Frequency and severity of depression in primary caregivers of psychotic patients.

  • Shehla Gul NCS university.
  • Muhammad Adnan Bashir Jinnah Medical College Peshawar.
  • Sohail Ali at CMH medical college Lahore.
Keywords: Care Givers, Depression, Psychotic Patient


Objectives: The study aimed at determining the frequency and severity of depression in primary caregivers of psychotic patients. Study Design: Cross sectional study. Setting: Out-patient as well as in-patient setting of Department of Psychiatry, Military Hospital Rawalpindi. Period: Six months, from 20th April 2017 to 19th October 2017. Material and Methods: Purposive, non-probable sampling technique was used. A total of 246 caregivers of the same number of psychotic patients were studied after consent, using the General Health Questionnaire 28 (GHQ-28) and Beck’s Depression Inventory (BDI). The mean total BDI scores were calculated and correlated with the socio-demographic variables. Results: The mean total GHQ-28 score of 246 caregivers was 7.32 (cut off score is >7) which indicate definite psychopathology among them. Out of 246 caregivers, 175 (71.1%) showed scores greater than 7 (GHQ positive) while 71 (28.9%) showed scores less than 7 (GHQ negative). The mean total BDI score of 175 caregivers (who were GHQ positive) was 17.83 (cut off score for depression is >9). Out of 175 GHQ positive caregivers, 72 (41.14%) showed subclinical or no depression, 49 (28%) showed mild depression, 40 (22.86%) showed moderate depression and 14 (8%) showed severe depression on BDI. The results show that there is considerable caregiver burden in relatives of psychotic patients. Conclusion: Caregivers of psychotic patients suffer clinical depression with obvious negative outcomes for the patient. Younger age group, female gender and illiteracy typically carry a greater risk of experiencing higher burden in terms of depression.

Author Biographies

Shehla Gul, NCS university.

Doctor of Physical Therapy (DPT),

Masters in Orthopedics Manual Physical Therapy (MSOMPT),



Muhammad Adnan Bashir, Jinnah Medical College Peshawar.

MBBS, FCPS (Psychiatry)

Assistant Professor

Department of Psychiatry


Sohail Ali, at CMH medical college Lahore.

MBBS, FCPS (Psychiatry)

Assistant Professor

Department of psychiatry