Depression and Factors associated with Caregiver Burden of Schizophrenia Patients at Somdej Prayannasungworn Hospital, Wiang Chai district, Chiang Rai province
Keywords:
Caregiver of Patients with Schizophrenia, Depression, burden of caregiverAbstract
Schizophrenia is one of major problems in psychiatry and public health. Due to patient populations tend to increase in every year. As a result, the numbers of caregivers have also increased. The caregivers have to take care of the patients for a very long time and continuously. The patients need medications and also psychosocial and economic support from their families because the limits of ability to take care of themselves. From this situation, there is often a feeling of burden in the caregivers and depression can also occur.
Objective of this research is to determine the prevalence of depression in schizophrenic caregivers and factors associated with caregiver burden among schizophrenic patients. A cross-sectional study was conducted in caregivers of schizophrenic patients who were diagnosed and registered for treatment of schizophrenia. The data were collected at Mental Health Clinic Somdej Prayannasungworn Hospital during August 2022 - October 2022. The total caregivers of schizophrenic patients were 157 cases. Data were collected using Thai version of Patient Health Questionnaire (PHQ-9), Thai version of Zarit Burden Interview (ZBI) and questionnaires created by researchers. Logistic regression analysis was used to determine the associations between factors and burden of caregivers.
The result found that the prevalence of depression in schizophrenic caregiver was 5.73%. In multivariable analysis, three variables were found significantly associated with caregiver burden of schizophrenic patients; family income < 5,000 baht (Adj.OR = 19.64, 95%CI=3.78-101.86), having troubles to care the patients with self-conscious anxiety/fear/feeling insecure (Adj.OR = 10.48, 95%CI=3.06-35.79) and caregivers of schizophrenic patients with depression (Adj.OR =6.35, 95%CI=1.15-35.10). From the results of this research study demonstrated an importance of mental health condition of caregivers for schizophrenic patients that should be identified. Caregivers of schizophrenia patients should be screened for depression and feelings of burden which is very important so they can improve the quality of life both caregivers and schizophrenic patients.
References
Suwanmaitri L, Sasorok A, Methalakwong T, Singlom C, Mekvilai V, editors. Schizophrenia Care Guide For hospitals in the health district. 2nd ed. Bangkok: Victoria image company limited; 2017.
World Health Organization. schizophrenia [Internet]. Switzerland: World Health Organization; c2022 [update 2022 Jan 10; cited 2022 Jan 10]. Available from: https://www.who.int/news-room/fact-sheets/detail/schizophrenia
Department of mental health. Report a patient for psychiatric services of Chiang Rai Provincial [Internet]. Nonthaburi: Department of mental health; c2016 [Update 2022 Feb 8; cited 2022 Apr 9]. Available from: https://www.dmh.go.th/report/datacenter/hdc/reds.asp
Somdej Prayannasungworn Hospital, Mental Health Clinic. Register of patients schizophrenia. Chiang Rai: Somdej Prayannasungworn Hospital; 2022. (in Thai)
Pimwan T, Natprayut N. Factors Associated with Caregiver Burden of chizophrenia Patients. J Psychiatr Assoc Thailand. 2021;66(2):203–16. (In Thai)
Souza ALR, Guimarães RA, de Araújo 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(1):353. doi: 10.1186/s12888-017-1501-1.
Winatpatthama C, Sittironnarit G, Charoensak S. Prevalence of depression and its associated factors among caregivers of patients with schizophrenia. J Psychiatr Assoc Thailand. 2019;64(3):283–96. (In Thai)
Phitsanu W, Charernboon T. Depression and Caregiver Burden among caregivers of children with autistic spectrum disorders at Thammasat University Hospital. J Psychiatr Assoc Thailand. 2019;64(4):317–36. (In Thai)
Özen ME, Örüm MH, Kalenderoğlu A. The burden of schizophrenia on caregivers. Psychiatry and Behavioral Sciences 2018;8(3):1-6.
Pitanupong J, Rueangwiriyanan C. Caregiver burdens in patients with schizophrenia and related factors. Journal of Mental Health of Thailand. 2019;27(2):95–106. (In Thai)
Walke SC, Chandrasekaran V, Mayya SS. Caregiver Burden among Caregivers of Mentally Ill Individuals and Their Coping Mechanisms. J Neurosci Rural Pract. 2018;9(2):180-5. doi: 10.4103/jnrp.jnrp_312_17.
Yazici E, Karabulut Ü, Yildiz M, Baskan Tekeş S, Inan E, Çakir U, et al. Burden on Caregivers of Patients with Schizophrenia and Related Factors. Noro Psikiyatr Ars. 2016;53(2):96-101. doi: 10.5152/npa.2015.9963.
Hajebi A, Naserbakht M, Minoletti A. Burden experienced by caregivers of schizophrenia patients and its related factors. Med J Islam Repub Iran. 2019;33:54. doi: 10.34171/mjiri.33.54.
Udomittipong D, Channakorn P, Kemsen S. Burden of Primary Caregivers among Elderly Patients with Schizophrenia : Review Article. Journal of Somdet Chaopraya Institute of Psychiatry. 2020;14(2):48-68. (In Thai)
Lee S, Dajpratham P. Criterion validity of the Thai version of the PHQ-9 and the PHQ-2 for screening major depression in Thai elderly. J Thai Rehabil Med. 2017;27(1):30–7. (In Thai)
Toonsiri C, Sunsern R, Lawang W. Development of the Burden Interview for Caregivers of Patients with Chronic Illness. Journal of Nursing and Education. 2011;4(1):62-75. (In Thai)
Naing L, Winn T, Nordin. Practical Issues in Calculating the Sample Size for Prevalence Studies. Arch Orofac Sci. 2006;1:9–14.
Dusit S. Data analysis with spss for windows. 4th ed. Bangkok: Chareondee printing; 2007. (In Thai)
Rahmani F, Roshangar F, Gholizadeh L, Asghari E. Caregiver burden and the associated factors in the family caregivers of patients with schizophrenia. Nurs Open. 2022;9(4):1995-2002. doi: 10.1002/nop2.1205.
Siddiqui S, Khalid J. Determining the caregivers' burden in caregivers of patients with mental illness. Pak J Med Sci. 2019;35(5):1329-1333. doi: 10.12669/pjms.35.5.720.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Nakornping Hospital
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The articles that had been published in the journal is copyright of Journal of Nakornping hospital, Chiang Mai.
Contents and comments in the articles in Journal of Nakornping hospital are at owner’s responsibilities that editor team may not totally agree with.
