DEPRESSION AND ANXIETY IN PRIMARY CAREGIVERS OF PATIENTS WITH SUBSTANCE ABUSE
Main Article Content
Keywords
Depression, Anxiety, Caregivers, Substance Abuse, Pakistan, Mental Health.
Abstract
Introduction: Primary caregivers of people with substance abuse problems often suffer major psychological burdens, which can include depression and anxiety. Deepening the challenge is that in Pakistan, caregivers are stigmatized, face limited support, and experience emotional strain, all under the additional pressure of cultural expectations. Caregivers of substance users are being highlighted for the high rates of psychological distress, against a backdrop of societal pressure, with limited mental health services.
Objective: To study the commonness and intensity of depression and anxiety in those caring for patients with substance use disorders and discover factors related to their psychosocial health.
Materials and Method: A cross-sectional survey was carried out at Department of Psychiatry, Hayatabad Medical Complex Peshawar, Pakistan, from February, 2024 to July, 2024 and 150 caregivers took part. The PHQ-9 and GAD-7 tests measured how much the subjects were depressed or anxious. SPSS version 25 was used to analyze the information, and chi-square tests were performed to find relationships.
Results: Of 150 caregivers, 68% reported depression (27% mild, 25% moderate, 16% severe) and 60% experienced anxiety (21% mild, 24% moderate, 15% severe). Female gender, older age, low education, unemployment, prolonged caregiving, and cohabitation were linked to higher distress.
Conclusion: Caregivers face significant mental health challenges, necessitating targeted interventions like counseling and support programs.
References
2. Mufti, A.A., Khan, Z., Marri, M.U., Kamal, A., Gul, E.J.A.Z. and Tareen, Z.A.R.M.I.N.A., 2021. Depression in Primary Caregivers of Patients of Psychoactive Substance Use. Pakistan Journal of Medical and Health Sciences, 15(6), pp.1240-1242.
3. Marri, M.U., Khan, Z., Mufti, A.A., Tareen, Z., Kamal, A. and Gul, E., 2022. Primary Caregivers of Patients with Psychoactive Substance Use Often Suffer from Depression & Anxiety. Pakistan Journal of Medical & Health Sciences, 16(12), pp.292-292.
4. Idrees, M., Iqbal, H.I. and Gill, I.A., 2022. Frequency of Depression and its Severity Among Primary Caregivers of Psychoactive Substance use Patients. Pakistan Journal of Medical & Health Sciences, 16(04), pp.1174-1174.
5. Goit, B.K., Acharya, B., Khattri, J.B. and Sharma, R., 2021. Burden and quality of life among primary caregiver of alcohol dependence syndrome. Am J Psychiatry Neurosci, 9, pp.1-6.
6. Wassie, L.A., Azagew, A.W. and Bifftu, B.B., 2022. Depression and its associated factors among primary caregivers of adult cancer patients at Northwest Amhara Regional States Referrals Hospitals oncology treatment units, Northwest Ethiopia, 2021. BMC psychiatry, 22(1), p.533.
7. Tang, S., Li, L., Xue, H., Cao, S., Li, C., Han, K. and Wang, B., 2021. Caregiver burden and associated factors among primary caregivers of patients with ALS in home care: a cross-sectional survey study. BMJ open, 11(9), p.e050185.
8. Tsehay, M., Necho, M., Belete, A. and Srahbzu, M., 2022. Depression and anxiety and their associated factors among caregivers of children and adolescents with epilepsy in three selected hospitals in Amhara region, Ethiopia: a cross-sectional study. PloS one, 17(7), p.e0271885.
9. Mazza, M., Marano, G., Del Castillo, A.G., Chieffo, D., Monti, L., Janiri, D., Moccia, L. and Sani, G., 2021. Intimate partner violence: A loop of abuse, depression and victimization. World journal of psychiatry, 11(6), p.215.
10. Nigussie, K., Tesfaye, D., Bete, T. and Asfaw, H., 2023. Perceived stigma, common mental disorders and associated factors among primary caregivers of adult patients with mental illness attending at public hospitals, Harari regional state, Eastern Ethiopia: a multicenter cross-sectional study. Frontiers in Public Health, 11, p.1024228.
11. Goodridge, D., Reis, N., Neiser, J., Haubrich, T., Westberg, B., Erickson-Lumb, L., Storozinski, J., Gonzales, C., Michael, J., Cammer, A. and Osgood, N., 2021. An app-based mindfulness-based self-compassion program to support caregivers of people with dementia: participatory feasibility study. JMIR aging, 4(4), p.e28652.
12. Steinsheim, G., Malmedal, W., Follestad, T., Olsen, B. and Saga, S., 2023. Factors associated with subjective burden among informal caregivers of home-dwelling people with dementia: a cross-sectional study. BMC geriatrics, 23(1), p.644.
13. Zhou, Z., Wang, Y., Feng, P., Li, T., Tebes, J.K., Luan, R. and Yu, Y., 2021. Associations of caregiving knowledge and skills with caregiver burden, psychological well-being, and coping styles among primary family caregivers of people living with schizophrenia in China. Frontiers in psychiatry, 12, p.631420.
14. Taylor, C.B., Graham, A.K., Flatt, R.E., Waldherr, K. and Fitzsimmons-Craft, E.E., 2021. Current state of scientific evidence on Internet-based interventions for the treatment of depression, anxiety, eating disorders and substance abuse: an overview of systematic reviews and meta-analyses. European journal of public health, 31(Supplement_1), pp.i3-i10.