Schizophrenia caregivers: reaction to caregiving
Many caregivers responded you to definitely handling individual are important to him or her (59.2 %) and that they wanted to look after the patient (fifty.step 3 %). A hefty proportion of caregivers responded that they was indeed fit sufficient to care for individual (47.8 %), feeling blessed to care for the in-patient (forty two.0 %), which have enough physical power to care for the person (43.step 3 %), appreciated taking good care of the individual (42.7 %), and that taking care of the average person makes them be more confident (39.5 %) (get a hold of Fig. 1).
Although not, a hefty proportion from caregivers revealed that the new caregiving sense are difficult. Specifically, caregivers showed that caregiving had disrupted the schedules (thirty six.step three %), that their health came into existence even worse just like the starting caregiving (thirty six.step 3 %), perception sick all round the day just like the starting care for the patient (35.0 %), perhaps not checking out friends as much as in advance of (32.5 %), having trouble leisurely due to ongoing disturbances (31.dos %), and having to prevent in the exact middle of performs (20.4 %).
A substantial ratio out-of caregivers shown useless help looking after the new patient. Particularly, caregivers answered that they had monetary problems with the new person’s need and you will properties (34.cuatro %), that proper care got set a financial strain on their family (35.0 %), it is difficult to get help from their family (thirty five.7 %), one their loved ones remaining them by yourself to take care of brand new diligent (28.0 %), their loved ones “dumped” caring for individual on it (twenty eight.0 %), hence their loved ones given up her or him just like the creating care and attention (21.0 %).
In general, informal schizophrenia caregivers exhibited poorer health-related outcomes than non-caregiver controls. After https://datingranking.net/android/ 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 <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.