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Title: Family burden related to mental and physical disorders in the world: results from the WHO World Mental Health (WMH) surveys.
Author: Viana, Maria Carmen
Gruber, Michael J.
Shahly, Victoria
Alhamzawi, Ali
Alonso, Jordi
Andrade, Laura H.
Angermeyer, Matthias C.
Benjet, Corina
Bruffaerts, Ronny
Caldas-de-Almeida, José Miguel
Girolamo, Giovanni de
Jonge, Peter de
Ferry, Finola
Florescu, Silvia
Gureje, Oye
Haro Abad, Josep Maria
Hinkov, Hristo
Hu, Chiyi
Karam, Elie G.
Lépine, Jean Pierre
Levinson, Daphna
Posada-Villa, José
Sampson, Nancy A.
Kessler, Ronald C.
Keywords: Malalties mentals
Salut pública
Salut mundial
Mental illness
Public health
World health
Issue Date: 1-Apr-2013
Publisher: Associação Brasileira de Psiquiatria
Abstract: OBJECTIVE: To assess prevalence and correlates of family caregiver burdens associated with mental and physical conditions worldwide. METHODS: Cross-sectional community surveys asked 43,732 adults residing in 19 countries of the WHO World Mental Health (WMH) Surveys about chronic physical and mental health conditions of first-degree relatives and associated objective (time, financial) and subjective (distress, embarrassment) burdens. Magnitudes and associations of burden are examined by kinship status and family health problem; population-level estimates are provided. RESULTS: Among the 18.9-40.3% of respondents in high, upper-middle, and low/lower-middle income countries with first-degree relatives having serious health problems, 39.0-39.6% reported burden. Among those, 22.9-31.1% devoted time, 10.6-18.8% had financial burden, 23.3-27.1% reported psychological distress, and 6.0-17.2% embarrassment. Mean caregiving hours/week was 12.9-16.5 (83.7-147.9 hours/week/100 people aged 18+). Mean financial burden was 15.1% of median family income in high, 32.2% in upper-middle, and 44.1% in low/lower-middle income countries. A higher burden was reported by women than men, and for care of parents, spouses, and children than siblings. CONCLUSIONS: The uncompensated labor of family caregivers is associated with substantial objective and subjective burden worldwide. Given the growing public health importance of the family caregiving system, it is vital to develop effective interventions that support family caregivers.
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It is part of: Revista Brasileira de Psiquiatria, 2013, vol. 35, num. 2, p. 115-125
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ISSN: 1516-4446
Appears in Collections:Articles publicats en revistes (Psicologia Clínica i Psicobiologia)

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