Ratre Dharmdas, Gupta Rajratan, Martis Maxie, Singh Vijender
Department of Psychiatric Nursing, Nursing College, AIIMS, Bhopal, Madhya Pradesh, India.
Department of Community Health Nursing, Nursing College, AIIMS, Bhopal, Madhya Pradesh, India.
J Educ Health Promot. 2025 Aug 29;14:329. doi: 10.4103/jehp.jehp_1419_24. eCollection 2025.
Common mental disorders (CMDs) are distress states manifesting with anxiety, depression, and unexplained somatic symptoms. CMD patients require care and attention, which places additional demands on the caregivers and the family members. This study aimed to determine the caregiver burden, social support, and family well-being among caregivers of CMD patients in Bhopal.
A cross-sectional survey was held among 236 caregivers of CMD patients presenting to a tertiary healthcare center in Bhopal. Primary caregivers aged 18 years and above and providing care for more than 1 month were included. Data were collected through interviews by using the sociodemographic proforma, Zarit burden interview scale, multidimensional scale of perceived social support, and family health scale.
About 31.3% of caregivers had a high burden, 53% had a mild-to-moderate burden, and 15.7% had a no-to-mild burden. Most caregivers (75.8%) perceived moderate social support, and 15.7% perceived high social support. A total of 48.3% of caregivers rated family well-being as moderate, 45.8% as poor, and only 5.9% as excellent. Perceived social support and family well-being showed a moderate, positive relationship (r = 0.584, < 0.01), and both accounted for 18.5% of the variance in the caregiver burden. Perceived social support (r = -0.384) and family well-being (r = -0.394) demonstrated an inverse relationship with caregiver burden ( < 0.01).
There is a need to enhance social support for caregivers and the family well-being of CMD patients. Healthcare providers at all levels should identify the need for social support for caregivers and plan suitable strategies for family-centered care of CMD patients.
常见精神障碍（CMD）是表现为焦虑、抑郁和不明原因躯体症状的痛苦状态。CMD患者需要照顾和关注，这给照顾者和家庭成员带来了额外的负担。本研究旨在确定博帕尔市CMD患者照顾者的照顾负担、社会支持和家庭幸福感。
对前往博帕尔市一家三级医疗中心就诊的236名CMD患者的照顾者进行了横断面调查。纳入年龄在18岁及以上且提供照顾超过1个月的主要照顾者。通过使用社会人口学调查表、扎里特负担访谈量表、多维感知社会支持量表和家庭健康量表进行访谈来收集数据。
约31.3%的照顾者负担较重，53%的照顾者负担为轻度至中度，15.7%的照顾者负担为无至轻度。大多数照顾者（75.8%）感知到中等社会支持，15.7%的照顾者感知到高度社会支持。共有48.3%的照顾者将家庭幸福感评为中等，45.8%评为较差，只有5.9%评为优秀。感知到的社会支持与家庭幸福感呈中度正相关（r = 0.584，P < 0.01），二者共同解释了照顾者负担方差的18.5%。感知到的社会支持（r = -0.384）和家庭幸福感（r = -0.394）与照顾者负担呈负相关（P < 0.01）。
有必要加强对CMD患者照顾者的社会支持及家庭幸福感。各级医疗服务提供者应识别照顾者对社会支持的需求，并为CMD患者的以家庭为中心的护理制定合适的策略。
