and white families. American Journal of Orthopsychiatry, 67, 199–209.CrossRefPubMed Stueve, A., Vine, P., & Struening, E. L. (1997). Perceived burden among caregivers of adults with serious mental illness: Comparison of black, Hispanic, and white families. American Journal of Orthopsychiatry, 67, 199–209.CrossRefPubMed
22.
go back to reference American Psychiatric Association. (1994). DSM-IV: Diagnostic and statistical manual of mental disorders. Washington, DC: APA. American Psychiatric Association. (1994). DSM-IV: Diagnostic and statistical manual of mental disorders. Washington, DC: APA.
23.
go back to reference Zarit, S. H., Reever, K. E., & Bach-Peterson, J. (1980). Relatives of the impaired elderly: Correlates of feelings of burden. Gerontologist, 20, 649–655.CrossRefPubMed Zarit, S. H., Reever, K. E., & Bach-Peterson, J. (1980). Relatives of the impaired elderly: Correlates of feelings of burden. Gerontologist, 20, 649–655.CrossRefPubMed
24.
go back to reference Grandon, P., Jenaro, C., & Lemos, S. (2008). Primary caregivers of schizophrenia outpatients: Burden and predictor variables. Psychiatry Research, 158, 335–343.CrossRefPubMed Grandon, P., Jenaro, C., & Lemos, S. (2008). Primary caregivers of schizophrenia outpatients: Burden and predictor variables. Psychiatry Research, 158, 335–343.CrossRefPubMed
25.
go back to reference Gutierrez-Maldonado, J., Caqueo-Urizar, A., & Kavanagh, D. J. (2005). Burden of care and general health in families of patients with schizophrenia. Social Psychiatry and Psychiatric Epidemiology, 40, 899–904.CrossRefPubMed Gutierrez-Maldonado, J., Caqueo-Urizar, A., & Kavanagh, D. J. (2005). Burden of care and general health in families of patients with schizophrenia. Social Psychiatry and Psychiatric Epidemiology, 40, 899–904.CrossRefPubMed
26.
go back to reference van Wijngaarden, B., Schene, A. H., Koeter, M., Vazquez-Barquero, J. L., Knudsen, H. C., Lasalvia, A., et al. (2000). Caregiving in schizophrenia: Development, internal consistency and reliability of the Involvement Evaluation Questionnaire-European Version. EPSILON Study 4. European Psychiatric Services: Inputs Linked to Outcome Domains and Needs. The British Journal of Psychiatry, 177(Suppl. 39), s21–s27.CrossRef van Wijngaarden, B., Schene, A. H., Koeter, M., Vazquez-Barquero, J. L., Knudsen, H. C., Lasalvia, A., et al. (2000). Caregiving in schizophrenia: Development, internal consistency and reliability of the Involvement Evaluation Questionnaire-European Version. EPSILON Study 4. European Psychiatric Services: Inputs Linked to Outcome Domains and Needs. The British Journal of Psychiatry, 177(Suppl. 39), s21–s27.CrossRef
27.
go back to reference Szmukler, G. I., Burgess, P., Herrman, H., Benson, A., Colusa, S., & Bloch, S. (1996). Caring for relatives with serious mental illness: The development of the Experience of Caregiving Inventory. Social Psychiatry and Psychiatric Epidemiology, 31, 137–148.CrossRefPubMed Szmukler, G. I., Burgess, P., Herrman, H., Benson, A., Colusa, S., & Bloch, S. (1996). Caring for relatives with serious mental illness: The development of the Experience of Caregiving Inventory. Social Psychiatry and Psychiatric Epidemiology, 31, 137–148.CrossRefPubMed
28.
go back to reference Gater, A., Rofail, D., Tolley, C., Marshall, C., Abetz-Webb, L., Zarit, S. H., & Berardo, C. G. (2014). “Sometimes it’s difficult to have a normal life”: Results from a qualitative study exploring caregiver burden in schizophrenia. Schizophrenia Research and Treatment, 2014, 368215.PubMedCentralCrossRefPubMed Gater, A., Rofail, D., Tolley, C., Marshall, C., Abetz-Webb, L., Zarit, S. H., & Berardo, C. G. (2014). “Sometimes it’s difficult to have a normal life”: Results from a qualitative study exploring caregiver burden in schizophrenia. Schizophrenia Research and Treatment, 2014, 368215.PubMedCentralCrossRefPubMed
29.
go back to reference Chien, W. T., Chan, S. W., & Morrissey, J. (2007). The perceived burden among Chinese family caregivers of people with schizophrenia. Journal of Clinical Nursing, 16, 1151–1161.CrossRefPubMed Chien, W. T., Chan, S. W., & Morrissey, J. (2007). The perceived burden among Chinese family caregivers of people with schizophrenia. Journal of Clinical Nursing, 16, 1151–1161.CrossRefPubMed
30.
go back to reference Kumar, C. N., Suresha, K. K., Thirthalli, J., Arunachala, U., & Gangadhar, B. N. (2014). Caregiver burden is associated with disability in schizophrenia: Results of a study from a rural setting of south India. International Journal of Social Psychiatry, 61(12), 157–163. Kumar, C. N., Suresha, K. K., Thirthalli, J., Arunachala, U., & Gangadhar, B. N. (2014). Caregiver burden is associated with disability in schizophrenia: Results of a study from a rural setting of south India. International Journal of Social Psychiatry, 61(12), 157–163.
31.
go back to reference Dixon, L., Adams, C., & Lucksted, A. (2000). Update on family psychoeducation for schizophrenia. Schizophrenia Bulletin, 26, 5–20.CrossRefPubMed Dixon, L., Adams, C., & Lucksted, A. (2000). Update on family psychoeducation for schizophrenia. Schizophrenia Bulletin, 26, 5–20.CrossRefPubMed
32.
go back to reference Schofield, H. L., Murphy, B., Herrman, H. E., Bloch, S., & Singh, B. (1997). Family caregiving: Measurement of emotional well-being and various aspects of the caregiving role. Psychological Medicine, 27, 647–657.CrossRefPubMed Schofield, H. L., Murphy, B., Herrman, H. E., Bloch, S., & Singh, B. (1997). Family caregiving: Measurement of emotional well-being and various aspects of the caregiving role. Psychological Medicine, 27, 647–657.CrossRefPubMed
33.
go back to reference Millier, A., Schmidt, U., Angermeyer, M. C., Chauhan, D., Murthy, V., Toumi, M., & Cadi-Soussi, N. (2014). Humanistic burden in schizophrenia: A literature review. Journal of Psychiatric Research, 54, 85–93.CrossRefPubMed Millier, A., Schmidt, U., Angermeyer, M. C., Chauhan, D., Murthy, V., Toumi, M., & Cadi-Soussi, N. (2014). Humanistic burden in schizophrenia: A literature review. Journal of Psychiatric Research, 54, 85–93.CrossRefPubMed
34.
35.
go back to reference Kate, N., Grover, S., Kulhara, P., & Nehra, R. (2013). Caregiving appraisal in schizophrenia: A study from India. Social Science and Medicine, 98, 135–140.CrossRefPubMed Kate, N., Grover, S., Kulhara, P., & Nehra, R. (2013). Caregiving appraisal in schizophrenia: A study from India. Social Science and Medicine, 98, 135–140.CrossRefPubMed
36.
go back to reference Link, B. G., & Phelan, J. C. (2006). Stigma and its public health implications. Lancet, 367, 528–529.CrossRefPubMed Link, B. G., & Phelan, J. C. (2006). Stigma and its public health implications. Lancet, 367, 528–529.CrossRefPubMed
37.
go back to reference Gelkopf, M., & Roe, D. (2014). Evaluating outcome domains assessing caregivers of individuals with mental illness: A review. Family Process, 53, 150–174.CrossRefPubMed Gelkopf, M., & Roe, D. (2014). Evaluating outcome domains assessing caregivers of individuals with mental illness: A review. Family Process, 53, 150–174.CrossRefPubMed
38.
go back to reference Schene, A. H., van Wijngaarden, B., & Koeter, M. W. (1998). Family caregiving in schizophrenia: Domains and distress. Schizophrenia Bulletin, 24, 609–618.CrossRefPubMed Schene, A. H., van Wijngaarden, B., & Koeter, M. W. (1998). Family caregiving in schizophrenia: Domains and distress. Schizophrenia Bulletin, 24, 609–618.CrossRefPubMed
39.
go back to reference Magliano, L., Fadden, G., Economou, M., Held, T., Xavier, M., Guarneri, M., et al. (2000). Family burden and coping strategies in schizophrenia: 1-Year follow up data from the BIOMED I study. Social Psychiatry and Psychiatric Epidemiology, 35, 109–115.CrossRefPubMed Magliano, L., Fadden, G., Economou, M., Held, T., Xavier, M., Guarneri, M., et al. (2000). Family burden and coping strategies in schizophrenia: 1-Year follow up data from the BIOMED I study. Social Psychiatry and Psychiatric Epidemiology, 35, 109–115.CrossRefPubMed
40.
go back to reference Tucker, C., Barker, A., & Gregoire, A. (1998). Living with schizophrenia: Caring for a person with a severe mental illness. Social Psychiatry and Psychiatric Epidemiology, 33, 305–309.CrossRefPubMed Tucker, C., Barker, A., & Gregoire, A. (1998). Living with schizophrenia: Caring for a person with a severe mental illness. Social Psychiatry and Psychiatric Epidemiology, 33, 305–309.CrossRefPubMed
41.
go back to reference Koujalgi, S. R., & Patil, S. R. (2013). Family burden in patient with schizophrenia and depressive disorder: A comparative study. Indian Journal of Psychological Medicine, 35, 251–255.PubMedCentralCrossRefPubMed Koujalgi, S. R., & Patil, S. R. (2013). Family burden in patient with schizophrenia and depressive disorder: A comparative study. Indian Journal of Psychological Medicine, 35, 251–255.PubMedCentralCrossRefPubMed
42.
go back to reference Caqueo-Urizar, A., & Gutierrez-Maldonado, J. (2006). Burden of care in families of patients with schizophrenia. Quality of Life Research, 15, 719–724.CrossRefPubMed Caqueo-Urizar, A., & Gutierrez-Maldonado, J. (2006). Burden of care in families of patients with schizophrenia. Quality of Life Research, 15, 719–724.CrossRefPubMed
43.
go back to reference Durmaz, H., & Okanli, A. (2014). Investigation of the effect of self-efficacy levels of caregiver family members of the individuals with schizophrenia on burden of care. Archives of Psychiatric Nursing, 28, 290–294.CrossRefPubMed Durmaz, H., & Okanli, A. (2014). Investigation of the effect of self-efficacy levels of caregiver family members of the individuals with schizophrenia on burden of care. Archives of Psychiatric Nursing, 28, 290–294.CrossRefPubMed
44.
go back to reference Aggarwal, M., Avasthi, A., Kumar, S., & Grover, S. (2011). Experience of caregiving in schizophrenia: A study from India. International Journal of Social Psychiatry, 57, 224–236.CrossRefPubMed Aggarwal, M., Avasthi, A., Kumar, S., & Grover, S. (2011). Experience of caregiving in schizophrenia: A study from India. International Journal of Social Psychiatry, 57, 224–236.CrossRefPubMed
45.
go back to reference vanWijngaarden, B., Schene, A., Koeter, M., Becker, T., Knapp, M., Knudsen, H. C., et al. (2003). People with schizophrenia in five countries: Conceptual similarities and intercultural differences in family caregiving. Schizophrenia Bulletin, 29, 573–586.CrossRef vanWijngaarden, B., Schene, A., Koeter, M., Becker, T., Knapp, M., Knudsen, H. C., et al. (2003). People with schizophrenia in five countries: Conceptual similarities and intercultural differences in family caregiving. Schizophrenia Bulletin, 29, 573–586.CrossRef
Metagegevens
Titel
Burden of caregivers of adult patients with schizophrenia in a predominantly African ancestry population
Auteurs
Gabrielle Alexander
Charlotte-Ellen Bebee
Kelly-Maria Chen
Ross-Michael Des Vignes
Brandon Dixon
Richard Escoffery
Chazine Francis
DeAngelo Francis
Zahra Mendoza
Skyla Montano
Maxine Nelson
Stephon Ramcharan
Siobhan Richards
Maria D. Jackson
Publicatiedatum
24-07-2015
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 2/2016
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-015-1077-5

Andere artikelen Uitgave 2/2016

Quality of Life Research 2/2016 Naar de uitgave