Top

Quality of Life Research

Gepubliceerd in:

11-05-2020

Caregiver burden and health-related quality of life among primary family caregivers of individuals with schizophrenia: a cross-sectional study

Auteurs: Chiu-Yueh Hsiao, Huei-Lan Lu, Yun-Fang Tsai

Gepubliceerd in: Quality of Life Research | Uitgave 10/2020

Abstract

Purpose

This study aimed to examine correlates of caregiver burden and health-related quality of life (HRQoL) among primary family caregivers of individuals with schizophrenia in inpatient psychiatric rehabilitation facilities.

Methods

A cross-sectional study was conducted with 157 Taiwanese primary family caregivers of individuals with schizophrenia residing in inpatient psychiatric facilities. Measures included socio-demographic questionnaires and clinical information, Mutuality Scale, Family Crisis-Oriented Personal Evaluation Scales, Zarit Burden Interview, and World Health Organization Quality of Life-brief version. To describe the degree of caregiver burden and domains of HRQoL, descriptive statistics were computed. Independent sample t test, one-way analysis of variance, and Pearson’s correlation analysis followed by multiple regression analyses were performed to determine correlations and relationships between characteristics of patients and primary family caregivers with caregiver burden and domains of HRQoL.

Results

Primary family caregivers experienced mild to moderate caregiver burden and poor HRQoL. Primary family caregivers who were older and unemployed, caring for patient’s severe psychiatric symptoms, and had low monthly incomes, decreased mutuality, and fewer family coping strategies were associated with greater caregiver burden and poor HRQoL. Greater mutuality and family coping strategies of reframing and seeking spiritual support were the most significant factors in improving caregiver burden and all domains of HRQoL, respectively.

Conclusion

Family-focused interventions for caregivers of institutionalized persons with schizophrenia that include psychological support and peer support groups are recommended to enhance mutuality and family coping strategies, reduce caregiver burden, and improve HRQoL.

vorige artikel Early and sustained improvement in fatigue-related quality of life following red blood cell transfusion in outpatients

volgende artikel Sleep disturbance and quality of life in clinically stable inpatients with schizophrenia in rural China

Lora, A., Kohn, R., Levav, I., McBain, R., Morris, J., & Saxena, S. (2012). Service availability and utilization and treatment gap for schizophrenic disorders: A survey in 50 low- and middle-income countries. Bulletin of the World Health Organization, 90(1), 47–54B. https://doi.org/10.2471/BLT.11.089284.CrossRefPubMed

Killaspy, H., Marston, L., Green, N., Harrison, I., Lean, M., Holloway, F., et al. (2016). Clinical outcomes and costs for people with complex psychosis; a naturalistic prospective cohort study of mental health rehabilitation service uses in England. BMC Psychiatry, 16, 95. https://doi.org/10.1186/s12888-016-0797-6.CrossRefPubMedPubMedCentral

Jagannathan, A., Thirthalli, J., Hamza, A., Nagendra, H. R., & Gangadhar, B. N. (2014). Predictors of family caregiver burden in schizophrenia: Study from an in-patient tertiary care hospital in India. Asian Journal of Psychiatry, 8, 94–98. https://doi.org/10.1016/j.ajp.2013.12.018.CrossRefPubMed

Guan, L., Xiang, Y., Ma, X., Weng, Y., & Liang, W. (2016). Qualities of life of patients with psychotic disorders and their family caregivers: Comparison between hospitalised and community-based treatment in Beijing, China. PLoS ONE, 11(11), e0166811. https://doi.org/10.1371/journal.pone.0166811.CrossRefPubMedPubMedCentral

Vermeulen, B., Lauwers, H., Spruytte, N., Van Audenhove, C., Magro, C., Saunders, J., & Jones, K. (2015). Experiences of family caregivers for persons with severe mental illness: An international exploration. Leuven: LUCAS KU Leuven/EUFAMI.

Maeng, S. R., Kim, W. H., Kim, J. H., Bae, J. N., Lee, J. S., & Kim, C. E. (2016). Factors affecting quality of life and family burden among the families of patients with schizophrenia. Korean Journal of Schizophrenia Research, 19(2), 78–88. https://doi.org/10.16946/kjsr.2016.19.2.78.CrossRef

Stanley, S., Balakrishnan, S., & Ilangovan, S. (2017). Psychological distress, perceived burden, and quality of life in caregivers of persons with schizophrenia. Journal of Mental Health, 26(2), 134–141. https://doi.org/10.1080/09638237.2016.1276537.CrossRefPubMed

Zeng, Y., Zhou, Y., & Lin, J. (2017). Perceived burden and quality of life in Chinese caregivers of people with serious mental illness: A comparison cross-sectional study. Perspectives in Psychiatric Care, 53(3), 183–189. https://doi.org/10.1111/ppc.12151.CrossRefPubMed

World Federation of Mental Health (WFMH). (2010). Caring for the caregiver: Why your mental health matters when you are caring for others. Woodbridge, VA: WFMH.

10.

Stanley, S., Balakrishnan, S., & Ilangovan, S. (2017). Correlates of caregiving burden in schizophrenia: A cross-sectional, comparative analysis from India. Social Work in Mental Health, 15(3), 284–307. https://doi.org/10.1080/15332985.2016.1220440.CrossRef

11.

Gupta, S., Isherwood, G., Jones, K., & Impe, K. V. (2015). Assessing health status in informal schizophrenia caregivers compared with health status in non-caregivers and caregivers of other conditions. BMC Psychiatry, 15, 162. https://doi.org/10.1186/s12888-015-0547-1.CrossRefPubMedPubMedCentral

12.

Ntsayagae, E. I., Poggenpoel, M., & Myburgh, C. (2019). Experiences of family caregivers of persons living with mental illness: A meta-synthesis. Curationis, 42(1), a1900. https://doi.org/10.4102/curationis.v42i1.1900.CrossRef

13.

Souza, A., Guimarães, R. A., de Araújo Vilela, D., de Assis, R. M., de Almeida Cavalcante Oliveira, L. M., Souza, M. R., et al. (2017). Factors associated with the burden of family caregivers of patients with mental disorders: A cross-sectional study. BMC Psychiatry, 17(1), 353. https://doi.org/10.1186/s12888-017-1501-1.CrossRefPubMedPubMedCentral

14.

Yu, Y., Liu, Z. W., Tang, B. W., Zhao, M., Liu, X. G., & Xiao, S. Y. (2017). Reported family burden of schizophrenia patients in rural China. PLoS ONE, 12(6), e0179425. https://doi.org/10.1371/journal.pone.0179425.CrossRefPubMedPubMedCentral

15.

Yazici, E., Karabulut, Ü., Yildiz, M., Tekes, S. B., İnan, E., Çakir, U., et al. (2016). Burden on caregivers of patients with schizophrenia and related factors. Archives of Neuropsychiatry, 53(2), 96–101. https://doi.org/10.5152/npa.2015.9963.CrossRefPubMedPubMedCentral

16.

Siddiqui, S., & Khalid, J. (2019). Determining the caregivers’ burden in caregivers of patients with mental illness. Pakistan Journal of Medical Sciences, 35(5), 1329–1333. https://doi.org/10.12669/pjms.35.5.720.CrossRefPubMedPubMedCentral

17.

Opoku-Boateng, Y. N., Kretchy, I. A., Aryeetey, G. C., Dwomoh, D., Decker, S., Agyemang, S. A., et al. (2017). Economic cost and quality of life of family caregivers of schizophrenic patients attending psychiatric hospitals in Ghana. BMC Health Services Research, 17(Suppl 2), 697. https://doi.org/10.1186/s12913-017-2642-0.CrossRefPubMedPubMedCentral

18.

The WHOQOL Group. (1998). Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychological Medicine, 28(3), 551–558.CrossRef

19.

The WHOQOL Group. (1993). Measuring quality of life: The development of the World Health Organization Quality of Life instrument (WHOQOL). Geneva: WHO.

20.

Ribé, J. M., Salamero, M., Pérez-Testor, C., Mercadal, J., Aguilera, C., & Cleris, M. (2018). Quality of life in family caregivers of schizophrenia patients in Spain: Caregiver characteristics, caregiving burden, family functioning, and social and professional support. International Journal of Psychiatry in Clinical Practice, 22(1), 25–33. https://doi.org/10.1080/13651501.2017.1360500.CrossRefPubMed

21.

Chen, L., Zhao, Y., Tang, J., Jin, G., Liu, Y., Zhao, X., et al. (2019). The burden, support and needs of primary family caregivers of people experiencing schizophrenia in Beijing communities: A qualitative study. BMC Psychiatry, 19, 75. https://doi.org/10.1186/s12888-019-2052-4.CrossRefPubMedPubMedCentral

22.

Archbold, P. G., Stewart, B. J., Greenlick, M. R., & Harvath, T. (1990). Mutuality and preparedness as predictors of caregiver role strain. Research in Nursing and Health, 13, 375–384.CrossRef

23.

Park, E. O., & Schumacher, K. L., (2014). The state of the science of family caregiver–care receiver mutuality: A systematic review. Nursing Inquiry, 21(2), 140–152. https://doi.org/10.1111/nin.12032.CrossRefPubMed

24.

Katz-Saltzman, S., Biegel, D., & Townsend, A. (2008). The impact of caregiver–care recipient relationship quality on family caregivers of women with substance-use disorders or co-occurring substance and mental disorders. Journal of Family Social Work, 11(2), 141–165. https://doi.org/10.1080/10522150802169012.CrossRef

25.

McCubbin, H. I., Olson, D., & Larsen, A. (1981). Family crisis oriented personal evaluation scales (F-COPES). In H. I. McCubbin, A. I. Thompson, & M. A. McCubbin (Eds.), Family assessment: Resiliency, coping and adaptation: Inventories for research and practice (pp. 455–507). Madison, WI: University of Wisconsin System.

26.

Lazarus, R. (1996). Psychological stress and the coping process. New York: McGraw-Hill.

27.

Rexhaj, S., Python, N. V., Morin, D., Bonsack, C., & Favrod, J. (2013). Correlational study: Illness representations and coping styles in caregivers for individuals with schizophrenia. Annals of General Psychiatry, 12(1), 27. https://doi.org/10.1186/1744-859X-12-27.CrossRefPubMedPubMedCentral

28.

Kate, N., Grover, S., Kulhara, P., & Nehra, R. (2014). Relationship of quality of life with coping and burden in primary caregivers of patients with schizophrenia. International Journal of Social Psychiatry, 60(2), 107–116. https://doi.org/10.1177/0020764012467598.CrossRefPubMed

29.

Rahami, F., Ranjbar, F., Hosseinzadeh, M., Razavi, S. S., Dickens, G. L., & Vahidi, M. (2019). Coping strategies of family caregivers of patients with schizophrenia in Iran: A cross-sectional study. International Journal of Nursing Sciences, 16, 148–153. https://doi.org/10.1016/j.ijnss.2019.03.006.CrossRef

30.

von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gølzsche, P. C., Vandenbroucke, J. P., et al. (2014). The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: Guidelines for reporting observational studies. International Journal of Surgery, 12, 1495–1499. https://doi.org/10.1016/j.ijsu.2014.07.013.CrossRef

31.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.CrossRef

32.

Shyu, Y. Y., Yang, C. T., Huang, C. C., Kuo, H. C., Chen, S. T., & Hu, W. C. (2010). Influence of mutuality, preparedness, and balance on caregivers of patients with dementia. Journal of Nursing Research, 18(3), 155–163. https://doi.org/10.1097/JNR.0b013e3181ed5845.CrossRefPubMed

33.

Tan, S., Yeoh, A. L., Choo, I. B., Huang, A. P., Ong, S. H., Ismail, H., et al. (2012). Burden and coping strategies experienced by caregivers of persons with schizophrenia in the community. Journal of Clinical Nursing, 21(17–18), 2410–2418. https://doi.org/10.1111/j.1365-2702.2012.04174.x.CrossRefPubMed

34.

Ko, K. T., Liu, S. I., & Huang, C. R. (2008). Chinese version of the Zarit caregiver Burden Interview: A validation study. American Journal of Geriatric Psychiatry, 16, 513–516. https://doi.org/10.1097/JGP.0b013e318167ae5b.CrossRefPubMed

35.

Zarit, S. H., Reever, K. E., & Bach-Peterson, J. (1980). Relatives of the impaired elderly: Correlates of feelings of burden. Gerontologist, 20, 649–655.CrossRef

36.

The WHOQOL Taiwan Version Development Group. (2005). WHOQOL-BREF Taiwan version—Development and handbook. Taipei: The WHOQOL-Taiwan Group.

37.

Chang, T. J., Hwu, H. G., & Wei, F. O. (1986). Reliability of the Brief Psychiatric Rating Scale. Bulletin of Chinese Society of Neurology and Psychiatry, 12, 29–35. (in Chinese).

38.

National Statistics, Republic of China (Taiwan). (2018). Report on the survey of family income and expenditure (in Chinese). https://win.dgbas.gov.tw/fies/e11.asp?year=107.

39.

Inogbo, C. F., Olotu, S. O., James, B. O., & Nna, E. K. (2017). Burden of care amongst caregivers who are first degree relatives of patients with schizophrenia. Pan African Medical Journal, 28, 284. https://doi.org/10.11604/pamj.2017.28.284.11574.CrossRefPubMed

40.

Yu, Y., Zhou, W., Liu, Z. W., Hu, M., Tan, Z. H., & Xiao, S. Y. (2019). Gender differences in caregiving among a schizophrenia population. Psychology Research and Behavior Management, 12, 7–13. https://doi.org/10.2147/PRBM.S187975.CrossRefPubMed

41.

Ochoa, S., Usall, J., Cobo, J., Labad, X., & Kulkarni, J. (2012). Gender differences in schizophrenia and first-episode psychosis: A comprehensive literature review. Schizophrenia Research and Treatment, 2012, 916198. https://doi.org/10.1155/2012/916198.CrossRefPubMedPubMedCentral

42.

Yang, W. Y. (2016). Differences in gender-role attitudes between China and Taiwan. Asian Women, 32(4), 73–95. https://doi.org/10.14431/aw.2016.12.32.4.73.CrossRef

43.

Eaton, P. M., Davis, B. L., Hammond, P. V., Condon, E. H., & McGee, Z. T. (2011). Coping strategies of family members of hospitalized psychiatric patients. Nursing Research and Practice. https://doi.org/10.1155/2011/392705.CrossRefPubMedPubMedCentral

44.

Leng, A., Xu, C., Nicholas, S., Nicholas, J., & Wang, J. (2019). Quality of life in caregivers of a family member with serious mental illness: Evidence in China. Archives of Psychiatric Nursing, 33, 23–29. https://doi.org/10.1016/j.apnu.2018.08.010.CrossRefPubMed

45.

McFarlane, W. R. (2016). Family interventions for schizophrenia and the psychoses: A review. Family Process, 55(3), 460–482. https://doi.org/10.1111/famp.12235.CrossRefPubMed

46.

Sin, J., Gillard, S., Spain, D., Cornelius, V., Chen, T., & Henderson, C. (2017). Effectiveness of psychoeducational interventions for family carers of people with psychosis: A systematic review and meta-analysis. Clinical Psychological Review, 56, 13–24. https://doi.org/10.1016/j.cpr.2017.05.002.CrossRef

Titel: Caregiver burden and health-related quality of life among primary family caregivers of individuals with schizophrenia: a cross-sectional study
Auteurs: Chiu-Yueh Hsiao
Huei-Lan Lu
Yun-Fang Tsai
Publicatiedatum: 11-05-2020
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 10/2020
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-020-02518-1

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Purpose

Methods

Results

Conclusion

Log in om toegang te krijgen

Andere artikelen Uitgave 10/2020

Capability of well-being: validation of the Hungarian version of the ICECAP-A and ICECAP-O questionnaires and population normative data

Sleep disturbance and quality of life in clinically stable inpatients with schizophrenia in rural China

Reply to letter to editor: “RespOnse Shift ALgorithm in item response theory (ROSALI) for response shift detection with missing data in longitudinal patient-reported outcome studies”

Potentially inappropriate medications use and its association with health-related quality of life among elderly cardiac patients

Mapping the Minnesota Living with Heart Failure Questionnaire (MLHFQ) onto the Assessment of Quality of Life 8D (AQoL-8D) utility scores

Depression and suicidal ideation: association of physical, mental, social, and spiritual health status