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International Journal of Social Psychiatry
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Extent and Determinants of Burden of Care in Indian Families: a Comparison Between Obsessive-Compulsive Disorder and Schizophrenia

Harish Kalra

Ballarat Health Services/Psychiatric Services, Ballarat, Australia

Anil Nischal

Department of Psychiatry, King George's Medical University, Lucknow, India

Jitendra Kumar Trivedi

Department of Psychiatry, King George's Medical University, Lucknow, India, jktrivedi{at}hotmail.com

Pronob Kumar Dalal

Department of Psychiatry, King George's Medical University, Lucknow, India

Pramod Kumar Sinha

Department of Psychiatry, King George's Medical University, Lucknow, India

Background: Limited data is available for family burden in anxiety disorders such as obsessive-compulsive disorder (OCD), particularly from the developing world where families are the primary source of support for patients.

Aim: To compare family burden in patients with OCD and schizophrenia in an Indian setting and to examine the influence of caregivers' demographics, patients' illness severity and disability on family burden.

Method: This comparative cross-sectional study assessed family burden in key relatives of patients with OCD (n = 50) and schizophrenia (n = 30) respectively.

Results: Indian families experience significant degrees of burden in the care of their relatives with OCD and schizophrenia. Key relatives' demographic characteristics did not influence burden severity. Illness severity and patients' disability had a direct positive relationship with perceived family burden.

Conclusion: Indian families of patients with OCD experience burden comparable to that of families of patients with schizophrenia. There is a need to develop local needs-based support programmes for families of patients with psychiatric disorders in India.

Key Words: burden • schizophrenia • obsessive-compulsive disorder

International Journal of Social Psychiatry, Vol. 55, No. 1, 28-38 (2009)
DOI: 10.1177/0020764008091438
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