OBJECTIVE: Persons who provide care for individuals with chronic mental
illness experience both objective burden (observable, tangible cost) and
subjective (perceived) burden. This study sought to determine the relative
power of behaviors of chronic mentally ill clients, behaviors required of
caregivers, and demographic characteristics of both groups in predicting
burden. METHODS: A total of 189 caregiver-client dyads were studied using a
cross-sectional, correlational design. Caregivers were interviewed by phone
about clients' needs for help in nine areas and about seven potentially
troublesome client behaviors. Correlation and regression analyses were used
to determine relationships among variables. RESULTS: Caregivers reported
much less subjective than objective burden, although the relationship
between the two types of burden was not consistent across the various areas
in which clients needed help. Overall, more of the reported burden was
related to caregivers' behaviors (their day-to-day tasks) than to clients'
behaviors. Burden was greatly increased for caregivers who lived with the
client. Caregivers most at risk for burden were those who lived with male
clients who threatened suicide. CONCLUSIONS: Caregivers become accustomed
to the stabilized behavioral profile of the client. Mental health
professionals should be sensitive to profiles and situations that may
produce increased objective and subjective caregiver burden.
Abstract Teaser