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Burden and Expressed Emotion in Caregivers of Bipolar Affective Disorder-Mania: A Cross-Sectional Study

  • Arun Kumar Yadav
  • Seema Parija
  • Jyoti Yadav
  • Ashok Kumar Patel
  • Prashant Mishra
Original Article

Abstract

There is a paucity of literature on caregiver burden and expressed emotion among persons with bipolar affective disorder and its correlates in Indian settings. Data was collected from outpatient department of psychiatry, Institute of Mental Health and Hospital, Agra, regarding socio-demographic characteristics (e.g. age, gender, domicile), followed by Burden Assessment Scale (BAS), Family emotional involvement and criticism scale, and young mania rating scale from patients of bipolar affective disorder in manic episode and their caregivers. Descriptive statistics like mean, standard deviation and unpaired “t” test was applied for continuous data and Chi square for categorical data. Spearman correlation was used to find the correlation. The mean age of patients with mania and their caregivers were 35.9 (SD = 9.8) and 43.5 (SD = 12.9) respectively. The mean total BAS score was 76.7 (12.3), which reflect a significant amount of caregiver burden. Age of the caregivers was positively correlated with total BAS scale respectively. Marital status of caregivers was negatively correlated with external support (− 0.6, p < 0.05). Education of caregivers was negatively correlated with Physical and mental (− 0.5, p < 0.05) and other relation (− 0.5, p < 0.05). Occupation of the caregivers was positively related to taking responsibility (0.5, p < 0.05). The presence of significant amount of burden of care and expressed emotion in patients with bipolar affective disorder in manic episode point out to the need for psychosocial support to the family.

Keywords

Bipolar affective disorder Caregiver burden Expressed emotion 

References

  1. 1.
    Chadda RK. Caring for the family caregivers of persons with mental illness. Indian J Psychiatry. 2014;56(3):221–7.CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Cousineau N, McDowell I, Hotz S, Hébert P. Measuring chronic patients’ feelings of being a burden to their caregivers: development and preliminary validation of a scale. Med Care. 2003;41(1):110–8.CrossRefPubMedGoogle Scholar
  3. 3.
    Brown GW, Birley JL, Wing JK. Influence of family life on the course of schizophrenic disorders: a replication. Br J Psychiatry J Ment Sci. 1972;121(562):241–58.CrossRefGoogle Scholar
  4. 4.
    Reinares M, Vieta E, Colom F, Martínez-Arán A, Torrent C, Comes M, et al. Impact of a psychoeducational family intervention on caregiversof stabilized bipolar patients. Psychother Psychosom. 2004;73(5):312–9.CrossRefPubMedGoogle Scholar
  5. 5.
    Thara R, Padmavati R, Kumar S, Srinivasan L. Instrument to assess burden on caregivers of chronic mentally ill. Indian J Psychiatry. 1998;40(1):21–9.PubMedPubMedCentralGoogle Scholar
  6. 6.
    Rammohan A, Rao K, Subbakrishna DK. Burden and coping in caregivers of persons with schizophrenia. Indian J Psychiatry. 2002;44(3):220–7.PubMedPubMedCentralGoogle Scholar
  7. 7.
    Chadda RK, Singh TB, Ganguly KK. Caregiver burden and coping: a prospective study of relationship between burden and coping in caregivers of patients with schizophrenia and bipolar affective disorder. Soc Psychiatry Psychiatr Epidemiol. 2007;42(11):923–30.CrossRefPubMedGoogle Scholar
  8. 8.
    Ganguly KK, Chadda RK, Singh TB. Caregiver Burden and coping in schizophrenia and bipolar disorder: a qualitative study. Am J Psychiatr Rehabil. 2010;13(2):126–42.CrossRefGoogle Scholar
  9. 9.
    Shields CG, Franks P, Harp JJ, Campbell TL, McDaniel SH. Family emotional involvement and criticism scale (FEICS): II. Reliability and validity studies. Fam Syst Med. 1994;12(4):361–77.CrossRefGoogle Scholar
  10. 10.
    Koujalgi SR, Nayak RB, Patil NM, Chate SS. Expressed emotions in patients with obsessive compulsive disorder: a case control study. Indian J Psychol Med. 2014;36(2):138–41.CrossRefPubMedPubMedCentralGoogle Scholar
  11. 11.
    Devaramane V, Pai NB, Vella S-L. The effect of a brief family intervention on primary carer’s functioning and their schizophrenic relatives levels of psychopathology in India. Asian J Psychiatry. 2011;4(3):183–7.CrossRefGoogle Scholar
  12. 12.
    Young RC, Biggs JT, Ziegler VE, Meyer DA. A rating scale for mania: reliability, validity and sensitivity. Br J Psychiatry J Ment Sci. 1978;133:429–35.CrossRefGoogle Scholar
  13. 13.
    Fujino N, Okamura H. Factors affecting the sense of burden felt by family members caring for patients with mental illness. Arch Psychiatr Nurs. 2009;23(2):128–37.CrossRefPubMedGoogle Scholar
  14. 14.
    Yusuf AJ, Nuhu FT, Akinbiyi A. Caregiver burden among relatives of patients with schizophrenia in Katsina, Nigeria. South Afr J Psychiatry. 2009 Jan 1 [cited 2017 Jan 23];15(2). http://www.ajol.info/index.php/sajpsyc/article/view/50426.
  15. 15.
    Jungbauer J, Angermeyer MC. Living with a schizophrenic patient: a comparative study of burden as it affects parents and spouses. Psychiatry. 2002;65(2):110–23.CrossRefPubMedGoogle Scholar
  16. 16.
    Leff J, Sartorius N, Jablensky A, Korten A, Ernberg G. The international pilot study of schizophrenia: five-year follow-up findings. Psychol Med. 1992;22(1):131–45.CrossRefPubMedGoogle Scholar
  17. 17.
    de Silva D, de Silva S. A preliminary study of the impact of long-term psychotic disorder on patients’ families. Ceylon Med J. 2001;46(4):121–3.CrossRefPubMedGoogle Scholar
  18. 18.
    Bauer R, Gottfriedsen G-U, Binder H, Dobmeier M, Cording C, Hajak G, et al. Burden of caregivers of patients with bipolar affective disorders. Am J Orthopsychiatry. 2011;81(1):139–48.CrossRefPubMedGoogle Scholar
  19. 19.
    Reinares M, Vieta E, Colom F, Martínez-Arán A, Torrent C, Comes M, et al. What really matters to bipolar patients’ caregivers: sources of family burden. J Affect Disord. 2006;94(1–3):157–63.CrossRefPubMedGoogle Scholar
  20. 20.
    Chakrabarti S, Kulhara P, Verma SK. Extent and determinants of burden among families of patients with affective disorders. Acta Psychiatr Scand. 1992;86(3):247–52.CrossRefPubMedGoogle Scholar
  21. 21.
    Dore G, Romans SE. Impact of bipolar affective disorder on family and partners. J Affect Disord. 2001;67(1–3):147–58.CrossRefPubMedGoogle Scholar
  22. 22.
    Perlick D, Clarkin JF, Sirey J, Raue P, Greenfield S, Struening E, et al. Burden experienced by care-givers of persons with bipolar affective disorder. Br J Psychiatry J Ment Sci. 1999;175:56–62.CrossRefGoogle Scholar
  23. 23.
    Ostacher MJ, Nierenberg AA, Iosifescu DV, Eidelman P, Lund HG, Ametrano RM, et al. Correlates of subjective and objective burden among caregivers of patients with bipolar disorder. Acta Psychiatr Scand. 2008;118(1):49–56.CrossRefPubMedGoogle Scholar
  24. 24.
    Brown GW. The discovery of expressed emotion: Induction or deduction? In: Leff J, Vaughn C, editors. Expressed emotion in families. New York: Guilford Press; 1985. p. 7–25.Google Scholar

Copyright information

© Springer (India) Private Ltd., part of Springer Nature 2018

Authors and Affiliations

  • Arun Kumar Yadav
    • 1
  • Seema Parija
    • 2
    • 3
  • Jyoti Yadav
    • 4
  • Ashok Kumar Patel
    • 5
  • Prashant Mishra
    • 6
  1. 1.AFMCPuneIndia
  2. 2.Kalinga Institute of Medical SciencesBhubaneswarIndia
  3. 3.IMHHAgraIndia
  4. 4.JGHNew DelhiIndia
  5. 5.AIIMSNew DelhiIndia
  6. 6.ACMSNew DelhiIndia

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