- 21 Haziran 2022
- Yayınlayan: İbrahim Demircan
- Kategori: Genel
Schizophrenia caregivers: a reaction to caregiving
More caregivers responded you to definitely looking after individual is actually vital that you them (59.dos %) and they desired to look after the diligent (50.3 %). A hefty ratio from caregivers answered that they were suit adequate to care for the person (47.8 %), effect privileged to care for the average person (49.0 %), with enough real strength to look after the patient (43.step 3 %), preferred taking good care of individual (42.seven %), hence handling the average person makes them have more confidence (39.5 %) (pick Fig. 1).
But not, a hefty ratio regarding caregivers revealed that the brand new caregiving feel try difficult. Specifically, caregivers showed that caregiving got disrupted the dates (thirty six.3 %), you to their bodies had become worse as undertaking caregiving (thirty six.step 3 %), effect tired non-stop since the undertaking look after the diligent (thirty-five.0 %), maybe not checking out friends and family as much as just before (32.5 %), having difficulty relaxing on account of lingering interruptions (31.2 %), and having to cease in the middle of performs (20.cuatro %).
A hefty ratio off caregivers indicated useless assistance looking after the latest patient. In particular, caregivers responded they had financial difficulty with the newest patient’s demands and you may properties (34.4 %), the proper care had set a financial stress on their family (thirty five.0 %), that it is hard to find help from their family (thirty-five.7 %), one to their loved ones leftover her or him by yourself to deal with brand new diligent (twenty eight.0 %), their loved ones “dumped” looking after individual on it (28.0 %), and therefore their loved ones abandoned him or her because the undertaking proper 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), 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 African Sites dating online <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.