Burden among Relatives of Individuals with Depression in Southern Thailand: A University Hospital-Based Cross-Sectional Survey

Authors

  • Jarurin Pitanupong Department of Psychiatry, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
  • Chanawee Tuntikitjakun Department of Psychiatry, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.

DOI:

https://doi.org/10.31584/jhsmr.2023950

Keywords:

associated factor, burden, depression, patient, relative

Abstract

Objective: This study aimed to investigate the levels of burden, social support, and mental health among Thai relatives of individuals with depression, and to explore factors associations with the burden.
Material and Methods: From March to July 2022, a cross-sectional study surveyed Thai relatives of individuals with depression at Songklanagarind Hospital. The questionnaires inquired about 1) demographic data, 2) Zarit burden interview-Thai version, 3) Thai version General Health Questionnaire-28 (GHQ-28), and 4) Revised Thai Multidimensional Scale of Perceived Social Support (rMSPSS). The data were analyzed using the descriptive statistic method, and multiple logistic regression.
Results: There were 139 relatives of individuals with depression who participated in this study. The majority of them were female (69.1%) with a mean age of 49.8±12.6 years. According to the Thai GHQ-28, most participants (90.6%) had no probable psychiatric or psychological distress. Most of them (86.3%) had little or no burden. There were no participants who reported having a severe burden, only three participants (2.2%) had a moderate to severe burden. They had a high level of perceived social support in connections to the subgroups of family and friends. The factors associated with the mild and moderate burden of relatives were the status of the relationship, psychological distress, and perceived social support in the subgroup of family. Conclusion: Most relatives of individuals with depression reported little or no burden, no psychological distress, and receiving a high level of social support. Status of relationship, psychological distress, and perceived social support were associated factors with the mild and moderate burden of relatives.

References

McKeever A, Agius M, Mohr P. A review of the epidemiology of major depressive disorder and of its consequences for society and the individual. Psychiatr Danub 2017;29(Suppl 3):222-31.

Coloni-Terrapon C, Favrod J, Clement-Perritaz A, Gothuey I, Rexhaj S. Optimism and the psychological recovery process among informal caregivers of inpatients suffering from depressive disorder: a descriptive exploratory study. Front Psychiatry 2019;10:972.

Ahlstrom BH, Skarsater I, Danielson E. Living with major depression: experiences from families’ perspectives. Scand J Caring Sci 2009;23:309-16.

Ostman M, Hansson L. Appraisal of caregiving, burden and psychological distress in relatives of psychiatric inpatients. Eur Psychiatry 2004;19:402-7.

Highet NJ, McNair BG, Davenport TA, Hickie IB. How much more can we lose?: carer and family perspectives on living with a person with depression. Med J Aust 2004;181(S7):S6-9.

Moller-Leimkuhler AM. Burden of relatives and predictors of burden. Baseline results from the Munich 5-year-follow-up study on relatives of first hospitalized patients with schizophrenia or depression. Eur Arch Psychiatry Clin Neurosci 2005;255:223- 31.

Sales E. Family burden and quality of life. Qual Life Res 2003;12(Suppl 1):33-41.

Viana MC, Gruber MJ, Shahly V, Alhamzawi A, Alonso J, Andrade LH, et al. Family burden related to mental and physical disorders in the world: results from the WHO World Mental Health (WMH) surveys. Braz J Psychiatry 2013;35:115-25.

Fiorillo A, Vecchio HGD, Rosa CD, Malangone C, Vecchio VD, Giacco D, et al. Family burden in major depression: a multicentric survey in 30 Italian mental health centres. Eur Psychiatry 2011;26(S2):625.

Pianchob S, Sangon S, Sitthimongkol Y, Williams RA, Orathai P. A causal model of psychological distress of Thai family caregivers of people with major depressive disorder. Pacific Rim Int J Nurs Res 2014;18:173-86.

Rungreangkulkij S, Chesla C. Smooth a heart with water: Thai mothers care for a child with schizophrenia. Arch Psychiatr Nurs 2001;15:120-7.

Sethabouppha H, Kane C. Caring for the seriously mentally ill in Thailand: Buddhist family caregiving. Arch Psychiatr Nurs 2005;19:44-57.

Nischal A, Pawar S, Agarwal M, Nischal A, Gupta B, Kar S. Burden of care in key relatives of patients with bipolar disorder. Delhi Psychiatry J 2020;23:28-35.

Gandhi S, Thennarasu K. Burden among caregiver of clients with depression – a scientific study. Int J Adv Nurs Sci Pract 2012;1:20-8.

Souza ALR, Guimaraes RA, de Araujo Vilela D, de Assis RM, de Almeida Cavalcante Oliveira LM, Souza MR, et al. Factors associated with the burden of family caregivers of patients with mental disorders: a cross-sectional study. BMC Psychiatry 2017;17:353.

Silpakit O, Silpakit C, Chomchuen R. Psychometric study of the Thai version of Zarit burden interview in psychiatric caregivers. J Ment Health Thai 2015;23:12-24.

Perlick DA, Rosenheck RA, Miklowitz DJ, Chessick C, Wolff N, Kaczynski R, et al. Prevalence and correlates of burden among caregivers of patients with bipolar disorder enrolled in the systematic treatment enhancement program for bipolar disorder. Bipolar Disord 2007;9:262-73.

Nilchaikovit T, Sukying C, Silpakit C. Reliability and validity of the Thai version of the general health questionnaire. J Psychiatr Assoc Thailand 1996;41:2-17.

Wongpakaran T, Wongpakaran N, Ruktrakul R. Reliability and Validity of the Multidimensional Scale of Perceived Social Support (MSPSS): Thai version. Clin Pract Epidemiol Ment Health 2011;7:161-6.

Kumar K, Gupta M. Clinical and socio-demographic determinants of psychological health and burden in family caregivers of patients with unipolar depression. Asian J Psychiatr 2014;9:51-6.

Moller-Leimkuhler AM, Wiesheu A. Caregiver burden in chronic mental illness: the role of patient and caregiver characteristics. Eur Arch Psychiatry Clin Neurosci 2012;262:157-66.

Fekadu W, Mihiretu A, Craig TKJ, Fekadu A. Multidimensional impact of severe mental illness on family members: systematic review. BMJ Open 2019;9:e032391.

Udoh EE, Omorere DE, Sunday O, Osasu OS, Amoo BA. Psychological distress and burden of care among family caregivers of patients with mental illness in a neuropsychiatric outpatient clinic in Nigeria. PLoS One 2021;16:e0250309.

Pitanupong J, Sammathit J. Knowledge and attitudes towards depression and medication adherence among individuals with depression: a university hospital-based survey. BMC Psychiatry 2023;23:210.

Kunwar D, Lamichhane S, Pradhan N, Shrestha B, Khadka S, Gautam K, et al. The study of burden of family caregivers of patients living with psychiatric disorders in remote area of Nepal. Kathmandu Univ Med J 2020;18:144-8.

Pitanupong J, Rueangwiriyanan C. Caregiver burdens in patients with schizophrenia and related factors. J Mental Health Thailand 2019;27:95-106.

Jackson PA. Beyond Hybridity and Syncretism: Kala-Thesa Contextual Sensitivity and Power in Thai Religious and Gender Cultures. JASAC 2020;3:4-37.

Downloads

Published

2023-07-27

How to Cite

1.
Pitanupong J, Tuntikitjakun C. Burden among Relatives of Individuals with Depression in Southern Thailand: A University Hospital-Based Cross-Sectional Survey . J Health Sci Med Res [Internet]. 2023 Jul. 27 [cited 2024 Jun. 30];41(5):e2023950. Available from: https://he01.tci-thaijo.org/index.php/jhsmr/article/view/265040

Issue

Section

Original Article