Quality of life and care burden among family caregivers of people with severe mental illness: mediating effects of self-esteem and psychological distress

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Cheng, W-L, Chang, C-C, Griffiths, MD ORCID: https://orcid.org/0000-0001-8880-6524, Yen, C-F, Liu, J-H, Su, J-A, Lin, C-Y and Pakpour, AH, 2022. Quality of life and care burden among family caregivers of people with severe mental illness: mediating effects of self-esteem and psychological distress. BMC Psychiatry, 22: 672. ISSN 1471-244X

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Official URL: https://doi.org/10.1186/s12888-022-04289-0

Abstract

Background: Family caregivers are important allies for healthcare providers in facilitating the recovery process among people with mental illness (PWMI). The present study examined the factors associated with quality of life (QoL) among family caregivers of PWMI.

Methods: A multi-center cross-sectional survey was conducted. Family caregivers of people with schizophrenia, major depressive disorder, and bipolar disorder were recruited using convenience sampling. A survey assessing their QoL, depression, anxiety, and self-esteem was completed with self-rated psychometric scales including the Rosenberg Self-Esteem Scale, Caregiver Burden Inventory, Taiwanese Depression Questionnaire, Beck Anxiety Inventory, and World Health Organization Quality of Life Instrument Short Form. A mediation model was constructed with QoL as the dependent variable, care burden as the independent variable, and psychological distress (including depression and anxiety) with self-esteem as mediating variables.

Results: Family caregivers of people with schizophrenia had worse QoL compared with counterparts of people with major depression and bipolar disorder. The sociodemographic of both caregivers and PWMI had less impact on QoL when psychological factors were considered. Caregivers with lower self-esteem, higher levels of psychological distress, and heavier care burdens had poorer QoL. Care burden had a significant total effect on QoL. Both self-esteem and psychological distress were significant mediators.

Conclusion The findings indicated that caregivers' psychological health and care burden influenced their QoL. Interventions that target family caregivers' self-esteem and psychological distress may attenuate the effect from care burden, and further improve their QoL.

Item Type:	Journal article
Publication Title:	BMC Psychiatry
Creators:	Cheng, W.-L., Chang, C.-C., Griffiths, M.D., Yen, C.-F., Liu, J.-H., Su, J.-A., Lin, C.-Y. and Pakpour, A.H.
Publisher:	Springer Science and Business Media LLC
Date:	31 October 2022
Volume:	22
ISSN:	1471-244X
Identifiers:	Number Type 10.1186/s12888-022-04289-0 DOI 1614386 Other
Rights:	© The Author(s) 2022 This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article' s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article' s to the data made available in this article, unless otherwise stated in a credit line to the data.
Divisions:	Schools > School of Social Sciences
Record created by:	Jeremy Silvester
Date Added:	03 Nov 2022 10:54
Last Modified:	03 Nov 2022 10:54
URI:	https://irep.ntu.ac.uk/id/eprint/47329