Burden of Caring for Persons with Schizophrenia: A Cross-sectional Study from Two Tertiary Hospitals in South-South Nigeria
Jombo, Henry Effiong *
Department of Psychiatry, Faculty of Clinical Sciences, College of Health Sciences, University of Uyo, Akwa Ibom State, Nigeria.
Iyanam Victory Edet
Department of Family Medicine, Faculty of Clinical Sciences, University of Uyo, Akwa Ibom State, Nigeria.
Idung Alphonsus Udo
Department of Family Medicine, Faculty of Clinical Sciences, University of Uyo, Akwa Ibom State, Nigeria.
Ubi Idongesit Ayemo
University of Uyo Teaching Hospital, Uyo, Akwa Ibom State, Nigeria.
Ogundipe Seyi Sunday
University of Uyo Teaching Hospital, Uyo, Akwa Ibom State, Nigeria.
*Author to whom correspondence should be addressed.
Abstract
Background: Schizophrenia can cause increased psychological distress and burden of care on care givers and family members who often play a vital role as caregivers in the long term management of these individuals.
Aims: This study was conducted to determine the prevalence of burden of caring for persons with schizophrenia and identify factors associate with it.
Methods: This was a cross-sectional study conducted on a sample of primary care givers of out-patients with schizophrenia. One hundred and thirty eight participants were enrolled into the studies from March to June 2025. Burden of care was assessed on the basis of participants’ self report. Socio-demographic and other independent variables were collected and compared on the basis of Burden of care. Logistic regression analysis was done to determine predictors of burden of caring for person with schizophrenia.
Results: The mean age of participants was 40.11±9.03, and 76.1% of participants were females. The prevalence of burden of care among primary caregivers was 55.8%. Factors related to burden of caring were duration of illness (x2=7.9,P=.006) duration of care giving (x2=13.4,P<.001), frequency of contact with the ill person (x2=13.8,P<.001) By multivariate analysis, High psychological disdress scores (OR 4.67,P=.001) long duration of mental disorder (OR= 2.4, P=.05), available assistance in care giving (OR=0.036,P=.007) and high frequency of contact with the patient (OR=6.68, P= .006) were predictive of high levels of burden of care.
Conclusion: A high prevalence of burden of care was found amongst care givers of persons with schizophrenia in mental health services in south-south Nigeria. Interventional strategies are required to reduce the level of burden of care experienced by care givers of these patients.
Keywords: Schizophrenia, burden of care, caregiver, Nigeria