Caring For Older Caregivers: Managing Depressive Symptoms and Stress among Family Caregivers of Persons with Severe Mental Illnesses (PwSMI)

Caring for Older Family Caregivers

Abstract

The global rise in mental health issues, with approximately 970 million people affected, has contributed to a significant burden on caregivers, particularly those supporting Persons with serious mental illnesses (PwSMIs) such as depression, anxiety, and schizophrenia. In India alone, 197.3 million people suffer from mental disorders, with depression being the leading contributor to the disease burden. Caregivers, often family members, provide essential emotional and practical support, but this responsibility is accompanied by considerable stress and depressive symptoms. The emotional, physical, and financial toll of caregiving leads to a phenomenon known as caregiver burden, which can severely impact the well-being and quality of life of those involved, particularly older caregivers. Cultural factors, particularly in South and Southeast Asia, influence caregiving roles and can either alleviate or intensify stress. Coping strategies play a pivotal role in mitigating this burden, with maladaptive coping linked to negative outcomes for both caregivers and patients. Effective interventions, such as psycho-education, community support, and healthcare system resources are essential to reduce caregiver burden and improve the care provided to individuals with SMIs. Addressing caregiver needs is crucial for enhancing both caregiver health and patient recovery outcome.