Schizophrenia caregivers: a reaction to caregiving
Most caregivers responded one taking good care of the individual is crucial that you him or her (59.2 %) and that they wanted to look after the patient (50.step 3 %). A substantial ratio of caregivers replied that they was in fact match adequate to look after the patient (47.8 %), impression privileged to care for the patient (49.0 %), with enough real fuel to look after the individual (43.3 %), enjoyed taking care of individual (42.eight %), and therefore taking good care of the in-patient makes them feel great (39.5 %) (get a hold of Fig. 1).
Although not, a hefty ratio from caregivers indicated that new caregiving sense is difficult. Specifically, caregivers revealed that caregiving got disturbed the times (36.step three %), one to their bodies had become bad while the performing caregiving (thirty six.3 %), feeling sick all round the day as the doing look after the diligent (thirty-five.0 %), perhaps not seeing friends and family doing before (thirty two.5 %), having problems relaxing because of lingering disruptions (31.2 %), and having to eliminate in performs (20.cuatro %).
A hefty proportion off caregivers indicated ineffective support taking care of the latest patient. In particular, caregivers replied they had economic difficulties with the new person’s demands and you can characteristics (34.cuatro %), that the worry got lay an economic stress on their loved ones (35.0 %), it is hard to find assistance from their family (thirty five.eight %), you to definitely their loved ones left him or her by yourself to undertake new diligent (twenty eight.0 %), their family “dumped” taking good care of individual on it (twenty eight.0 %), hence their family quit her or him as the undertaking care (21.0 %).
In general, informal schizophrenia caregivers exhibited poorer health-related outcomes than non-caregiver controls. After matching schizophrenia caregivers with non-caregivers with similar demographic and health characteristics, a substantially greater proportion of caregivers reported experiencing the following symptoms and conditions: sleep difficulties, insomnia, pain, headaches, heartburn, anxiety, and depression, all p <0.05. Schizophrenia caregivers also reported lower HRQoL and health utility compared with non-caregiver controls, all p <0.05. Indeed, the mean differences between schizophrenia caregivers and non-caregiver controls were larger than the MID for mental HRQoL and health utility.
Caregivers of schizophrenia patients and caregivers of patients with conditions other than schizophrenia reported similar poor health-related outcomes, although some differences emerged. After matching schizophrenia caregivers with caregivers of patients with conditions other than schizophrenia but with similar demographic and health characteristics, a substantially greater proportion of schizophrenia caregivers reported the following symptoms: sleep difficulties, insomnia, and anxiety, all p <0.05. Moreover, a substantially greater proportion of schizophrenia caregivers reported currently taking prescription medication for depression and a greater level of depression severity. Schizophrenia caregivers exhibited significantly lower mean mental HRQoL and health utility scores compared with caregivers of patients with other conditions, though these differences did not exceed our pre-defined threshold of meaningfully important differences, all p <0.05.
A prior review of published research of schizophrenia caregiver burden found that, overall, this population experiences deteriorated health, with stress problems, anxiety and depression . The current study corroborated these findings, as informal schizophrenia caregivers reported higher levels of these health issues relative to non-caregivers and caregivers of conditions other than schizophrenia. Zendijidjian et al. (2012) found that caregivers of patients with affective disorders scored significantly lower on all SF-36 domains than caregivers of schizophrenia patients . The current study, however, found significant differences on the MCS, but not the PCS when comparing schizophrenia caregivers and caregivers of other conditions. These differences could be due to the broader criteria provided for caregivers of other conditions in the current study. Papastavrou (2012), Catholic Sites dating comparing schizophrenia, Alzheimer’s and cancer caregivers, on the other hand, found that caregivers of cancer patients experienced the highest levels of depression, while Alzheimer’s caregivers experienced the highest levels of overall burden (p <0.001) . Unlike previous studies of schizophrenia caregivers, the current study employed a representative sample of schizophrenia caregivers, directly comparing HRQoL and comorbidities for schizophrenia caregivers with non-caregiver controls, and schizophrenia caregivers with other caregivers. Because of this, making direct comparisons with prior studies is limited. However, a prior study using 2010 and 2011 5EU NHWS reports higher MCS, PCS and health utility scores for cancer caregivers than the current studies schizophrenia caregivers , suggesting potentially poorer HRQoL for schizophrenia caregivers than caregivers of cancer patients. Therefore, overall, given previous literature and the current study results, the health status of schizophrenia caregivers were found to be comparable if not worse than caregivers of other conditions.