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Gepubliceerd in: Quality of Life Research 6/2023

30-01-2023

Quality of life among family caregivers of people with schizophrenia in rural China

Auteurs: Shu-Yu Deng, Yi-Zhou Wang, Man-Man Peng, Tian-Ming Zhang, Ming Li, Wei Luo, Mao-Sheng Ran

Gepubliceerd in: Quality of Life Research | Uitgave 6/2023

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Abstract

Purposes

To investigate quality of life (QoL) of family caregivers of people with schizophrenia and examine the influencing factors of the QoL in a Chinese rural area.

Methods

This study included people with schizophrenia (n = 269) and their family caregivers (n = 269) from Xinjin district, Chengdu, China. Family caregivers’ QoL was measured by the World Health Organization Quality of Life-Brief Form and its influencing factors was analyzed by the multivariate regression.

Results

Family caregivers of people with schizophrenia had very poor QoL across four domains. The regression analysis showed that physical domain of QoL was significantly associated with age, psychiatric symptoms of people with schizophrenia, and caregiving burden of family caregivers (p < 0.05). Psychological domain of QoL was significantly related to family caregivers’ affiliate stigma, caregiving burden, and psychiatric symptoms of people with schizophrenia (p < 0.05). Social domain of QoL was significantly associated with age and psychiatric symptoms of people with schizophrenia, and affiliate stigma of family caregivers (p < 0.05). Environmental domain of QoL was significantly related to age and psychiatric symptoms of people with schizophrenia, and family caregivers’ caregiving burden (p < 0.05).

Conclusion

Family caregivers of people with schizophrenia had poor QoL in rural China. Family caregivers’ QoL is significantly impacted by age and psychiatric symptoms of people with schizophrenia, caregivers’ affiliate stigma and caregiving burden. Providing social support and psychosocial interventions for family caregivers of people with schizophrenia might be crucial to improve their QoL and caregiving.
Literatuur
1.
go back to reference World Health Organization. (2013). Mental Health Action Plan: 2013–2020. WHO. www.who.int. World Health Organization. (2013). Mental Health Action Plan: 2013–2020. WHO. www.who.int.
2.
go back to reference Chan, K. Y., Zhao, F. F., Meng, S., Demaio, A. R., Reed, C., Theodoratou, E., et al. (2015). Urbanization and the prevalence of schizophrenia in China between 1990 and 2010. World Psychiatry, 14(2), 251–252.CrossRefPubMedPubMedCentral Chan, K. Y., Zhao, F. F., Meng, S., Demaio, A. R., Reed, C., Theodoratou, E., et al. (2015). Urbanization and the prevalence of schizophrenia in China between 1990 and 2010. World Psychiatry, 14(2), 251–252.CrossRefPubMedPubMedCentral
4.
go back to reference Chan, S. W. C. (2011). Global perspective of burden of family caregivers for persons with schizophrenia. Archives of Psychiatric Nursing, 25(5), 339–349.CrossRefPubMed Chan, S. W. C. (2011). Global perspective of burden of family caregivers for persons with schizophrenia. Archives of Psychiatric Nursing, 25(5), 339–349.CrossRefPubMed
5.
go back to reference Ran, M. S., Xiang, M., Huang, M., & Shan, Y. (2001). Natural course of schizophrenia : 2-year follow-up study in a rural Chinese community. British Journal of Psychiatry, 178, 154–158.CrossRef Ran, M. S., Xiang, M., Huang, M., & Shan, Y. (2001). Natural course of schizophrenia : 2-year follow-up study in a rural Chinese community. British Journal of Psychiatry, 178, 154–158.CrossRef
10.
go back to reference WHOQOL Group. (1995). The World Health Organization quality of life assessment (WHOQOL): Position paper from the World Health Organization. Social Science and Medicine, 41(10), 1403–1409.CrossRef WHOQOL Group. (1995). The World Health Organization quality of life assessment (WHOQOL): Position paper from the World Health Organization. Social Science and Medicine, 41(10), 1403–1409.CrossRef
12.
go back to reference Smith, G., Rush, W., Gail, M., Miller, L. S., & Schulz, R. (2011). Depression and quality of informal care: A longitudinal investigation of caregiving stressors. Psychology and Aging, 26(3), 584–591.CrossRefPubMedPubMedCentral Smith, G., Rush, W., Gail, M., Miller, L. S., & Schulz, R. (2011). Depression and quality of informal care: A longitudinal investigation of caregiving stressors. Psychology and Aging, 26(3), 584–591.CrossRefPubMedPubMedCentral
15.
go back to reference 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.CrossRef 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.CrossRef
17.
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
18.
go back to reference Hsiao, C. Y., Lu, H. L., & Tsai, Y. F. (2020). Caregiver burden and health-related quality of life among primary family caregivers of individuals with schizophrenia: A cross-sectional study. Quality of Life Research, 29(10), 2745–2757.CrossRefPubMed Hsiao, C. Y., Lu, H. L., & Tsai, Y. F. (2020). Caregiver burden and health-related quality of life among primary family caregivers of individuals with schizophrenia: A cross-sectional study. Quality of Life Research, 29(10), 2745–2757.CrossRefPubMed
20.
go back to reference 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.CrossRef 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.CrossRef
23.
go back to reference 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 survey. Perspectives in Psychiatric Care, 53(3), 183–189.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 survey. Perspectives in Psychiatric Care, 53(3), 183–189.CrossRefPubMed
24.
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
25.
go back to reference 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 from China. Archives of Psychiatric Nursing, 33(1), 23–29.CrossRefPubMed 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 from China. Archives of Psychiatric Nursing, 33(1), 23–29.CrossRefPubMed
26.
go back to reference Li, J., Lambert, C. E., & Lambert, V. A. (2007). Predictors of family caregivers’ burden and quality of life when providing care for a family member with schizophrenia in the People’s Republic of China. Nursing & Health Sciences, 9(3), 192–198.CrossRef Li, J., Lambert, C. E., & Lambert, V. A. (2007). Predictors of family caregivers’ burden and quality of life when providing care for a family member with schizophrenia in the People’s Republic of China. Nursing & Health Sciences, 9(3), 192–198.CrossRef
27.
go back to reference Wang, R., Wu, C., Ma, X. Q., Zhao, Y. F., Yan, X. Y., & He, J. (2011). Health-related quality of life in Chinese people: A population-based survey of five cities in China. Scandinavian Journal of Public Health, 39(4), 410–418.CrossRef Wang, R., Wu, C., Ma, X. Q., Zhao, Y. F., Yan, X. Y., & He, J. (2011). Health-related quality of life in Chinese people: A population-based survey of five cities in China. Scandinavian Journal of Public Health, 39(4), 410–418.CrossRef
29.
go back to reference Zhang, Y., Subramaniam, M., Lee, S. P., Abdin, E., Sagayadevan, V., Jeyagurunathan, A., et al. (2018). Affiliate stigma and its association with quality of life among caregivers of relatives with mental illness in Singapore. Psychiatry Research, 265, 55–61.CrossRefPubMed Zhang, Y., Subramaniam, M., Lee, S. P., Abdin, E., Sagayadevan, V., Jeyagurunathan, A., et al. (2018). Affiliate stigma and its association with quality of life among caregivers of relatives with mental illness in Singapore. Psychiatry Research, 265, 55–61.CrossRefPubMed
30.
go back to reference Ran, M. S., Xiao, Y., Zhao, X., Zhang, T. M., Yu, Y. H., Mao, W. J., et al. (2018). Family history of psychosis and outcome of people with schizophrenia in rural China: 14-year follow-up study. Asian Journal of Psychiatry, 32, 14–19.CrossRefPubMed Ran, M. S., Xiao, Y., Zhao, X., Zhang, T. M., Yu, Y. H., Mao, W. J., et al. (2018). Family history of psychosis and outcome of people with schizophrenia in rural China: 14-year follow-up study. Asian Journal of Psychiatry, 32, 14–19.CrossRefPubMed
31.
go back to reference Yu, Y. H., Peng, M. M., Bai, X., Luo, W., Yang, X., Li, J., et al. (2020). Schizophrenia, social support, caregiving burden and household poverty in rural China. Social Psychiatry and Psychiatric Epidemiology, 55, 1571–1580.CrossRefPubMed Yu, Y. H., Peng, M. M., Bai, X., Luo, W., Yang, X., Li, J., et al. (2020). Schizophrenia, social support, caregiving burden and household poverty in rural China. Social Psychiatry and Psychiatric Epidemiology, 55, 1571–1580.CrossRefPubMed
32.
go back to reference Mak, W. W. S., & Cheung, R. Y. M. (2008). Affiliate stigma among caregivers of people with intellectual disability or mental illness. Journal of Applied Research in Intellectual Disabilities, 21(6), 532–545.CrossRef Mak, W. W. S., & Cheung, R. Y. M. (2008). Affiliate stigma among caregivers of people with intellectual disability or mental illness. Journal of Applied Research in Intellectual Disabilities, 21(6), 532–545.CrossRef
33.
go back to reference Bédard, M., Molloy, D. W., Squire, L., Dubois, S., Lever, J. A., & O’Donnel, M. (2010). The Zarit Burden Interview: A new short version and screening version. The Gerontologist, 41(5), 652–657.CrossRef Bédard, M., Molloy, D. W., Squire, L., Dubois, S., Lever, J. A., & O’Donnel, M. (2010). The Zarit Burden Interview: A new short version and screening version. The Gerontologist, 41(5), 652–657.CrossRef
34.
go back to reference Higginson, I. J., Gao, W., Jackson, D., Murray, J., & Harding, R. (2010). Short-form Zarit Caregiver Burden Interviews were valid in advanced conditions. Journal of Clinical Epidemiology, 63(5), 535–542.CrossRefPubMed Higginson, I. J., Gao, W., Jackson, D., Murray, J., & Harding, R. (2010). Short-form Zarit Caregiver Burden Interviews were valid in advanced conditions. Journal of Clinical Epidemiology, 63(5), 535–542.CrossRefPubMed
35.
go back to reference Boothroyd, R. A., & Chen, H. J. (2008). The psychometric properties of the Colorado Symptom Index. Administration and Policy in Mental Health and Mental Health Services Research, 35(5), 370–378.CrossRefPubMed Boothroyd, R. A., & Chen, H. J. (2008). The psychometric properties of the Colorado Symptom Index. Administration and Policy in Mental Health and Mental Health Services Research, 35(5), 370–378.CrossRefPubMed
36.
go back to reference Peng, M. M., Zhang, T. M., Liu, K. Z., Gong, K., Huang, C. H., Dai, G. Z., et al. (2019). Perception of social support and psychotic symptoms among persons with schizophrenia: A strategy to lessen caregiver burden. International Journal of Social Psychiatry, 65, 548–557.CrossRefPubMed Peng, M. M., Zhang, T. M., Liu, K. Z., Gong, K., Huang, C. H., Dai, G. Z., et al. (2019). Perception of social support and psychotic symptoms among persons with schizophrenia: A strategy to lessen caregiver burden. International Journal of Social Psychiatry, 65, 548–557.CrossRefPubMed
37.
go back to reference Ran, M. S., Weng, X., Liu, Y. J., Zhang, T. M., Yu, Y. H., Peng, M. M., et al. (2019). Change of treatment status of persons with severe mental illness in rural China, 1994–2015. British Journal of Psychiatry Open, 5(e31), 1–7. Ran, M. S., Weng, X., Liu, Y. J., Zhang, T. M., Yu, Y. H., Peng, M. M., et al. (2019). Change of treatment status of persons with severe mental illness in rural China, 1994–2015. British Journal of Psychiatry Open, 5(e31), 1–7.
38.
go back to reference Zendjidjian, X. Y., & Boyer, L. (2014). Challenges in measuring outcomes for caregivers of people with mental health problems. Dialogues in Clinical Neuroscience, 16(2), 159–169.CrossRefPubMedPubMedCentral Zendjidjian, X. Y., & Boyer, L. (2014). Challenges in measuring outcomes for caregivers of people with mental health problems. Dialogues in Clinical Neuroscience, 16(2), 159–169.CrossRefPubMedPubMedCentral
39.
go back to reference McCann, T. V., Lubman, D. I., & Clark, E. (2011). First-time primary caregivers’ experience of caring for young adults with first-episode psychosis. Schizophrenia Bulletin, 37, 381–388.CrossRefPubMed McCann, T. V., Lubman, D. I., & Clark, E. (2011). First-time primary caregivers’ experience of caring for young adults with first-episode psychosis. Schizophrenia Bulletin, 37, 381–388.CrossRefPubMed
40.
go back to reference Sin, J., Moone, N., & Wellman, N. (2005). Developing services for the carers of young adults with early-onset psychosis–listening to their experiences and needs. Journal of Psychiatric and Mental Health Nursing, 12(5), 589–597.CrossRefPubMed Sin, J., Moone, N., & Wellman, N. (2005). Developing services for the carers of young adults with early-onset psychosis–listening to their experiences and needs. Journal of Psychiatric and Mental Health Nursing, 12(5), 589–597.CrossRefPubMed
41.
go back to reference Hughes, S. L., Giobbie-Hurder, A., Weaver, F. M., Kubal, J. D., & Henderson, W. (1999). Relationship between caregiver burden and health-related quality of life. The Gerontologist, 39(5), 534–545.CrossRefPubMed Hughes, S. L., Giobbie-Hurder, A., Weaver, F. M., Kubal, J. D., & Henderson, W. (1999). Relationship between caregiver burden and health-related quality of life. The Gerontologist, 39(5), 534–545.CrossRefPubMed
43.
44.
go back to reference Ran, M. S., Xiang, M. Z., Chan, C. L. W., Leff, J., Simpson, P., Huang, M. S., et al. (2003). Effectiveness of psychoeducational intervention for rural Chinese families experiencing schizophrenia. Social Psychiatry and Psychiatric Epidemiology, 38(2), 69–75.CrossRefPubMed Ran, M. S., Xiang, M. Z., Chan, C. L. W., Leff, J., Simpson, P., Huang, M. S., et al. (2003). Effectiveness of psychoeducational intervention for rural Chinese families experiencing schizophrenia. Social Psychiatry and Psychiatric Epidemiology, 38(2), 69–75.CrossRefPubMed
45.
go back to reference Yang, L. H., & Kleinman, A. (2008). ‘Face’ and the embodiment of stigma in China: The cases of schizophrenia and AIDS. Social Science & Medicine, 67(3), 398–408.CrossRef Yang, L. H., & Kleinman, A. (2008). ‘Face’ and the embodiment of stigma in China: The cases of schizophrenia and AIDS. Social Science & Medicine, 67(3), 398–408.CrossRef
47.
go back to reference 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.CrossRef 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.CrossRef
48.
go back to reference Yerriah, J., Tomita, A., & Paruk, S. (2022). Surviving but not thriving: Burden of care and quality of life for caregivers of patients with schizophrenia spectrum disorders and comorbid substance use in South Africa. Early Intervention in Psychiatry, 16(2), 153–161. https://doi.org/10.1111/eip.13141CrossRefPubMed Yerriah, J., Tomita, A., & Paruk, S. (2022). Surviving but not thriving: Burden of care and quality of life for caregivers of patients with schizophrenia spectrum disorders and comorbid substance use in South Africa. Early Intervention in Psychiatry, 16(2), 153–161. https://​doi.​org/​10.​1111/​eip.​13141CrossRefPubMed
Metagegevens
Titel
Quality of life among family caregivers of people with schizophrenia in rural China
Auteurs
Shu-Yu Deng
Yi-Zhou Wang
Man-Man Peng
Tian-Ming Zhang
Ming Li
Wei Luo
Mao-Sheng Ran
Publicatiedatum
30-01-2023
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 6/2023
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-023-03349-6

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