Psychotic experiences among informal caregivers: findings from 48 low- and middle-income countries.
Por:
Koyanagi A, Hans Oh, DeVylder J, Shin JI, Kostev K, Smith L, Jacob L., López Sánchez GF, Abduljabbar AS and Haro JM
Publicada:
1 sep 2022
Ahead of Print:
26 may 2022
Resumen:
PURPOSE: Informal caregivers may be at high risk for psychotic experiences (PE) due to caregiving related stress, sleep issues, or other potential mechanisms, but this has not been previously investigated in the general adult population. Thus, we examined the association between caregiving and PE, and its mediators, in a large sample of adults from 48 low- and middle-income countries (LMICs). METHODS: Cross-sectional, community-based data from the World Health Organization (WHO) World Health Survey were analyzed. Informal caregivers referred to those who provided help to a relative or friend (adult or child) in the past year, because this person has a long-term physical or mental illness or disability, or is getting old and weak. PE were assessed using the WHO Composite International Diagnostic Interview psychosis screen. Multivariable logistic regression and mediation analyses were conducted. RESULTS: Data on 224,842 individuals were analyzed. The mean (SD) age was 38.3 (16.0) years (range 18-120 years) and 50.7% were females. After adjustment for age, sex, and country, in the overall sample, caregiving was associated with 1.67 (95%CI = 1.56-1.79) times higher odds for PE. Sleep/energy explained the largest proportion of the association between caregiving and PE (13.9%), followed by pain/discomfort (11.5%), perceived stress (7.6%), depression (6.2%), and cognition (3.5%). CONCLUSION: Caregivers in LMICs are at higher risk of PE. Future studies are warranted to gain a further understanding of the underlying mechanisms, and to assess whether addressing the identified mediators can lead to lower risk for PE among caregivers.
Filiaciones:
Koyanagi A:
Research and Development Unit, Parc Sanitari Sant Joan de Déu, ICSIII, CIBERSAM, Dr. Antoni Pujadas, 42, Sant Boi de Llobregat, Barcelona, Spain.
ICREA, Pg. Lluis Companys 23, Barcelona, Spain.
Hans Oh:
Suzanne Dworak Peck School of Social Work, University of Southern California, Los Angeles, CA, USA
DeVylder J:
Graduate School of Social Service, Fordham University, New York, NY, USA
Shin JI:
Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea
Kostev K:
Philipps University of Marburg, Marburg, Germany
Smith L:
Centre for Health, Performance and Wellbeing, Anglia Ruskin University, Cambridge, UK
Jacob L.:
Research and Development Unit, Parc Sanitari Sant Joan de Déu, ICSIII, CIBERSAM, Dr. Antoni Pujadas, 42, Sant Boi de Llobregat, Barcelona, Spain
Faculty of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Montigny-le-Bretonneux, France
López Sánchez GF:
Division of Preventive Medicine and Public Health, Department of Public Health Sciences, School of Medicine, University of Murcia, Murcia, Spain
Abduljabbar AS:
King Saud University, Riyadh, Saudi Arabia
Haro JM:
Research and Development Unit, Parc Sanitari Sant Joan de Déu, ICSIII, CIBERSAM, Dr. Antoni Pujadas, 42, Sant Boi de Llobregat, Barcelona, Spain
King Saud University, Riyadh, Saudi Arabia
Green Published, Bronze
|