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Caregivers of individuals with schizophrenia

who are they and what are their challenges?

Kamil, Saher Hoda; Velligan, Dawn I.

Current Opinion in Psychiatry: May 2019 - Volume 32 - Issue 3 - p 157–163
doi: 10.1097/YCO.0000000000000492
SCHIZOPHRENIA AND RELATED DISORDERS: Edited by Lynn E. DeLisi and Iris E.C. Sommer

Purpose of review To better understand the overall burden of schizophrenia, we aimed to explore informal caregivers’ experiences by evaluating the current evidence on caregiver and patient characteristics, the type of care provided by caregivers, and the impacts of caregiving on caregivers’ lives.

Recent findings Caregivers provide direct care, assistance with activities of daily living, and emotional, social, and financial support to individuals with schizophrenia. Increased duration of illness and of care, severe or persistent schizophrenia symptoms, criticism of the care recipient, financial burden, and patient disability intensify caregiver burden. Caregivers of individuals with persistent symptoms often feel overwhelmed, stressed, drained, burdened, frustrated, or angry. Financial impacts of caregiving include treatment costs for care recipients, providing financial support, and lost productivity and income. Depression and anxiety are common health impacts for caregivers, who also have increased physical healthcare resource use relative to healthy controls. Caregiver burden is reduced by formal support programs to improve caregivers’ stress management and coping skills and informal sources of social support.

Summary Targeted efforts to improve access to care and provide additional support for caregivers are needed to alleviate caregiver burden and improve outcomes for individuals with schizophrenia.

Department of Psychiatry, University of Texas–San Antonio, San Antonio, Texas, USA

Correspondence to Dawn I. Velligan, PhD, Division of Community Recovery, Research and Training; Henry B. Dielmann Chair, Department of Psychiatry; 7703 Floyd Curl Drive, Mail Stop 7797, San Antonio, TX 78229-3900, USA. Tel: +1 210 567 5508; e-mail:

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