A Study on Stress, Anxiety and Depression in Caregivers of Persons with Severe Mental Illness

V L Padmini I; Vaishnavi Mididoddi; Deepika M.F; Tabassum Amena; Begum  Shazia; Naaz Saniya; Hari Krishna Chary Kasoju

doi:10.38022/ajhp.v5i3.104

I V L Padmini Associate Professor, Department of Pharmaceutics, Sree Dattha Institute of Pharmacy, Hyderabad, India.
paddhu.iriventi@gmail.com
Mididoddi Vaishnavi Pharm. D intern, Smt. Sarojini Ramulamma College of Pharmacy, (Palamuru University), Seshadri Nagar, Mahbubnagar District, Telangana State, India.
M.F. Deepika Pharm. D intern, Smt. Sarojini Ramulamma College of Pharmacy, (Palamuru University), Seshadri Nagar, Mahbubnagar District, Telangana State, India.
Amena Tabassum Pharm. D intern, Smt. Sarojini Ramulamma College of Pharmacy, (Palamuru University), Seshadri Nagar, Mahbubnagar District, Telangana State, India.
Shazia Begum Pharm. D intern, Smt. Sarojini Ramulamma College of Pharmacy, (Palamuru University), Seshadri Nagar, Mahbubnagar District, Telangana State, India.
Saniya Naaz Pharm. D intern, Smt. Sarojini Ramulamma College of Pharmacy, (Palamuru University), Seshadri Nagar, Mahbubnagar District, Telangana State, India.
Kasoju Hari Krishna Chary Pharm. D intern, Smt. Sarojini Ramulamma College of Pharmacy, (Palamuru University), Seshadri Nagar, Mahbubnagar District, Telangana State, India.

DOI https://doi.org/10.38022/ajhp.v5i3.104

Abstract

This cross-sectional study aimed to assess the prevalence of stress, anxiety, and depression among caregivers of individuals diagnosed with severe mental illness. Conducted in the Department of Psychiatry at SVS Hospital, the study included caregivers of psychiatric patients who met the inclusion criteria and provided informed consent. Sociodemographic data were collected using a standardized intake proforma, and socio-economic status was assessed using the Modified Kuppuswamy Scale (2023). Psychological distress was measured using the Depression, Anxiety, and Stress Scale (DASS-21). The findings revealed that the age group of 21–30 years showed the highest prevalence of psychological issues, with 28 caregivers (27.7%) reporting moderate to severe levels of stress, anxiety, and depression. Caregivers from rural backgrounds, particularly farmers, were significantly affected, likely due to the burden of caregiving compounded by environmental stressors such as unpredictable climate conditions, financial insecurity, and limited support systems. Female caregivers were found to be more psychologically impacted than their male counterparts, possibly due to traditional caregiving roles and societal expectations. The study underscores the substantial emotional burden borne by caregivers of patients with psychiatric illnesses and highlights the need for targeted psychological support and interventions for this vulnerable population. Routine mental health screening and supportive counselling for caregivers should be integrated into psychiatric care services to improve both caregiver well-being and patient outcomes. These findings emphasize the need to recognize caregivers as secondary victims in the mental health care process and advocate for their inclusion in holistic mental health management plans.

Keywords: Caregivers, Stress, Anxiety, Depression, Severe mental illness, DASS-21, Rural mental health, Psychiatric burden

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