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Caregiver burden during psychiatric hospitalisation: A multi-centre, longitudinal study
Palmyre Schenin-King Andrianisaina1,2, Marie-Carmen Castillo2, Gabrielle Barlagne1
1Etablissement Public de Santé Ville Evrard, Neuilly sur Marne, France.
Caring for a family member with mental illness significantly impacts caregivers, leading to higher burden and depression, especially for women and during a patient's first hospitalization. Interventions like psychoeducation are crucial for supporting these family members.
Area of Science:
- Mental Health Research
- Caregiver Support Studies
- Psychiatric Nursing
Background:
- Caregiver burden from mental illness is often underestimated by healthcare professionals.
- Family members experience significant distress, reduced quality of life, and premature aging due to caregiving responsibilities.
Purpose of the Study:
- To assess the impact of psychiatric hospitalization on caregivers' suffering, burden, and quality of life.
- To evaluate these impacts at admission, discharge, and three months post-discharge.
Main Methods:
- Systematized and individualized nursing interviews with 127 family caregivers.
- Utilized validated scales: Short-Form Health Survey, Zarit Burden Interview, and Center for Epidemiologic Studies Depression scale.
- Assessed caregivers of adult patients with first hospitalization within the last five years.
Main Results:
- Female caregivers and those admitting patients involuntarily reported higher burden and depression, with lower quality of life.
- Caregivers experienced heightened depressive symptoms and reduced quality of life during a patient's initial hospitalization.
- Burden levels decreased and quality of life improved over the three-month follow-up period.
Conclusions:
- Emphasizes the need for interventions like psychoeducation to mitigate caregiver distress.
- Suggests integrating caregiver support and burden assessment into clinical practice from the first hospitalization.
- Highlights the potential for early interventions to prevent mental and physical health issues in caregivers.
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