# The impact of care-recipient relationship type on mental health burden of caregivers for schizophrenia patients: evidence from Beijing, China

## TL;DR

Caregivers of schizophrenia patients in Beijing experience different mental health burdens depending on their relationship with the patient, with parents facing the highest burden.

## Contribution

This study identifies how relationship type influences mental health burden and its underlying factors among caregivers in China.

## Key findings

- 66.9% of caregivers reported moderate or severe mental health burden from caregiving.
- Parent caregivers experienced greater suffering than spouse caregivers.
- Mental health burden for parents is linked to patient conditions, while for spouses and children, it is linked to economic factors.

## Abstract

To examine the impact of care-recipient relationship type on mental health burden of caregivers for schizophrenia patients in China, elucidating the underlying mechanisms.

A cross-sectional study was conducted using face-to-face surveys administered to caregivers of patients with schizophrenia in selected communities in Beijing, China. 1,853 samples’ data was used. Descriptive statistics, logistic regression models and Sheaf coefficient method were employed to analyze the data.

The mental health burden experienced by caregivers of schizophrenia patients has reached a high level, with 66.9% reporting a moderate or severe impact from their caregiving responsibilities. Parents and spouses were the primary providers of care for schizophrenia patients in China. Parent caregivers experienced greater suffering in their caregiving role compared to spouse caregivers, whereas the difference between child caregivers and spouse caregivers was not significant. The factors influencing caregiver’s mental health burden vary according to the type of relationship with the care-recipient. For parent caregivers, the mental health burden primarily stems from personal conditions of schizophrenia patients, while for spouse or child caregivers, it mainly arises from family economic conditions.

This study reveals that caregivers having different types of care-recipient relationship with schizophrenia patients experience significantly different mental health burdens in Beijing, China, and major influencing factors are distinct according to different care-recipient relationship types.