Prevalence of Anxiety and Depression Among Informal Caregivers of Patients with Mental Disorders Attending Clinics at Mathari Teaching and Referral Hospital
DOI:
https://doi.org/10.53819/81018102t3118Abstract
Informal caregivers face considerable psychological pressures while visiting family to facilities such as Mathari National Teaching and Referral Hospital in Kenya. With an estimated 475,633 Kenyans suffering from serious mental illnesses that necessitate full-time caregiving, the mental health of this caregiver population goes mostly ignored. The purpose of this study was to determine the prevalence of anxiety and depression among informal caregivers of patients with mental disorders who attended clinics at Mathari Teaching and Referral Hospital. The study was based on the Caregivers Stress Process Theory, which states that caregiving becomes a burden when the care recipient is a relative with mental illness, with burden levels determined by background characteristics, primary and secondary stressors, and intrapsychic strains. A descriptive survey design was used, with informal caregivers accompanying patients to Mathari Hospital. Purposive sample generated 92 caregivers, with 80 completed surveys used in the analysis. The DASS-21 anxiety and depression scales, a sociodemographic questionnaire, the Zarit Burden Interview, and the Brief COPE Scale were all used to collect data. For descriptive and inferential statistics, data was analysed using SPSS version 25. The prevalence of depression was 32.4% mild, 18.8% moderate, and anxiety was 38.8% mild, 12.4% moderate, and 3.8% severe. There was no significant relationship between sociodemographic characteristics and psychological discomfort levels. Anxiety and sadness are common among informal caregivers at Mathari Hospital, underlining the urgent need for caregiver-focused mental health efforts. Mathari Hospital should conduct systematic caregiver mental health assessments and create tailored support programs for those in moderate to severe suffering.
Keywords: Anxiety, Depression, Informal Caregivers, Patients, Mental Disorders, Mathari Teaching and Referral Hospital
References
Ali, A. M., Alkhamees, A. A., Hori, H., Kim, Y., & Kunugi, H. (2021). The depression anxiety stress scale 21: development and validation of the depression anxiety stress scale 8-item in psychiatric patients and the general public for easier mental health measurement in a post COVID-19 world. International Journal of Environmental Research and Public Health, 18(19), 10142.
Clibbens, N., Berzins, K., & Baker, J. (2019). Caregivers’ experiences of service transitions in adult mental health: An integrative qualitative synthesis. Health & Social Care in the Community, 27(5), e535–e548. https://doi.org/10.1111/hsc.12796
Collins, R. N., & Kishita, N. (2019). Prevalence of depression and burden among informal care-givers of people with dementia: a meta-analysis. Ageing and Society, 1–38. https://doi.org/10.1017/s0144686x19000527
Cooper, C. L., & C, J. (2017). The handbook of stress and health : a guide to research and practice. Wiley Blackwell.
Given, B., Wyatt, G., Given, C., Sherwood, P., Gift, A., DeVoss, D., & Rahbar, M. (2004). Burden and depression among caregivers of patients with cancer at the end of life. Oncology Nursing Forum 31(6), 1105-1115.
Hirschfield, R. M. A. (2001). The Comorbidity of Major Depression and Anxiety Disorders. The Primary Care Companion to the Journal of Clinical Psychiatry, 03(06), 244–254. https://doi.org/10.4088/pcc.v03n0609
Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. Springer.
Mavundla, T. R., Toth, F., & Mphelane, M. L. (2009). Caregiver experience in mentalillness: A perspective from a rural community in South Africa. InternationalJournal of Mental Health Nursing, 18(5), 357–367.https://doi.org/10.1111/j.1447-0349.2009.00624
Minichil, W., Getinet, W., Derajew, H., & Seid, S. (2019). Depression and associated factors among primary caregivers of children and adolescents with mental illness in Addis Ababa, Ethiopia. BMC Psychiatry, 19(1). https://doi.org/10.1186/s12888-019-2228-y
Ministry of Health. (2015). Kenya Mental Health Policy. Retrieved from http://www.health.go.ke
Oshodi, Y., Adeyemi, J., Aina, O., Suleiman, T., Erinfolami, A., & Umeh, C. (2012). Burden and psychological effects: caregiver experiences in a psychiatric outpatient unit in Lagos, Nigeria. African Journal of Psychiatry, 15(2). https://doi.org/10.4314/ajpsy.v15i2.13
Pearlin, L. I., Menaghan, E. G., Lieberman, M. A., & Mullan, J. T. (1981). The Stress Process. Journal of Health and Social Behavior, 22(4), 337–356. JSTOR. https://doi.org/10.2307/2136676
Penning, M. J., & Wu, Z. (2015). Caregiver Stress and Mental Health: Impact of Caregiving Relationship and Gender. The Gerontologist, 56(6), 1102–1113. https://doi.org/10.1093/geront/gnv038
Rachamim, L., Nacasch, N., & Sinay, I. (2021). Complicated Grief, Depression, Health and Attachment Style in First Degree Relatives of Individuals with a Chronic Psychotic Disorders. Community Mental Health Journal. https://doi.org/10.1007/s10597-021-00848-z
Roth, D. L., Fredman, L., & Haley, W. E. (2015). Informal Caregiving and Its Impact on Health: A Reappraisal From Population-Based Studies. The Gerontologist, 55(2), 309–319. https://doi.org/10.1093/geront/gnu177
Schulz, R., & Eden, J. (2016, November 8). Family Caregiving Roles and Impacts. Nih.gov; National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK396398/
Sharma, N., Chakrabarti, S., & Grover, S. (2016). Gender differences in caregiving among family - caregivers of people with mental illnesses. World Journal of Psychiatry, 6(1), 7. https://doi.org/10.5498/wjp.v6.i1.7
Sintayehu, M., Mulat, H., Yohannis, Z., Adera, T., & Fekade, M. (2015). Prevalence of mental distress and associated factors among caregivers of patients with severe mental illness in the outpatient unit of Amanuel Hospital, Addis Ababa, Ethiopia, 2013: Cross-sectional study. Journal of Molecular Psychiatry, 3(1). https://doi.org/10.1186/s40303-015-0014-4
Udoh, E. E., Omorere, D. E., Sunday, O., Osasu, O. S., & Amoo, B. A. (2021). Psychological distress and burden of care among family caregivers of patients with mental illness in a neuropsychiatric outpatient clinic in Nigeria. PLOS ONE, 16(5), e0250309. https://doi.org/10.1371/journal.pone.0250309
Walke, S. C., Chandrasekaran, V., & Mayya, S. S. (2018). Caregiver Burden among Caregivers of Mentally Ill Individuals and Their Coping Mechanisms. Journal of Neurosciences in Rural Practice, 09(02), 180–185. https://doi.org/10.4103/jnrp.jnrp_312_17
Wan, K.-F., & Wong, M. M. C. (2019). Stress and burden faced by family caregivers of people with schizophrenia and early psychosis in Hong Kong. Internal Medicine Journal, 49, 9–15. https://doi.org/10.1111/imj.14166
Wilborn-Lee, B. (2015). The Effects of Stress and Burden on Caregivers of Individuals with a Chronic Illness. Walden Dissertations and Doctoral Studies. https://scholarworks.waldenu.edu/dissertations/1469
Yeh, P., & Chang, Y. (2014). Use of Zarit Burden Interview in analysis of family caregivers’ perception among Taiwanese caring with hospitalized relatives. International Journal of Nursing Practice, 21(5), 622–634. https://doi.org/10.1111/ijn.12333