Predictors of family caregiving burden of persons with schizophrenia with and without transition of primary caregivers from 1994 to 2015 in rural China
Background Little is known about how sociodemographic and clinical factors affect the caregiving burden of persons with schizophrenia (PwSs) with transition in primary caregivers. Aims This study aimed to examine the predictive effects of sociodemographic and clinical factors on the caregiving burd...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-05-01
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| Series: | BJPsych Open |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S205647242200045X/type/journal_article |
| _version_ | 1811156932342317056 |
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| author | Man-Man Peng Zhiying Ma She-Ying Chen Wei Luo Shi-Hui Hu Xin Yang Bo Liu Cecilia Lai-Wan Chan Mao-Sheng Ran |
| author_facet | Man-Man Peng Zhiying Ma She-Ying Chen Wei Luo Shi-Hui Hu Xin Yang Bo Liu Cecilia Lai-Wan Chan Mao-Sheng Ran |
| author_sort | Man-Man Peng |
| collection | DOAJ |
| description | Background
Little is known about how sociodemographic and clinical factors affect the caregiving burden of persons with schizophrenia (PwSs) with transition in primary caregivers.
Aims
This study aimed to examine the predictive effects of sociodemographic and clinical factors on the caregiving burden of PwSs with and without caregiver transition from 1994 to 2015 in rural China.
Method
Using panel data, 206 dyads of PwSs and their primary caregivers were investigated in both 1994 and 2015. The generalised linear model approach was used to examine the predictive effects of sociodemographic factors, severity of symptoms and changes in social functioning on the caregiving burden with and without caregiver transition.
Results
The percentages of families with and without caregiver transition were 38.8% and 61.2%, respectively. Among families without caregiver transition, a heavier burden was significantly related to a larger family size and more severe symptoms in PwSs. Deteriorated functioning of ‘social activities outside the household’ and improved functioning of ‘activity in the household’ were protective factors against a heavy caregiving burden. Among families with caregiver transition, younger age, improved marital functioning, deteriorated self-care functioning, and better functioning of ‘social interest or concern’ were significant risk factors for caregiving burden.
Conclusions
The effects of sociodemographic and clinical correlates on the caregiving burden were different among families with and without caregiver transition. It is crucial to explore the caregiver arrangement of PwSs and the risk factors for burden over time, which will facilitate culture-specific family interventions, community-based mental health services and recovery.
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| first_indexed | 2024-04-10T04:58:18Z |
| format | Article |
| id | doaj.art-abb89c7033404b28ad3467026eb4ab3b |
| institution | Directory Open Access Journal |
| issn | 2056-4724 |
| language | English |
| last_indexed | 2024-04-10T04:58:18Z |
| publishDate | 2022-05-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Open |
| spelling | doaj.art-abb89c7033404b28ad3467026eb4ab3b2023-03-09T12:29:19ZengCambridge University PressBJPsych Open2056-47242022-05-01810.1192/bjo.2022.45Predictors of family caregiving burden of persons with schizophrenia with and without transition of primary caregivers from 1994 to 2015 in rural ChinaMan-Man Peng0Zhiying Ma1She-Ying Chen2Wei Luo3Shi-Hui Hu4Xin Yang5Bo Liu6Cecilia Lai-Wan Chan7Mao-Sheng Ran8https://orcid.org/0000-0001-7343-3729Institute of Advanced Studies in Humanities and Social Sciences, Beijing Normal University at Zhuhai, Zhuhai, ChinaCrown Family School of Social Work, Policy, and Practice, The University of Chicago, Chicago, Illinois, USACenter for Social Work Study, Institute on Chinese Culture, Health and Public Welfare, Tsinghua University, ChinaXinjin Second People's Hospital, Xinjin, Chengdu, Sichuan, ChinaChengdu Mental Health Center, Chengdu, Sichuan, ChinaGuangyuan Mental Health Center, Guangyuan, Sichuan, ChinaJingzhou Mental Health Center, Jingzhou, Hubei, ChinaDepartment of Social Work and Social Administration, University of Hong Kong, Hong Kong SAR, ChinaDepartment of Social Work and Social Administration, University of Hong Kong, Hong Kong SAR; and Mental Health Center, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaBackground Little is known about how sociodemographic and clinical factors affect the caregiving burden of persons with schizophrenia (PwSs) with transition in primary caregivers. Aims This study aimed to examine the predictive effects of sociodemographic and clinical factors on the caregiving burden of PwSs with and without caregiver transition from 1994 to 2015 in rural China. Method Using panel data, 206 dyads of PwSs and their primary caregivers were investigated in both 1994 and 2015. The generalised linear model approach was used to examine the predictive effects of sociodemographic factors, severity of symptoms and changes in social functioning on the caregiving burden with and without caregiver transition. Results The percentages of families with and without caregiver transition were 38.8% and 61.2%, respectively. Among families without caregiver transition, a heavier burden was significantly related to a larger family size and more severe symptoms in PwSs. Deteriorated functioning of ‘social activities outside the household’ and improved functioning of ‘activity in the household’ were protective factors against a heavy caregiving burden. Among families with caregiver transition, younger age, improved marital functioning, deteriorated self-care functioning, and better functioning of ‘social interest or concern’ were significant risk factors for caregiving burden. Conclusions The effects of sociodemographic and clinical correlates on the caregiving burden were different among families with and without caregiver transition. It is crucial to explore the caregiver arrangement of PwSs and the risk factors for burden over time, which will facilitate culture-specific family interventions, community-based mental health services and recovery. https://www.cambridge.org/core/product/identifier/S205647242200045X/type/journal_articleSchizophreniaprimary caregiverssocial functioningcaregiving burdenlong-term care |
| spellingShingle | Man-Man Peng Zhiying Ma She-Ying Chen Wei Luo Shi-Hui Hu Xin Yang Bo Liu Cecilia Lai-Wan Chan Mao-Sheng Ran Predictors of family caregiving burden of persons with schizophrenia with and without transition of primary caregivers from 1994 to 2015 in rural China BJPsych Open Schizophrenia primary caregivers social functioning caregiving burden long-term care |
| title | Predictors of family caregiving burden of persons with schizophrenia with and without transition of primary caregivers from 1994 to 2015 in rural China |
| title_full | Predictors of family caregiving burden of persons with schizophrenia with and without transition of primary caregivers from 1994 to 2015 in rural China |
| title_fullStr | Predictors of family caregiving burden of persons with schizophrenia with and without transition of primary caregivers from 1994 to 2015 in rural China |
| title_full_unstemmed | Predictors of family caregiving burden of persons with schizophrenia with and without transition of primary caregivers from 1994 to 2015 in rural China |
| title_short | Predictors of family caregiving burden of persons with schizophrenia with and without transition of primary caregivers from 1994 to 2015 in rural China |
| title_sort | predictors of family caregiving burden of persons with schizophrenia with and without transition of primary caregivers from 1994 to 2015 in rural china |
| topic | Schizophrenia primary caregivers social functioning caregiving burden long-term care |
| url | https://www.cambridge.org/core/product/identifier/S205647242200045X/type/journal_article |
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