Burden among caregivers of patients with substance use disorder
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Abstract
Objective: To study the burden of caregivers and the factors associated with caregiver burden among caregivers of patients with substance use disorder at Somdejphajaotaksinmaharaj Hospital
Methods: This study was a cross-sectional descriptive design. Participants were 64 caregivers of patients with substance use disorder (diagnosed by psychiatrists) who received treatment at outpatients and inpatients of the psychiatric department in Somdejphajaotaksinmaharaj Hospital during May 2022-October 2022. Participants had to be over 18 years old and had been taking care of the patients for at least 6 months. The instruments for data collection included demographic characteristics of caregivers and patients, the Thai version of Zarit Burden Interview (ZBI), and Substance Use Disorder Screening Test (SUDST).
Results: According to data collected from 64 caregivers, it was found that 50 caregivers (78.1%) perceived no burden to mild burden and 14 caregivers (21.9%) perceived moderate burden to severe burden. The majority of caregivers in this study were female with an average age of 47.65 years, married, parents, and employed. About 35.9% of caregivers have ever had a bad experience in taking care of patients, including being verbally abused (21.9%), physically abused (0.4%), and having the patients refuse to cooperate during activities of caring (28.1%). For patients, it was found that most of the patients were male with an average age of 33.62 years, had a severe level of disorder (59.4%), and had been hospitalized (48.4%). The result from logistic regression analyses showed that the factors statistically significantly associated with moderate to severe caregiver burden were having been physically abused by the patients (adjusted OR 32.549, 95%CI 2.709-391.041, p=0.006) and the patient’s history of hospitalization (adjusted OR 6.417, 95%CI 1.228-33.525, p=0.028).
Conclusion: The study revealed that most of the participants perceived no to mild burden, and the factors associated with a moderate to severe burden of care were having a history of being physically abused and the patient’s history of hospitalization. Caregivers’ burden might cause health problems. Therefore, physicians should recognize and assess such conditions to reduce the incidence or severity of illness. Based on this study, if the caregiver has a history of being abused or the patient has previously been hospitalized, they should be monitored and screened for physical and mental health problems to reduce subsequent illnesses and provide proper treatment.
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