Title: A Study of Assessment on Psychological Well-being among Spouses of Bipolar Disorder Patients
Authors: Dr Sathish Sankar PR, Dr Gandhi Babu R, Dr Aravindh M
DOI: https://dx.doi.org/10.18535/jmscr/v9i12.05
Abstract
Background: Bipolar affective disorder [BPAD] is characterised by recurrent episodes of hypomania, mania, euthymia and depression or a mixed state. This disabling illness causes significant degree of burden on the caregivers which further affect their psychological wellbeing. The aim of this descriptive study is to assess the psychological wellbeing among spouses of patients with bipolar affective disorder in a Psychiatry Outpatient Department at Rajah Muthiah Medical College and Hospital, Chidambaram.
Results: Male spouses have significantly higher scores in psychological well-being. The mean PGWBI among the male study participants was 70.43 ± 11.32 and the mean PGWBI among female was 60.26 ± 15.08. The mean PGWBI among male participants was more than that of the female participants and the difference was statistically significant (P value < 0.05). There was statistically significant different in mean PGWBI values among various duration of illness categories (P value < 0.05). The highest was in the more than 20 years category (76.50 ± 8.10) followed by less than or equal to 5 years category (72.11 ± 11.34).
Conclusion: Spouses in this study experienced significant burden and distress both subjectively and objectively. Female spouses experience significant caregiver burden compared to their male spouses.
Keywords: Bipolar disorder, spouses, psychological wellbeing.
References
- Anderson, I.M., Haddad, P.M., Scott, J., 2012. Bipolar disorder. BMJ: British Medical Journal345, e8508.
- American Psychiatric Association, 2013. Diagnostic and Statistical Manual of Mental Disorders: Fifth Edition. http://dsm.psychiatryonline.org/doi/book/ 10.1176/appi.books. 9780890425596
- Merikangas KR, Jin R, He JP, Kessler RC, Lee S, Sampson NAet al (2011) Prevalence and correlates of bipolar spectrum disorder in the world mental health survey initiative. Arch Gen Psychiatry 68(3):241–251
- India State-Level Disease Burden Initiative Mental Disorders Collaborators. The burden of mental disorders across the states of India: the Global Burden of Disease Study 1990-2017. Lancet Psychiatry. 2020 Feb;7(2):148-161. doi: 10.1016/S2215-0366(19)30475-4. Epub 2019 Dec 23. PMID: 31879245; PMCID: PMC7029418.
- A glossary of terms for Community health care and services: WHO Centre forhealth development: WHO:2005; 5.
- Amirkhanyan, A.A.,& wolf, D.A.caregiver stress and non-caregiver stress; Exploring the pathways of psychiatric morbidity.Gerontologist.2003;43,817-827.
- Ghannam, B.M., Hamdan-mansour, A.M., Al Abeiat, D.D., 2016. Burden among caregiverpsychological correlates of burden among Jordanian. Perspect. Psychiatric Care 1–8. https://doi.org/10.1111/ppc.12179.
- Williamson, G.M.,& Schulz, R. Coping with specific stressors in Alzheimer's Disease caregiving. The Geronotologist.1993;33, 747-755.
- Hawke, L.D., Parikh, S.V., Michalak, E.E., 2013. Stigma and bipolar disorder: a review of the literature. J. Affect. Disord. 150, 181-191.
- IsHak, W.W., Brown, K., Aye, S.S., Kahloon, M., Mobaraki, S., Hanna, R., 2012. Health-relatedquality of life in bipolar disorder. Bipolar disorders 14, 6-18.
- Michalak, E.E., Yatham, L.N., Maxwell, V., Hale, S., Lam, R.W., 2007. The impact of bipolardisorder upon work functioning: a qualitative analysis. Bipolar disorders 9,126-143.
- Bonnín CD, Reinares M, Martínez-Arán A, Jiménez E, Sánchez-Moreno J, Solé B, Montejo L, Vieta E. Improving functioning, quality of life, and well-being in patients with bipolar disorder. International Journal of Neuropsychopharmacology. 2019 Aug; 22(8):467-77.
- Zarate CA Jr, Tohen M, Land M, Cavanagh S (2000) Functional impairment and cognition in bipolar disorder. Psychiatr Q71:309–329.
- Gisella Rose (1996) .Effects of a health examination programme on qualityof life and subjective well-being Scand J Public Health June 1996 vol. 24no.2 124-131.