Caregiver burden and its sociodemographic determinants in family caregivers of patients with schizophrenia attending a psychiatric tertiary hospital in South Africa.
S Afr J Psychiatr
; 30: 2252, 2024.
Article
en En
| MEDLINE
| ID: mdl-38962558
ABSTRACT
Background:
Chronic mental illnesses such as schizophrenia affect patients' functioning, making caregiving necessary although burdensome.Aim:
This study aimed to determine caregiver burden and its sociodemographic determinants in family caregivers of patients with schizophrenia attending a Psychiatric Outpatient Department (POD).Setting:
Tertiary hospital in Northern Pretoria, South Africa.Methods:
In this cross-sectional study conducted over 3 months, 300 consecutive family caregivers who attended the POD were administered a 22-item Zarit Burden Interview (ZBI-22), which has a score of 0-88, with higher values indicating more burden. Their sociodemographic characteristics were ascertained. Linear and ordinal logistic regression analyses were performed to identify determinants or predictors of total and severe burdens, respectively.Results:
Most caregivers were aged 46.0 ± 14 years, females (62%), parents (39%), of low-income status (93.7%), had secondary education (70%), resided with the patient (87%), and helped with all troublesome activities (95.3%). The median ZBI-22 score was 19.0 (interquartile range 13.0-30.5). The determinants of both total and severe burdens were caregiver age ≥ 50 years adjusted odds ratio (aOR) 2.55, confidence interval (CI) 1.49-4.36; residential area farther away from the hospital aOR 1.76, CI 1.3-2.99; increasing months of caregiving aOR 1.0, CI 1.001-1.009, p = 0.006; and not having another family member that needs care aOR 0.43, CI 0.24-0.78.Conclusion:
Having mental healthcare facilities close to residential areas and assisting caregivers aged ≥ 50 years who have multiple family members who need care may alleviate the burden. Contribution Predicting total and severe caregiver burdens contemporaneously is effective for identifying potential burden interventions.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Idioma:
En
Revista:
S Afr J Psychiatr
Año:
2024
Tipo del documento:
Article
País de afiliación:
Sudáfrica
Pais de publicación:
Sudáfrica