The Relationship between Social Support and Stress of Caregivers Caring for Patients with Schizophrenia

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Lunchana Phimphanchaiyaboon
Suparun Phasuk
Nuruemol Angsirisak
Natamon Boonlom
Susaree Prakhinkit


Introduction: The mental health of psychiatric patients’ caregivers is particularly important in high-risk groups. Educating and enhancing coping skills can help reduce depression and anxiety in these caregivers. Research objectives: The study aimed to investigate the stress of caregivers caring for patients with schizophrenia. The stress theory of Lazarus and Folkman was employed as the conceptual framework of this study. Research methodology: This research was descriptive research. The study sample consisted of 93 family caregivers of patients with schizophrenia. The data were collected for a period of three months. This research collected personal data information, stress information, and social support information. Data were analyzed using descriptive statistics and correlation analyzed using Pearson's s Correlation Coefficient. Results: The study findings revealed that the stress level of caregivers was at a moderate level 59.60 % (x ̅ = 30.11, SD = 18.80). The caregivers were supported moderately for social support for information (x ̅ = 2.47, SD = 0.52) and comparative and valued measure (x ̅ = 2.37, SD = 0.51) accordingly. The social support for emotional and comparative and valued measures had negatively correlated with the stress of caregivers (r = - 0.347, - 0.320, respectively) statistically significant at .05 Conclusion: In order to reduce uncertainty, anxiety, stress, hopelessness, and depression, social group emotional support is required. Emotional support can take the form of sharing one's thoughts or experiences, expressing concern, offering encouragement, and even distracting oneself.Compare your feedback to that of others help a person feel welcomed by others and perceive their own worth Implications: The results from the research can be used as basic information for the performance of community nurses in the care of schizophrenic patients. And can be developed as a stress-relieving program for schizophrenic caregivers.


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Phimphanchaiyaboon, L., Phasuk, S., Angsirisak, N., Boonlom, N., & Prakhinkit, S. (2021). The Relationship between Social Support and Stress of Caregivers Caring for Patients with Schizophrenia. Journal of Health and Nursing Research (Journal of Boromarajonani College of Nursing, Bangkok), 37(2), 263-273. Retrieved from
Research articles


1. Kanang S. Caregiver Participation in Caring for Schizophrenic Patients at Home. [Independent Study]. The Graduate School, Songkla University; 2007 (in Thai).

2. Ravi S, Goud BR, Archana M, Pius TM, Pal A, John V., et al. Burden among caregivers of mentally-ill patients: a rural community – based study community medicine. Int J Res Dev Health 2013;1;29–34.

3. Kanya S, Ratchaneekorn U. Selected factors related to burnout in caregivers of persons with schizophrenia in community. Journal of The Royal Thai Army Nurses 2017;18:308-14. (in Thai).

4. Usa K. Relationships between personal factors, burden, and mental health in caregivers of patients with schizophrenia. The Journal of Psychiatric Nursing and Mental Health 2012;26(3):4-17. (in Thai).

5. Vasudeva S, Sekhar CK., Rao PG. Caregivers burden of patients with schizophrenia and bipolar disorder: a sectional study. Indian Journal Psychological Medicine 2013;35(4):352-57.

6. Thitiphan T, Yauwalux P, Tuntima D, Uboonrat T, Piyanoot K. Prevalence of Depression, Anxiety, and Associated Factors in Caregivers of Geriatric Psychiatric Patients. Journal Psychiatric Association of Thailand 2016;61(4):319-30. (in Thai).

7. Suntreeporn T. Schizophrenia Care in a Sustainable Thai Society Context. Journal of Nursing Division 2015;42(3):1-10. (in Thai).

8. Yu Y, Liu Z, Tang B, Zhao M, Liu X, Xiao S. Reported family burden of schizophrenia Patients in rural China. Journal published by the Public Library of Science 2017;1-18.

9. Suwat M, Wanida P, Pimmas S. The construction of Suan Prung stress test for Thai population. Journal of Suan Prug Psychiatric Hospital 1997;13(3):1-20 (in Thai).

10. Miller BF, Keane CB. Encyclopeddia and Dictionary of Medicine and Nursing. Philadephia: W.B. sunders; 1972.

11. Khanittha H. Comparative Study on Social Support of Caregivers of Children with Autism Spectrum Disorders and Caregivers of Typical Development Children in Songklanagarind hospital. A Thesis Submitted in Partial Fulfillment of the Requirements for the Degree of Master of Arts in Human and Social Development Prince of Songkla University; 2013. (in Thai).

12. House JS. Work Stress and Social Support. Reading, Mass: Addison-Wesley; 1981.

13. Mayuree T. Stress and Coping Behavior of Caregivers of Schizophrenia Patients Srithanya Hospital in Nonthaburi Province. [Master of Science]. Kasetsart University; 2009. (in Thai).

14. Tasana W. Stress of Relatives Who Caring Patients with Psychiatric Disorders at Nakornpanom Rajchanakarin Psychiatric Hospital. [An Independent Study Submitted in Partial Fulfillment of the Requirements for the Degree of Master of Arts Program in Criminal Justice Administration Department of Social Administration]. Thammasat University; 2010. (in Thai).

15. Pawinee P, Noppawan P, Somnuk S. Factors related to stress of family caregivers of patients with stroke at home. Ramathibodi Nursing Journal 2014;20(1):82-96. (in Thai).

16. Burachat K, Karuntharat B. Relationship between self-efficacy and social support on coping with stress and coping with stress behaviors of nurses working in Pramongkutklao hospital. Journal of Health Science Research 2016;10(2):1-10.

17. Jalowiec, A. Confirmatory Factor Analysis of the Jalowiec Coping Scale.In C. F. Waltz, & O. L. New York: Springer; 1988. p. 287-308.

18. Keeratiya T. Stress and coping of elderly caregivers of psychiatric disorders. Assessment documents
for appointment Specialist position (Doctor of Preventive Medicine). Department of Disease Control Ministry of Public Health; 2015. (in Thai).

19. Hana N, Kritaya S. The Relationship between Burden of Care and Coping Strategies among Caregivers of Patients with Schizophrenia. Journal of Nursing Science and Health. 2015; 38(3):75-85. (in Thai).