Prevalence and Factors associated with Caregiver Burden of Schizophrenia Patients in Don Mod Daeng District, Ubon Ratchathani Province
Keywords:
Schizophrenia, Caregivers, Caregiver burdenAbstract
This study aimed to study the prevalence and factors associated with caregiver burden among caregivers of patients with schizophrenia in Don Mod Daeng District, Ubon Ratchathani Province. This survey research by cross-sectional study collected data from 187 primary caregivers of patients with schizophrenia using proportionate stratified random sampling from health service units. The research instruments consisted of questionnaires on caregivers’ and patients’ general characteristics and the Thai version of the Zarit Burden Interview. Data were analyzed using descriptive statistics, Chi-square test or Fisher’s exact test, independent t-test or Mann–Whitney U test, and logistic regression analysis.
Results: The prevalence of caregiver burden among caregivers of patients with schizophrenia was 80.75%, with the majority experiencing a moderate level of burden (42.25%). Factors significantly associated with caregiver burden based on multiple logistic regression analysis included insufficient family income (Adjusted OR = 4.20, 95% CI: 1.13–15.55), alcohol consumption among caregivers (Adjusted OR = 12.55, 95% CI: 1.07–146.73), and absence of caregiving assistance (Adjusted OR = 4.41, 95% CI: 1.49–13.01).
References
Gunawan I, Huang XY, Restiana N, Rosnawanty R, Saryomo S, Falah M.(2023). Caregiver Burden of People with Schizophrenia: a concept analysis. South East Asia Nursing Research. 2023 Jun 25;5(2):12–22.
Rahmani F, Roshangar F, Gholizadeh L, Asghari E.(2022). Caregiver burden and the associated factors in the family caregivers of patients with schizophrenia. Nurs Open. 2022 Mar 28;9(4):1995–2002.
Lasebikan VO, Ayinde OO.(2013). Family Burden in Caregivers of Schizophrenia Patients: Prevalence and Socio-demographic Correlates. Indian J Psychol Med. 2013 Jan;35(1):60–6.
Arun R, Inbakamal S, Tharyan A, Premkumar PS.(2018). Spousal Caregiver Burden and Its Relation with Disability in Schizophrenia. Indian J Psychol Med. 2018;40(1):22–8.
Inogbo CF, Olotu SO, James BO, Nna EO.(2017). Burden of care amongst caregivers who are first degree relatives of patients with schizophrenia. Pan Afr Med J. 2017;28:284.
Yazici E, Karabulut Ü, Yildiz M, Baskan Tekeş S, Inan E, Çakir U, et al.(2016). Burden on Caregivers of Patients with Schizophrenia and Related Factors. Noro Psikiyatr Ars. 2016 Jun;53(2):96–101.
Sustrami D, Sri Suhardiningsih AV, Setyowati A, Fauk NK, Arifin H.(2024). Family caregiver burden in schizophrenia: A structural equation model of caregiver, patient, environmental, and family function factors. Jurnal Keperawatan Padjadjaran. 2024 Dec;12(3):261–9.
Shalahuddin I, Mahardiani F, Widianti E, Maulana I.(2025). Factors Related to the Caregiver Burden on Families Caring for Clients with Schizophrenia: Scoping Review. Psychol Res Behav Manag. 2025;18:1799–808.
จารุรินทร์ ปิตานุพงศ์, ชลทิชา เรืองวิริยะนันท์.(2019).ความรู้สึกเป็นภาระของผู้ดูแลผู้ป่วยโรคจิตเภทและปัจจัยที่เกี่ยวข้อง. วารสารสุขภาพจิตแห่งประเทศไทย [Internet]. [cited 2019 Jan 27]. Available from: https://he01.tci-thaijo.org/index.php/jmht/article/view/204111
Zarit SH, Todd PA, Zarit JM. Subjective burden of husbands and wives as caregivers: a longitudinal study. Gerontologist. 1986 Jun;26(3):260–6.
ชนัญชิดาดุษฎี ทูลศิริ, รัชนี สรรเสริญ, วรรณรัตน์ ลาวัง.(2011). การพัฒนาแบบวัดภาระในการดูแลของผู้ดูแลผู้ป่วยเรื้อรัง | วารสารการพยาบาลและการศึกษา [Internet]. [cited 2026 Jan 27]. Available from: https://he01.tci-thaijo.org/index.php/JNAE/article/view/1559
Jansai A, Bhatarasakoon P, Skulphan S, Suvanayos C.(2024). ปัจจัยทำนายภาระการดูแลในผู้ดูแลผู้ที่เป็นโรคจิตเภท. Journal of Phrapokklao Nursing College, Chanthaburi. 2024 Dec 29;35(2):26–39.
Ranjan LK, Gupta PR, Kiran M, Singh NK.(2022). Family Care Burden and its Association with Psychological Distress Among Caregivers of Chronic Patients with Schizophrenia. Journal of Public Health and Primary Care. 2022 Dec;3(3):81.
Leta FO, Genna KM, Ibirahim MK, Dechasa TD.(2025). Family caregiver burden and associated factors among caregivers of people with mental illness attending outpatient treatment in public hospital in Eastern Ethiopia, Ethiopia: hospital-based cross-sectional study. 2025 Oct 1 [cited 2026 Jan 30]; Available from: https://bmjopen.bmj.com/content/15/10/e098359
Tabassum TT, Rahman NAS, Hossain SMS, Abdullah F, Nawar LT, Lima FI, et al.(2023). Caregiving burden and associated factors among family caregivers of individuals with schizophrenia in Bangladesh: A cross-sectional study [Internet]. medRxiv; 2023 [cited 2026 Jan 30]. p. 2023.06.01.23290855. Available from: https://www.medrxiv.org/content/10.1101/2023.06.01.23290855v1
Goit BK, Acharya B, Khattri JB, Sharma R.(2021). Burden and Quality of Life Among Primary Caregiver of Alcohol Dependence Syndrome. Am J Psychiatry Neurosci. 2021 Jan;9(1):1–6.
Chien WT, Chan SWC, Morrissey J.(2007). The perceived burden among Chinese family caregivers of people with schizophrenia. J Clin Nurs. 2007 Jun;16(6):1151–61.

