Caregivers' Burden and Mental Health of the Caregivers of β-Major Thalassemia Patients: Mediating Role of Religious Coping
DOI:
https://doi.org/10.61919/jhrr.v4i2.831Keywords:
caregiver burden, religious coping, psychological well-being, psychological distress, thalassemia, SEM analysis, mental health outcomes, caregiver supportAbstract
Background: Caregiver burden among those caring for patients with thalassemia major in Pakistan poses significant psychological challenges. The role of religious coping mechanisms in alleviating psychological distress and enhancing well-being among caregivers has been highlighted in prior research, suggesting a complex interplay between caregiver strain, coping strategies, and mental health outcomes.
Objective: This study aims to investigate the relationships between caregiver burden, positive religious coping, and mental health outcomes, specifically psychological well-being and distress, among caregivers of thalassemia patients in the Twin cities of Islamabad and Rawalpindi.
Methods: Employing a cross-sectional design, the study included 180 caregivers of thalassemia patients, recruited through non-probability purposive sampling from major thalassemia centers and hospitals in Islamabad and Rawalpindi. Data were collected using the Zarit Caregiver’s Burden Scale, the Brief Religious Coping Scale, and the Mental Health Inventory. Structural Equation Modeling (SEM) was utilized to analyze the data, using SPSS and AMOS software, with a focus on the mediating role of positive religious coping between caregiver burden and mental health outcomes.
Results: The analysis revealed that caregiver burden significantly predicted the use of positive religious coping (β = .32, p < .001) and was negatively associated with psychological well-being (β = -.33, p < .001) while positively associated with psychological distress (β = .23, p < .01). Positive religious coping positively influenced psychological well-being (β = .28, p < .01) and negatively influenced psychological distress (β = -.21, p < .05). The model explained 38.2% of the variance in psychological well-being and 34.1% in psychological distress.
Conclusion: The findings underscore the significant impact of caregiver burden on the mental health of caregivers, with positive religious coping serving as a beneficial mediating factor. Enhancing positive religious coping among caregivers may be a viable intervention strategy to improve their mental health outcomes.
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Qurat-ul-Ain LA, Hassan M, Rana SM, Jabeen F. Prevalence of β-Thalassemic Patients Associated with Consanguinity and Anti-HCV-Antibody Positivity–A Cross Sectional Study. Pak J Zool. 2011 Mar 31;43(1):29-36.
Hafeez M, Aslam M, Ali A, Rashid Y, Jafri H. Regional and Ethnic Distribution of Beta Thalassemia Mutations and Effect of Consanguinity in Patients Referred for Prenatal Diagnosis. J Coll Physicians Surg Pak. 2007 Mar 1;17(3):144-7.
Azam F. 100,000 Pakistanis Suffering from Thalassemia. The Nation. 2009 May 5.
Khaliq S. Thalassemia in Pakistan. Hemoglobin. 2022 Jan 2;46(1):12-4.
Pouraboli B, Abedi H, Abbaszadeh A, Kazemi M. Silent Screams: Experiences of Caregiver Suffering by Parents of Children with Thalassemia: A Qualitative Study. J Qual Res Health Sci. 2014 Sep 1;3(3):281-91.
Alizadeh M, Chehrzad MM, Mirzaee M, Leyli EK. Caregiver Burden and Related Factors in Parents of Children with Thalassemia. J Adv Pharm Educ Res. 2019 Apr-Jun;9(S2).
Aziz AR, Mohammed SH, Aburaghif LF. Burden of Caregivers Care for Children with Thalassemia at Babylon Child and Maternity Teaching Hospital/Babylon Governorate/Iraq. IOSR J Nurs Health Sci. 2015;4:82-7.
Chong LT, Chong MC, Tang LY, Ramoo V, Chui PL, Hmwe NT. The Relationship Between Psychological Distress and Religious Practices and Coping in Malaysian Parents of Children with Thalassemia. J Pediatr Nurs. 2019 Sep 1;48:e15-20.
Arshi M, Gholami Jam F, Nazif A, Imani F. The Relationship Between Caregiving Burden and Family Function of Children with Cancer. Q J Soc Work. 2016 Mar 10;4(4):35-41.
Ali S, Sabih F, Jehan S, Anwar M, Javed S. Psychological Distress and Coping Strategies Among Parents of Beta-Thalassemia Major Patients. International Conference on Clean and Green Energy. 2012;27:124-8.
Atkin K, Ahmad WI. Family Care-Giving and Chronic Illness: How Parents Cope with a Child with a Sickle Cell Disorder or Thalassaemia. Health Soc Care Community. 2000 Jan;8(1):57-69.
Pinquart M, Sörensen S. Spouses, Adult Children, and Children-in-Law as Caregivers of Older Adults: A Meta-Analytic Comparison. Psychol Aging. 2011 Mar;26(1):1.
Khadiya RS, Oswal RM, Mangla PM, Patel KH. Depression, Anxiety and Burden of Care in Caregivers of Children with β-Thalassemia Major. IP Indian J Neurosci. 2023 Apr 25;9(1):23-8.
Sahu S, Agrawal A, Shrivastava J, Tonk S. Psychiatric Disorders and Caregiver Burden in Children with Transfusion Dependent β-Thalassemia and Their Caregivers. World J Clin Pediatr. 2023 Jun 6;12(3):125.
Xavier FT, Esperandio MR. Spirituality and Caregiver Burden of People with Intellectual Disabilities: An Empirical Study. Int J Lat Am Relig. 2023 Apr 11;1-9.
Hadapad L, Sajjan SB, Natekar DS. Quality of Life and Coping Strategies Among Parents of Children Admitted to Thalassemia Ward. Int J Med Pharm Sci. 2013 June;3(10):41-8.
Sen HE, Colucci L, Browne DT. Keeping the Faith: Religion, Positive Coping, and Mental Health of Caregivers During COVID-19. Front Psychol. 2022 Jan 20;12:805019.
Ahmadian B, Ramezani M, Badiee Z, Vaghee S. Coping Strategies in Patients with Beta-Thalassemia and Their Parents: A Systematic Review. Int J Pediatr. 2022 Mar 1;10(3):15682-94.
Septyana G, Mardhiyah A, Widianti E. The Mental Burden of Parents of Children with Thalassemia. J Pediatr Psychol. 2011 Mar 1;36(2):188-95.
Rashid MA, Muneeb SA, Manzoor MM, Fischer F. Religious Coping, Care Burden and Psychological Distress Among Informal Caregivers of COVID-19 Patients: Results of a Cross-Sectional Survey in Pakistan. Int J Soc Psychiatry. 2023 Mar 23:00207640231162277.
Anwar H, Zafar Z, Jahangir J, Khalid H, Wajid A, Khan S. Prevalence of Psychological Distress Among Mothers of β-Thalassemia Children in a Developing Country: Psychological Distress Among Mothers of β-Thalassemia Children. Pak J Health Sci. 2022 Dec 31;79-82.
Anum J, Dasti R. Caregiver Burden, Spirituality, and Psychological Well-Being of Parents Having Children with Thalassemia. J Relig Health. 2016 Jun;55:941-55.
Majid S, Abidi M. Quality of Life and Coping Styles of Care-Givers of Patients Suffering from Thalassemia Major. Int J Med Pharm Sci. 2013 June;3(10):41-8.
Chen MC, Chen KM, Chu TP. Caregiver Burden, Health Status, and Learned Resourcefulness of Older Caregivers. West J Nurs Res. 2015 Jun;37(6):767-80.
Huang SS, Lee MC, Liao YC, Wang WF, Lai TJ. Caregiver Burden Associated with Behavioral and Psychological Symptoms of Dementia (BPSD) in Taiwanese Elderly. Arch Gerontol Geriatr. 2012 Jul 1;55(1):55-9.
Calderon C, Gómez-López L, Martínez-Costa C, Borraz S, Moreno-Villares JM, Pedrón-Giner C. Feeling of Burden, Psychological Distress, and Anxiety Among Primary Caregivers of Children with Home Enteral Nutrition. J Pediatr Psychol. 2011 Mar 1;36(2):188-95.
Hebert RS, Dang Q, Schulz R. Religious Beliefs and Practices Are Associated with Better Mental Health in Family Caregivers of Patients with Dementia: Findings from the REACH Study. Am J Geriatr Psychiatry. 2007 Apr 1;15(4):292-300.
Bhandari K, Gazi E, Mandal BC, Saha TK. Anxiety and Depression Among Caregivers of the Children with Thalassemia, Attending at Thalassemia Control Unit of a Rural Tertiary Care Medical College, Darjeeling, West Bengal. Med J Babylon. 2022 Apr 1;19(2):238-43.
Rajput AH, Nadeem F, Kumar V. Depression, Anxiety, and Stress Among Primary Caregivers of Thalassemia Patients in Hyderabad. J Pak Psychiatric Soc. 2015 Oct 1;12(4).
Saffari M, Chen H. Mediating Effect of Spiritual Coping Strategies on Caregiving Burden and Mental Health in Caregivers of Iranian Patients with Dementia. Asian J Soc Health Behav. 2019 Oct 1;2(4):117-26.
Saffari M, Koenig HG, O’Garo KN, Pakpour AH. Mediating Effect of Spiritual Coping Strategies and Family Stigma Stress on Caregiving Burden and Mental Health in Caregivers of Persons with Dementia. Dementia. 2018 Sep 11:1471301218798082
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Copyright (c) 2024 Wajia Saba, Muhammad Faran, Javeria Sardar, Samra Ashraf
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