Depression in in the Primary Caregivers of Patients with Schizophrenia

Authors

  • Saba Ramzan Allied-II hospital Faisalabad, Faisalabad, Pakistan.
  • Imtiaz Ahmad Dogar Professor of Psychiatry and Behavioral Sciences, Faisalabad Medical University, Faisalabad, Pakistan.

DOI:

https://doi.org/10.70749/ijbr.v3i5.1012

Keywords:

Caregivers, Depression, Schizophrenia

Abstract

Introduction: Although it is crucial for caregivers to provide care for an adult relative with schizophrenia, they require additional resources in order to do so effectively.  By regularly assessing the depression status of caregivers and improving the management of this condition, the findings of my study may aid in early detection and subsequent early interventions, reducing morbidity and improving patient care. Study design: Descriptive, cross-sectional study. Settings: Department of Psychiatry and Behavioral Sciences DHQ/Allied Hospitals, FMU Faisalabad. Study duration: 20th February 2024 to 19th August 2024. Materials & Methods: Total 100 subjects between the ages of 18 and 60 years who were providing care to the patient for a period of at least 03 consecutive months were included, regardless of gender.  History of any past psychiatric illness in caregivers, caregivers having a history of any recent major life event, caregivers suffering from chronic medical diseases were excluded. The researcher conducted interviews with respondents and DSM-5 criteria for depressive disorder was applied to the caregivers. Results: The study's participants ranged in age from 18 to 60, with a mean age of 36.31 ± 7.42 years.  The majority of the 65 individuals (65.0%) were in the 18–40 age range.  With a male to female ratio of 1.4:1, 58 (58.0%) of the 100 individuals were male and 42 (42.0%) were female. Twenty-seven (27.0%) of the participants in our study had frequent depression among those who care for patients with schizophrenia. Conclusion: Depression is very common among those who care for patients with serious mental conditions.  Depression was substantially correlated with being female, illiterate, unmarried, providing care for longer than six months, and having little social support.

Downloads

Download data is not yet available.

References

Liu Z, Heffernan C, Tan J. Caregiver burden: A concept analysis. International journal of nursing sciences. 2020 Oct 10;7(4):438-45.

https://doi.org/10.1016/j.ijnss.2020.07.012

Clari R, Headley J, Egger J, Swai P, Lawala P, Minja A, Kaaya S, Baumgartner JN. Perceived burden and family functioning among informal caregivers of individuals living with schizophrenia in Tanzania: a cross-sectional study. BMC Psychiatry. 2022 Jan 4;22(1):10.

https://doi.org/10.1186/s12888-021-03560-0

Shin TK, Fei SH, Yi CS, Ruslan NB, Sharkawi NB. Depression, anxiety, stress and perceived social support in primary caregivers of patients with Schizophrenia at Hospital Sentosa, Kuching, Sarawak, Malaysia. Malaysian Journal of Psychiatry. 2020 Jun 1;29(1):57-66.

https://doi.org/10.1186/s12888-021-03560-0

Akinfala A, Sowunmi O, Sakeeb I. Prevalence and correlates of depression and quality of life among primary caregivers of patients with schizophrenia attending a Nigerian Tertiary Hospital. BJPsych Open. 2021 Jun;7(S1):S3-4.

https://doi.org/10.1192/bjo.2021.72

Azarudeen MJ, Ramamurthy S, Chandrasekar S, Gopal BS. Depression and the caregiver burden for schizophrenia patients. European Journal of Molecular & Clinical Medicine. 2022 Sep;9(07):3642-3652

https://doi.org/10.47310/iarjmsr.2023.v04i04.01

Sharma R, Sharma SC, Pradhan SN. Assessing Caregiver Burden in Caregivers of Patients with Schizophrenia and Bipolar Affective Disorder in Kathmandu Medical College. Journal of Nepal Health Research Council. 2021 Sep 3;15(3):258–63.

https://doi.org/10.3126/jnhrc.v15i3.18851

Sun X, Ge J, Meng H, Chen Z, Liu D. The influence of social support and care burden on depression among caregivers of patients with severe mental illness in rural areas of Sichuan, China. International Journal of Environmental Research and Public Health. 2019 Jun;16(11):1961

https://doi.org/10.3390/ijerph16111961

Akbar Z, Bajwa AA, Saif S. Frequency of anxiety and depression among caregivers of patients of schizophrenia reporting in a tertiary care hospital. Pakistan Armed Forces Medical Journal. 2017 Jun 1;67(3):419-22

Ebrahim OS, Al-Attar GS, Gabra RH, Osman DM. Stigma and burden of mental illness and their correlates among family caregivers of mentally ill patients. J Egypt Public Health Assoc. 2020;95(1):31.

https://doi.org/10.1186/s42506-020-00059-6

Ali AM, Alkhamees AA, Hori H, Kim Y, Kunugi H. The depression anxiety stress scale 21: development and validation of the depression anxiety stress scale 8- item in psychiatric patients and the general public for easier mental health measurement in a post COVID-19 world. Int J Environmental Res Public Health. 2021;18(19):10142.

https://doi.org/10.3390/ijerph181910142

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(5):e0250309.

https://doi.org/10.1371/journal.pone.0250309

Peng MM, Xing J, Tang X, Wu Q, Wei D, Ran MS. Disease-related risk factors for caregiver burden among family caregivers of persons with schizophrenia: A systematic review and meta-analysis. Int J Environ Res Public Health 2022;19(3):1862.

https://doi.org/10.3390/ijerph19031862

Minichil W, Getinet W, Derajew H, Seid. Depression and associated factors among primary caregivers of children and adolescents with mental illness in Addis Ababa, Ethiopia. BMC Psychiatry. 2019;19:1–9.

https://doi.org/10.1186/s12888-019-2228-y

Ocansey PM, Kretchy IA, Aryeetey GC, Agyabeng K, Nonvignon J. Anxiety, depression, and stress in caregivers of children and adolescents with mental disorders in Ghana and implications for medication adherence. Ghana Med J. 2021;55:173–82. doi: 10.4314/gmj.v55i3.1

https://doi.org/10.4314/gmj.v55i3.1

Alize JF, Damian FS, Ana MM, Jamileh S, Ashbaugh C, Erskine HE, et al. Global, regional, and national burden of 12 mental disorders in 204 countries and territories, 1990–2019: A systematic analysis for the Global Burden of Disease Study 2019. Lancet Psychiatry 2022;9:137–50.

https://doi.org/10.1016/s2215-0366(21)00395-3

Sun X, Ge J, Meng H, Chen Z, Liu D. The influence of social support and care burden on depression among caregivers of patients with severe mental illness in rural areas of Sichuan, China. Int J Environ Res Public Health. 2019;16:1961.

https://doi.org/10.3390/ijerph16111961

Derajew H, Tolessa D, Feyissa GT, Addisu F, Soboka M. Prevalence of depression and its associated factors among primary caregivers of patients with severe mental illness in southwest, Ethiopia. BMC Psychiatry. 2017;17:88.

https://doi.org/10.1186/s12888-017-1249-7

Balkaran BL, Jaffe DH, Umuhire D, Rive B, Milz RU Self-reported burden of caregiver of adults with depression: A cross-sectional study in five Western European countries. BMC Psychiatry 2021;21:312.

https://doi.org/10.1186/s12888-021-03255-6

Prasad F, Hahn MK, Chintoh AF, Remington G, Foussias G, Rotenberg M, et al. Depression in caregivers of patients with schizophrenia: a scoping review. Soc Psychiatry Psychiatr Epidemiol. 2024;59(1):1-23.

https://doi.org/10.1007/s00127-023-02504-1

Proudman D, Greenberg P, Nellesen D. The growing burden of Major Depressive Disorders (MDD): implications for researchers and policy makers. Pharmacoeconomics. 2021;39:619–25.

https://doi.org/10.1007/s40273-021-01040-7

Lee Y, Lin PY, Huang YC, Chiu NM, Hung CF, Wang LJ. The morbidity and associated factors of depression in caregivers of patients with depressive disorder. Neuropsychiatric Dis Treatment. 2023:19:1853–64.

https://doi.org/10.2147/ndt.s415881

Cummings SM, Kropf NP. Predictors of depression among caregivers of older adults with severe mental illness. J gerontological Soc work. 2015;58:253–71.

https://doi.org/10.2147/ndt.s415881

Kailash SZ, Kaur A, Sureshkumar K, Rajalakshmi AK. A cross-sectional study on prevalence and factors associated with caregiver burden among caregivers of patients with depressive disorder. Indian J Soc Psychiatry. 2023;39:264–71.

https://doi.org/10.4103/ijsp.ijsp_356_21

Munie BM, Birhan Z, Legas G, Asnakew S, Belete A, Beyene GM, et al. Predictors of depression among caregivers of patients with severe mental illness in Northwest Ethiopia, 2023: an explanatory sequential mixed-method study. Front Psychiatr. 2024;15:1422104.

https://doi.org/10.3389/fpsyt.2024.1422104

Downloads

Published

2025-05-01

How to Cite

Ramzan, S., & Dogar, I. A. (2025). Depression in in the Primary Caregivers of Patients with Schizophrenia. Indus Journal of Bioscience Research, 3(5), 906–910. https://doi.org/10.70749/ijbr.v3i5.1012