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Erschienen in: Social Psychiatry and Psychiatric Epidemiology 1/2024

12.06.2023 | Review

Depression in caregivers of patients with schizophrenia: a scoping review

verfasst von: Femin Prasad, Margaret K. Hahn, Araba F. Chintoh, Gary Remington, George Foussias, Martin Rotenberg, Sri Mahavir Agarwal

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 1/2024

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Abstract

Purpose

Caregivers play a vitally important role in the lives of people with schizophrenia. However, their mental health can often be overlooked. In recent years, with increasing attention to mental health and wellness, common mental illness such as depression in caregivers of people with schizophrenia has received renewed attention. The purpose of this review was to consolidate and synthesize recent literature on (1) the prevalence of depression in caregivers of people with schizophrenia, (2) factors associated with depression in caregivers of people with schizophrenia, and (3) interventions that target depression in caregivers of people with schizophrenia.

Methods

A systematic search focusing on literature published between 2010 and 2022 was done to retrieve relevant articles from the following databases: Ovid MEDLINE, Ovid EMBASE, and Ovid Psych INFO.

Results

Twenty-four studies met inclusion criteria and were included in the review. Nine evaluated the prevalence of depression, 18 evaluated factors associated with depression in caregivers, and 6 examined interventions targeting depression. The prevalence of depression and depressive symptoms in samples of caregivers ranged between 12 and 40% across the studies. Females, especially mothers of people with schizophrenia, were more likely to experience depression, followed by younger caregivers. Several factors, including gender, interpersonal relationships, social support, stigma, literacy, and financial constraints, were identified as factors associated with depression in caregivers. Several interventions like yoga, emotional training, and psychoeducation were evaluated, and they showed a significant reduction in the level of depression and depressive symptoms experienced by the caregiver population.

Conclusions

Depression in caregivers in this clinical population may be widespread and warrants further study. There are promising interventions that can target depression in caregivers. Well-designed longitudinal studies may help identify caregivers at risk of developing depression and further inform targets for intervention.
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Literatur
1.
Zurück zum Zitat S. C. Reinhard, B. Given, N. H. Petlick, and A. Bemis, “Supporting Family Caregivers in Providing Care,” in Patient Safety and Quality: An Evidence-Based Handbook for Nurses, R. G. Hughes, Ed., in Advances in Patient Safety. Rockville (MD): Agency for Healthcare Research and Quality (US), 2008. [Online]. Available: http://www.ncbi.nlm.nih.gov/books/NBK2665/. Accessed 18 Mar 2022 S. C. Reinhard, B. Given, N. H. Petlick, and A. Bemis, “Supporting Family Caregivers in Providing Care,” in Patient Safety and Quality: An Evidence-Based Handbook for Nurses, R. G. Hughes, Ed., in Advances in Patient Safety. Rockville (MD): Agency for Healthcare Research and Quality (US), 2008. [Online]. Available: http://​www.​ncbi.​nlm.​nih.​gov/​books/​NBK2665/​. Accessed 18 Mar 2022
15.
Zurück zum Zitat M. Peters, C. Godfrey, H. Khalil, P. Mcinerney, C. Soares, D. Parker (2017) 2017 Guidance for the Conduct of JBI Scoping Reviews. M. Peters, C. Godfrey, H. Khalil, P. Mcinerney, C. Soares, D. Parker (2017) 2017 Guidance for the Conduct of JBI Scoping Reviews.
21.
Zurück zum Zitat Alipah B, Tutiiryani D, Ainsah O, Osman CB (2010) Depressive disorders and family functioning among the caregivers of patients with schizophrenia. East Asian Archives of Psychiatry 20(3):101–108 Alipah B, Tutiiryani D, Ainsah O, Osman CB (2010) Depressive disorders and family functioning among the caregivers of patients with schizophrenia. East Asian Archives of Psychiatry 20(3):101–108
23.
Zurück zum Zitat Magaña SM, García JIR, Hernández MG, Cortez R (2007) Psychological distress among latino family caregivers of adults with schizophrenia: the roles of burden and stigma. Psychiatr Serv 58(3):7CrossRef Magaña SM, García JIR, Hernández MG, Cortez R (2007) Psychological distress among latino family caregivers of adults with schizophrenia: the roles of burden and stigma. Psychiatr Serv 58(3):7CrossRef
26.
Zurück zum Zitat Rungwittayanuwat P, Phattharayuttawat S, Charoensak S (2018) Prevalence of depression and its associated factors among caregivers of patients with schizophrenia. J Med Assoc Thai 101(1):1 Rungwittayanuwat P, Phattharayuttawat S, Charoensak S (2018) Prevalence of depression and its associated factors among caregivers of patients with schizophrenia. J Med Assoc Thai 101(1):1
31.
Zurück zum Zitat Singh M, Sousa AD (2017) Factors affecting depression in caregivers of patients with schizophrenia. J Ment Health Hum Behav 17:8 Singh M, Sousa AD (2017) Factors affecting depression in caregivers of patients with schizophrenia. J Ment Health Hum Behav 17:8
33.
Zurück zum Zitat Osman CB, Alipah B, Tutiiryani MD, Ainsah O (2010) Depressive disorders and family functioning among the caregivers of patients with schizophrenia. East Asian Arch Psychiatry 20(3):101–108PubMed Osman CB, Alipah B, Tutiiryani MD, Ainsah O (2010) Depressive disorders and family functioning among the caregivers of patients with schizophrenia. East Asian Arch Psychiatry 20(3):101–108PubMed
34.
Zurück zum Zitat Gupta S, Van Impe K, Guillon P (2015) Caregiver burden associated with providing care for adults with schizophrenia in France. Eur Neuropsychopharmacol 25(SUPPL. 2):S536CrossRef Gupta S, Van Impe K, Guillon P (2015) Caregiver burden associated with providing care for adults with schizophrenia in France. Eur Neuropsychopharmacol 25(SUPPL. 2):S536CrossRef
39.
Zurück zum Zitat Yu Y et al (2018) Assessment of burden among family caregivers of schizophrenia: Psychometric testing for short-form Zarit Burden Interviews. Front Psychol 9:3375CrossRef Yu Y et al (2018) Assessment of burden among family caregivers of schizophrenia: Psychometric testing for short-form Zarit Burden Interviews. Front Psychol 9:3375CrossRef
40.
Zurück zum Zitat American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders: DSM-IV, 4th edn. American Psychiatric Association, Washington American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders: DSM-IV, 4th edn. American Psychiatric Association, Washington
56.
Zurück zum Zitat Behrouian M, Ramezani T, Dehghan M, Sabahi A, Ebrahimnejad Zarandi B (2020) The effect of emotion regulation training on stress, anxiety, and depression in family caregivers of patients with schizophrenia: a randomized controlled trial. Commun Ment Health J 56(6):1095–1102. https://doi.org/10.1007/s10597-020-00574-yCrossRef Behrouian M, Ramezani T, Dehghan M, Sabahi A, Ebrahimnejad Zarandi B (2020) The effect of emotion regulation training on stress, anxiety, and depression in family caregivers of patients with schizophrenia: a randomized controlled trial. Commun Ment Health J 56(6):1095–1102. https://​doi.​org/​10.​1007/​s10597-020-00574-yCrossRef
57.
Zurück zum Zitat de Oliveira AM et al (2019) An intervention to reduce neuropsychiatric symptoms and caregiver burden in dementia: preliminary results from a randomized trial of the tailored activity program–outpatient version. Int J Geriatr Psychiatry 34(9):1301–1307. https://doi.org/10.1002/gps.4958CrossRefPubMed de Oliveira AM et al (2019) An intervention to reduce neuropsychiatric symptoms and caregiver burden in dementia: preliminary results from a randomized trial of the tailored activity program–outpatient version. Int J Geriatr Psychiatry 34(9):1301–1307. https://​doi.​org/​10.​1002/​gps.​4958CrossRefPubMed
58.
Zurück zum Zitat Yilmaz CK, Aşiret GD, Çetinkaya F, OludaĞ G, Kapucu S (2019) Effect of progressive muscle relaxation on the caregiver burden and level of depression among caregivers of older patients with a stroke: a randomized controlled trial. Jpn J Nurs Sci 16(2):202–211. https://doi.org/10.1111/jjns.12234CrossRefPubMed Yilmaz CK, Aşiret GD, Çetinkaya F, OludaĞ G, Kapucu S (2019) Effect of progressive muscle relaxation on the caregiver burden and level of depression among caregivers of older patients with a stroke: a randomized controlled trial. Jpn J Nurs Sci 16(2):202–211. https://​doi.​org/​10.​1111/​jjns.​12234CrossRefPubMed
64.
Zurück zum Zitat A. P. Association (2013) Diagnostic and Statistical Manual of Mental Disorders (DSM-5®). American Psychiatric Pub A. P. Association (2013) Diagnostic and Statistical Manual of Mental Disorders (DSM-5®). American Psychiatric Pub
74.
Zurück zum Zitat van Wijngaarden B et al (2000) Caregiving in schizophrenia: development, internal consistency and reliability of the Involvement evaluation questionnaire-European version. EPSILON study 4. European psychiatric services: inputs linked to outcome domains and needs. Br J Psychiatry Suppl 117(39):s21-27. https://doi.org/10.1192/bjp.177.39.s21CrossRef van Wijngaarden B et al (2000) Caregiving in schizophrenia: development, internal consistency and reliability of the Involvement evaluation questionnaire-European version. EPSILON study 4. European psychiatric services: inputs linked to outcome domains and needs. Br J Psychiatry Suppl 117(39):s21-27. https://​doi.​org/​10.​1192/​bjp.​177.​39.​s21CrossRef
Metadaten
Titel
Depression in caregivers of patients with schizophrenia: a scoping review
verfasst von
Femin Prasad
Margaret K. Hahn
Araba F. Chintoh
Gary Remington
George Foussias
Martin Rotenberg
Sri Mahavir Agarwal
Publikationsdatum
12.06.2023
Verlag
Springer Berlin Heidelberg
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 1/2024
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-023-02504-1

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