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A comparison of the level of functioning in chronic schizophrenia with coping and burden in caregivers.

Creado DA, Parkar SR, Kamath RM - Indian J Psychiatry (2006)

Bottom Line: In India, few studies have attempted to directly determine the relationship between coping mechanisms and burden; in the West, studies have found that improved coping in family members can decrease the perceived burden.The use of problem-solving coping by caregivers showed a significant correlation with higher level of functioning in patients.Coping mechanisms such as problem-solving can decrease the burden of illness on caregivers and may even improve the level of functioning of patients.

View Article: PubMed Central - PubMed

Affiliation: Former Postgraduate Resident.

ABSTRACT

Background: A chronic mental illness such as schizophrenia is a challenging task for caregivers especially in the current era of de-institutionalization. In India, few studies have attempted to directly determine the relationship between coping mechanisms and burden; in the West, studies have found that improved coping in family members can decrease the perceived burden.

Aim: To evaluate the burden and coping of caregivers in relation to the level of functioning in patients with chronic schizophrenia.

Methods: The sample was 100 patients with their primary caregivers attending a Psychiatry OPD. Patients were assessed on the Global Assessment of Functioning (GAF) scale while caregivers were administered the Burden Assessment Schedule (BAS) and Mechanisms of Coping (MOC) scale.

Results: Fatalism and problem-solving were the two most preferred ways of coping. Problem-focused coping, i.e. problem-solving and expressive-action decreased the burden of caregivers, while emotion-focused coping, i.e. fatalism and passivity, increased it. As the level of functioning of the patient decreased, the significance with which the coping mechanisms influenced the burden, increased. The use of problem-solving coping by caregivers showed a significant correlation with higher level of functioning in patients.

Conclusion: Coping mechanisms such as problem-solving can decrease the burden of illness on caregivers and may even improve the level of functioning of patients.

No MeSH data available.


Related in: MedlinePlus

Patient distribution by the Global Assessment of Functioning (GAF) score
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Related In: Results  -  Collection

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Figure 0001: Patient distribution by the Global Assessment of Functioning (GAF) score

Mentions: In this study, the scores of the patients were distributed in four ranges; from 41-50 to 71-80 (Fig 1). On combining, the scores showed that


A comparison of the level of functioning in chronic schizophrenia with coping and burden in caregivers.

Creado DA, Parkar SR, Kamath RM - Indian J Psychiatry (2006)

Patient distribution by the Global Assessment of Functioning (GAF) score
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2913639&req=5

Figure 0001: Patient distribution by the Global Assessment of Functioning (GAF) score
Mentions: In this study, the scores of the patients were distributed in four ranges; from 41-50 to 71-80 (Fig 1). On combining, the scores showed that

Bottom Line: In India, few studies have attempted to directly determine the relationship between coping mechanisms and burden; in the West, studies have found that improved coping in family members can decrease the perceived burden.The use of problem-solving coping by caregivers showed a significant correlation with higher level of functioning in patients.Coping mechanisms such as problem-solving can decrease the burden of illness on caregivers and may even improve the level of functioning of patients.

View Article: PubMed Central - PubMed

Affiliation: Former Postgraduate Resident.

ABSTRACT

Background: A chronic mental illness such as schizophrenia is a challenging task for caregivers especially in the current era of de-institutionalization. In India, few studies have attempted to directly determine the relationship between coping mechanisms and burden; in the West, studies have found that improved coping in family members can decrease the perceived burden.

Aim: To evaluate the burden and coping of caregivers in relation to the level of functioning in patients with chronic schizophrenia.

Methods: The sample was 100 patients with their primary caregivers attending a Psychiatry OPD. Patients were assessed on the Global Assessment of Functioning (GAF) scale while caregivers were administered the Burden Assessment Schedule (BAS) and Mechanisms of Coping (MOC) scale.

Results: Fatalism and problem-solving were the two most preferred ways of coping. Problem-focused coping, i.e. problem-solving and expressive-action decreased the burden of caregivers, while emotion-focused coping, i.e. fatalism and passivity, increased it. As the level of functioning of the patient decreased, the significance with which the coping mechanisms influenced the burden, increased. The use of problem-solving coping by caregivers showed a significant correlation with higher level of functioning in patients.

Conclusion: Coping mechanisms such as problem-solving can decrease the burden of illness on caregivers and may even improve the level of functioning of patients.

No MeSH data available.


Related in: MedlinePlus