Empathy and perceived burden in caregivers of patients with schizophrenia spectrum disorders.
Caregiver burden
Caregiver emotional empathy
Caregiving in schizophrenia spectrum disorder patients
Journal
BMC health services research
ISSN: 1472-6963
Titre abrégé: BMC Health Serv Res
Pays: England
ID NLM: 101088677
Informations de publication
Date de publication:
19 Mar 2021
19 Mar 2021
Historique:
received:
13
08
2020
accepted:
08
03
2021
entrez:
20
3
2021
pubmed:
21
3
2021
medline:
15
5
2021
Statut:
epublish
Résumé
Caregivers of patients load different kinds of burdens, including emotional distress. Aims of this study were to evaluate both burden and empathy of caregivers who assist patients with schizophrenia spectrum disorders. We selected a sample of 60 caregivers (34 women and 26 men), who assisted patients with schizophrenia spectrum disorders treated in our local Community Mental Health Center for a 1-year minimum period. We administered two scales to our sample, Zarit Burden Interview (ZBI) and Balanced Emotional Empathy Scale (BEES), and collected data of caregivers and their assisted patients in a 3-month period. Data were statistically analyzed. We reported a mean ZBI score of 49.68 (±15.03 SD) and a mean BEES score of 14.35 (±9.05 SD), indicating the perception of moderate-severe burden and low level of empathy, respectively. The analysis of internal consistency confirmed the good reliability of both ZBI (Cronbach's alpha = 0.90) and BEES (Cronbach's alpha = 0.77). The correlation between the two scales was not statistically significant at Spearman test. At our multiple linear regression, many variables of both caregiver and patient showed a significant correlation with the ZBI score. In particular, not living with the assisted patient and female gender of caregiver potentially decreased the burden, whereas clinical severity of assisted patient and two caregiver conditions, middle school education and spouse relationship with patient, could worsen the burden. We highlighted two positive statistically significant correlations between the total score of BEES and caregiver characteristics: being spouse and not living with assisted patient. Our study highlights that the caregiver burden of patients with severe psychiatric disorders is high and is associated with low emotional empathy experienced by caregivers, probably due to a defensive psychological mechanism. The conditions of spouse and cohabitation can concomitantly increase both empathy and burden in caregivers.
Sections du résumé
BACKGROUND
BACKGROUND
Caregivers of patients load different kinds of burdens, including emotional distress. Aims of this study were to evaluate both burden and empathy of caregivers who assist patients with schizophrenia spectrum disorders.
METHODS
METHODS
We selected a sample of 60 caregivers (34 women and 26 men), who assisted patients with schizophrenia spectrum disorders treated in our local Community Mental Health Center for a 1-year minimum period. We administered two scales to our sample, Zarit Burden Interview (ZBI) and Balanced Emotional Empathy Scale (BEES), and collected data of caregivers and their assisted patients in a 3-month period. Data were statistically analyzed.
RESULTS
RESULTS
We reported a mean ZBI score of 49.68 (±15.03 SD) and a mean BEES score of 14.35 (±9.05 SD), indicating the perception of moderate-severe burden and low level of empathy, respectively. The analysis of internal consistency confirmed the good reliability of both ZBI (Cronbach's alpha = 0.90) and BEES (Cronbach's alpha = 0.77). The correlation between the two scales was not statistically significant at Spearman test. At our multiple linear regression, many variables of both caregiver and patient showed a significant correlation with the ZBI score. In particular, not living with the assisted patient and female gender of caregiver potentially decreased the burden, whereas clinical severity of assisted patient and two caregiver conditions, middle school education and spouse relationship with patient, could worsen the burden. We highlighted two positive statistically significant correlations between the total score of BEES and caregiver characteristics: being spouse and not living with assisted patient.
CONCLUSIONS
CONCLUSIONS
Our study highlights that the caregiver burden of patients with severe psychiatric disorders is high and is associated with low emotional empathy experienced by caregivers, probably due to a defensive psychological mechanism. The conditions of spouse and cohabitation can concomitantly increase both empathy and burden in caregivers.
Identifiants
pubmed: 33740963
doi: 10.1186/s12913-021-06258-x
pii: 10.1186/s12913-021-06258-x
pmc: PMC7980555
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
250Références
Asian J Psychiatr. 2017 Apr;26:86-91
pubmed: 28483100
Psychiatr Serv. 2011 Aug;62(8):882-7
pubmed: 21807826
Gerontologist. 1980 Dec;20(6):649-55
pubmed: 7203086
Support Care Cancer. 2016 Feb;24(2):857-863
pubmed: 26201751
J Clin Nurs. 2015 Sep;24(17-18):2376-82
pubmed: 26095074
Rehabil Nurs. 2012 Sep-Oct;37(5):258-66
pubmed: 22949279
Iran J Psychiatry. 2015 Sep;10(4):239-45
pubmed: 27006669
Support Care Cancer. 2019 Feb;27(2):705-713
pubmed: 30382393
Soc Psychiatry Psychiatr Epidemiol. 2011 Jan;46(1):11-6
pubmed: 19907909
J Neurosci Nurs. 2010 Dec;42(6):302-11
pubmed: 21207768
J Clin Exp Neuropsychol. 2013;35(1):41-8
pubmed: 23157445
Aging Ment Health. 2018 Sep;22(9):1115-1123
pubmed: 28691861
Acta Biomed. 2015 Sep 09;86 Suppl 2:104-15
pubmed: 26629665
Dementia (London). 2016 Jul;15(4):467-80
pubmed: 24535820
Epidemiol Psychiatr Sci. 2020 May 22;29:e129
pubmed: 32438939
Curr Opin Psychiatry. 2009 Nov;22(6):594-600
pubmed: 19644373
Noro Psikiyatr Ars. 2016 Jun;53(2):96-101
pubmed: 28360779
Soc Psychiatry Psychiatr Epidemiol. 2019 Mar;54(3):277-290
pubmed: 30349961
Qual Life Res. 2020 Oct;29(10):2745-2757
pubmed: 32394137
Int J Soc Psychiatry. 2013 Feb;59(1):93-100
pubmed: 21971984
Br J Psychiatry. 2010 Nov;197(5):350-6
pubmed: 21037211
J Healthc Qual. 2000 Jul-Aug;22(4):24-30
pubmed: 11183251
Child Psychiatry Hum Dev. 2015 Oct;46(5):725-35
pubmed: 25307994
Int J Nurs Stud. 2012 Feb;49(2):220-9
pubmed: 21944564
J Adv Nurs. 2004 Sep;47(6):605-13
pubmed: 15324429
Indian J Psychol Med. 2013 Apr;35(2):135-40
pubmed: 24049223
Int J Nurs Sci. 2019 Mar 08;6(2):148-153
pubmed: 31406884
Health Soc Care Community. 2017 May;25(3):840-847
pubmed: 27412924
Psychol Res Behav Manag. 2016 Aug 16;9:211-8
pubmed: 27574475
Int J Soc Psychiatry. 2020 Aug;66(5):452-459
pubmed: 32323603
BMC Psychiatry. 2015 Jul 21;15:162
pubmed: 26194890
J Korean Acad Nurs. 2014 Feb;44(1):41-54
pubmed: 24637285
Clin Psychol Rev. 2015 Feb;35:56-66
pubmed: 25531423
BMC Health Serv Res. 2017 Dec 4;17(Suppl 2):697
pubmed: 29219074
Psychiatry Res. 2018 Sep;267:382-393
pubmed: 29960260
Psychiatry (Edgmont). 2007 Jul;4(7):28-37
pubmed: 20526405
Health Qual Life Outcomes. 2008 Nov 06;6:93
pubmed: 18990207
Aging Ment Health. 2019 Jun;23(6):706-710
pubmed: 29553806
J Clin Psychiatry. 2002 Oct;63(10):892-909
pubmed: 12416599
Int J Psychiatry Med. 2011;41(1):57-69
pubmed: 21495522
Acta Psychiatr Scand. 1999 Sep;100(3):167-75
pubmed: 10493082
Int Psychogeriatr. 2011 Jun;23(5):797-805
pubmed: 21205379
Indian J Psychiatry. 2010 Apr;52(2):113-26
pubmed: 20838498
Soc Psychiatry Psychiatr Epidemiol. 2005 Nov;40(11):899-904
pubmed: 16245190
Psychol Res Behav Manag. 2019 Jun 27;12:457-467
pubmed: 31417325
Eur Psychiatry. 2004 Nov;19(7):395-401
pubmed: 15504645
Br J Psychiatry. 2015 Aug;207(2):135-42
pubmed: 25999336
Mov Disord. 2007 May 15;22(7):924-31; quiz 1060
pubmed: 17238193
Behav Cogn Neurosci Rev. 2004 Jun;3(2):71-100
pubmed: 15537986
Neuropsychology. 2018 Jul;32(5):554-563
pubmed: 29952609
J Med Internet Res. 2015 Oct 30;17(10):e241
pubmed: 26519106
East Asian Arch Psychiatry. 2017 Jun;27(2):71-8
pubmed: 28652500
J Nerv Ment Dis. 2016 Sep;204(9):717-22
pubmed: 27570901
Asian J Psychiatr. 2014 Apr;8:94-8
pubmed: 24655636
BMC Psychiatry. 2017 Oct 25;17(1):353
pubmed: 29070012
Am J Psychiatry. 1992 Sep;149(9):1148-56
pubmed: 1386964
Cogn Neurodyn. 2013 Feb;7(1):13-21
pubmed: 24427187
Alzheimer Dis Assoc Disord. 2008 Oct-Dec;22(4):321-6
pubmed: 18978599
BMC Geriatr. 2016 Jan 29;16:32
pubmed: 26832354
Patient Relat Outcome Meas. 2014 Jun 23;5:43-62
pubmed: 25061342
Clin Ter. 2020 Nov-Dec;171(6):e549-e554
pubmed: 33151255
Int J Clin Health Psychol. 2019 Jan;19(1):12-21
pubmed: 30619493
Educ Health (Abingdon). 2004 Mar;17(1):73-84
pubmed: 15203476
J Clin Nurs. 2017 May;26(9-10):1291-1300
pubmed: 27681477
Pak J Med Sci. 2019 Sep-Oct;35(5):1329-1333
pubmed: 31489001
J Ment Health. 2017 Apr;26(2):134-141
pubmed: 28385096
Aust N Z J Psychiatry. 2010 Oct;44(10):929-37
pubmed: 20932207
Ann Agric Environ Med. 2018 Mar 14;25(1):50-55
pubmed: 29575877