Mental health and caregiving experiences of family carers supporting people with psychosis

Sin, Jacqueline, Elkes, Jack, Batchelor, Rachel, Henderson, Claire, Gillard, Steve, Woodham, Luke A., Chen, Tao ORCID: https://orcid.org/0000-0002-5489-6450, Aden, Arli and Cornelius, Victoria (2021) 'Mental health and caregiving experiences of family carers supporting people with psychosis'. Epidemiology and Psychiatric Sciences, Vol 30, Issue e3.

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Abstract

Aims
Family carers supporting an individual with psychosis often experience poorer mental health, however, little is known about specific risk factors among these carers. We investigated the associations between demographic, caregiving characteristics and mental health outcomes in family carers supporting an individual with psychosis and compared carers' outcomes with general population norms.

Methods
We analysed baseline data from the COPe-support randomised controlled trial of online psychoeducation and peer support for adult carers supporting an individual with psychosis between 2018 and 2020. We collected carers' demographic and health outcome data, including wellbeing using Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS as primary outcome), quality of life using EQ-5D-5L and caregiving experience assessed with Experience of Caregiving Inventory. We tested associations between carers' demographic and caregiving characteristics for each outcome in turn and meta-analysed carers' WEMWBS and EQ-5D-5L with Health Survey England (HSE) general population data from 2016 and 2017, respectively.

Results
The 407 carers of people with psychosis had a mean WEMWBS score of 42.2 (s.d. 9.21) and their overall weighted pooled WEMWBS score was 7.3 (95% confidence interval (CI) −8.6 to −6.0, p < 0.01) lower than the HSE general population sample, indicating carers have poorer mental wellbeing by more than double the minimum clinically important difference of 3 points on WEMWBS. Among all caring relationships, partners had poorer wellbeing compared to parents with lower WEMWBS score (−6.8, −16.9 to 3.3, p = 0.03). Single carers had significantly poorer wellbeing (−3.6, −5.6 to −1.5, p < 0.01) and a more negative caregiving experience than those who were cohabiting. Spending more than 35 h per week caregiving increased carers' negative experience significantly (p = 0.01).

Conclusion
Carers of people with psychosis have poorer mental health than non-carers. Partners, lone carers and those spending more than 35 h per week on caring were found to be most at risk of poor mental health. Based on the results, we advocate that the details of carers for individuals with psychosis should be added to the existing carers or severe mental illness registers at all general practitioner surgeries and for their wellbeing screened routinely. Future large-scale prospective studies are needed to develop a predictive model to determine risk factors, hence to aid early identification of carers' support needs. Such understandings are also useful to inform tailored intervention development.

Item Type:	Article
Subjects:	WA Public Health > Health Problems of Special Population Groups > WA 305 Mental health of special population groups WM Psychiatry > WM 140 Mental disorders (General) WM Psychiatry > WM 20 Research (General)
Faculty: Department:	Clinical Sciences & International Health > Clinical Sciences Department
Digital Object Identifer (DOI):	https://doi.org/10.1017/S2045796020001067
Depositing User:	Christine Bradbury
Date Deposited:	19 Jan 2021 17:18
Last Modified:	19 Jan 2021 17:18
URI:	https://archive.lstmed.ac.uk/id/eprint/16699

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