Vadher Sneha, Desai Rishi, Panchal Bharat, Vala Ashok, Ratnani Imran Jahangirali, Rupani Mihir P, Vasava Kinjal
Department of Psychiatry, Government Medical College Bhavnagar, Bhavnagar, Gujarat, India.
Department of Community Medicine, Government Medical College Bhavnagar, Bhavnagar, Gujarat, India.
Gen Psychiatr. 2020 Jun 24;33(4):e100215. doi: 10.1136/gpsych-2020-100215. eCollection 2020.
Caregivers play a pivotal role in providing care for mentally ill patients. Increase in caregiver burden can make them vulnerable to mental illness themselves.
We assessed the severity of burden of care and its association with depression, anxiety and quality of life among caregivers of patients with alcohol use disorder (AUD) and schizophrenia.
This was an observational, cross-sectional, single-centred study of 50 consecutive caregivers of patients with AUD and schizophrenia. Participants were recruited from the psychiatry outpatient department of a tertiary care hospital between January and June 2017. The caregivers were further assessed by demographic details, Hospital Anxiety Depression Scale for assessment of depression and anxiety, Zarit Burden Interview for assessment of caregiver burden and WHO Quality Of Life-BREF for assessment of quality of life. Statistical data were analysed using GraphPad InStat V.3.06 (California). Multiple linear regression analysis was applied to identify the predictors of caregiver burden.
Burden of care experienced by caregivers of patients with AUD is as high as that of caregivers of patients with schizophrenia (U=1142.5, p=0.46). Caregivers experiencing high burden of care are likely to have symptoms of anxiety (U=22, p<0.001), depression (U=32, p<0.001) and poor quality of life (U=84.5, p<0.001). Female caregivers are likely to experience higher burden of care (U=819.5, p=0.006). For caregivers of patients with schizophrenia, anxiety, environmental health, socioeconomic status and patients' occupation can predict burden of care, while for caregivers of patients with AUD, depression and environmental health can predict burden of care.
Our study suggests that caregivers of patients with AUD experience burden of care as high as that of caregivers of patients with schizophrenia. Caregivers with high burden of care are more likely to have depression, anxiety and poor quality of life.
CTRI/2017/03/008224.
照顾者在为精神病患者提供护理方面发挥着关键作用。照顾者负担的增加会使他们自身也容易患上精神疾病。
我们评估了酒精使用障碍（AUD）和精神分裂症患者的照顾者的护理负担严重程度及其与抑郁、焦虑和生活质量的关联。
这是一项对50名连续的AUD和精神分裂症患者照顾者进行的观察性、横断面、单中心研究。参与者于2017年1月至6月从一家三级护理医院的精神科门诊招募。通过人口统计学细节、用于评估抑郁和焦虑的医院焦虑抑郁量表、用于评估照顾者负担的扎里特负担访谈以及用于评估生活质量的世界卫生组织生活质量简表对照顾者进行进一步评估。使用GraphPad InStat V.3.06（加利福尼亚）对统计数据进行分析。应用多元线性回归分析来确定照顾者负担的预测因素。
AUD患者照顾者所经历的护理负担与精神分裂症患者照顾者的护理负担一样高（U = 1142.5，p = 0.46）。经历高护理负担的照顾者可能有焦虑症状（U = 22，p < 0.001）、抑郁症状（U = 32，p < 0.001）和生活质量差（U = 84.5，p < 0.001）。女性照顾者可能会经历更高的护理负担（U = 819.5，p = 0.006）。对于精神分裂症患者的照顾者，焦虑、环境健康、社会经济地位和患者职业可以预测护理负担，而对于AUD患者的照顾者，抑郁和环境健康可以预测护理负担。
我们的研究表明，AUD患者的照顾者所经历的数据负担与精神分裂症患者的照顾者一样高。护理负担高的照顾者更有可能出现抑郁、焦虑和生活质量差的情况。
CTRI/2017/03/008224。
