Mental Health Outcomes among Caregivers of Patients with Obsessive Compulsive Disorder and Mood Disorders: A Gender-Based Study
DOI:
https://doi.org/10.52053/jpap.v6i3.418Keywords:
Depression, Gender, Mood Disorders, Obsessive Compulsive Disorder, StressAbstract
The mental health outcomes of caregivers, i.e., depression and stress, have been extensively studied in the context of patients with obsessive compulsive disorder (OCD) and mood disorders; however, gender-based comparisons have not been widely explored within the cultural setting of Pakistan. Therefore, the objective of the present study was to evaluate the differences between male and female caregivers of patients with OCD and mood disorders. The study adopted a cross-sectional correlational design and data were collected from 216 caregivers, with a minimum qualification of intermediate education and an age range of 18 to 60 years. Two instruments were utilized: the Depression subscale of the Depression Anxiety Stress Scale (DASS-21) and the Relative Stress Scale (RSS). The results revealed a significant relationship between stress and depression among caregivers of patients with OCD and mood disorders. Gender-based mean differences indicated that female caregivers scored substantially higher on both depression and stress compared to male caregivers. Furthermore, caregivers of patients with mood disorders scored significantly higher on depression and somewhat higher (though not significantly) on stress compared to caregivers of patients with OCD. In conclusion, the study highlights important implications for caregiver well-being in Pakistan.
References
Agyapong, B., Obuobi-Donkor, G., Burback, L., & Wei, Y. (2022). Stress, burnout, anxiety and depression among teachers: A scoping review. International Journal of Environmental Research and Public Health, 19(17), 10706. https://doi.org/10.3390/ijerph191710706
Ahmed, H. S., Iqbal, K., Rasheed, F., Waqas, A., Javaid, A., & Rehana, R. (2024). Emotional burden and psychological distress in caregivers of patients with obsessive compulsive disorder. Khyber Medical University Journal, 16(4). https://doi.org/110.35845/kmuj.2024.23519
Doney, E., Cadoret, A., Dion?Albert, L., Lebel, M., & Menard, C. (2022). Inflammation?driven brain and gut barrier dysfunction in stress and mood disorders. European Journal of Neuroscience, 55(9-10), 2851-2894. https://doi.org/10.1111/ejn.15239
Greene, J. G., Smith, R., Gardiner, M., & Timbury, G. C. (1982). Measuring behavioural disturbance of elderly demented patients in the community and its effects on relatives: a factor analytic study. Age and Ageing, 11(2), 121-126. https://doi.org/10.1093/ageing/11.2.121
Happ, M. B., Moss, K. O., Dabbs, A. D., Narby, E., & Song, M. K. (2024). Defining informal caregiving and caregivers for persons living with dementia. Journal of Gerontological Nursing, 50(12), 41-45. https://doi.org/10.3928/00989134-20241118-05
Hu, X., Mu, W., Zhou, J., Zhou, H., Yan, X., Yue, K., Liu, T., Huang, W., Ren, L., Zou, F., Zhang, A., Sun, X., & Zeng, H. (2024). Risk factors for anxiety, depression, stress, and their comorbidities among nurses: a prospective cohort from 2020 to 2022. BMC Nursing, 23(1), 916. https://doi.org/10.1186/s12912-024-02577-6
Kamal, A., Anwar, P., Jillani, U., Motiwala, O., Geelani, S. I., Ain, Q. U., & Iftikhar, E. (2025). Mental health outcomes among caregivers of patients with OCD: a quantitative study. Insights-Journal of Life and Social Sciences, 3(2), 221-227.
Kaur, G., Garg, R., & Maan, G. S. (2025). Comparison of Depression, Anxiety, Stress, and Quality of Life among Primary Caregivers of Patients with Obsessive-Compulsive Disorder and Schizophrenia. International Journal of Pharmacy Research & Technology (IJPRT), 15(1), 1561-1567. https://doi.org/10.31838/ijprt/15.01.235
Khan, S. L., Anwar, P., Jawaid, S. S., Shami, A. Z. A., Aslam, Z., Sadaqat, R., Ashraf, S. J., & Javed, A. (2025). Psychological distress among caregivers of patients with mood disorders in Pakistan: A quantitative study. Insights-Journal of Health and Rehabilitation, 3(3 (Health & Rehabilitation)), 534-543. https://doi.org/10.71000/v2cz8d87
Kogan, C. S., Maj, M., Rebello, T. J., Keeley, J. W., Kulygina, M., Matsumoto, C., Robles, R., Huang, J., Zhong, N., Chakrabarti, S., Figueira, M. L., Stein, D. J., Strakowski, S. M., Garcia-Pacheco, J. A., Burns, S., Montoya, M., Andrade, L., Ayuso-Mateos, J. L., Arango, I., Balhara, Y. P. S., … Reed, G. M. (2021). A global field study of the international classification of diseases (ICD-11) mood disorders clinical descriptions and diagnostic guidelines. Journal of Affective Disorders, 295, 1138–1150. https://doi.org/10.1016/j.jad.2021.08.050
Liu, X., & Zhang, C. (2025). Evaluating the cost-effectiveness of deep brain stimulation for treatment-resistant OCD. Journal of Neurosurgery, 1, 1-2. https://doi.org/10.3171/2025.2.JNS25135
Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335-343. https://doi.org/10.1016/0005-7967(94)00075-U
Milic, J., Zrnic, I., Vucurovic, M., Grego, E., Jovic, D., Stankovic, V., & Sapic, R. (2025). The Impact of Patient-Centered Care in Bipolar Disorder: An Opinion on Caregivers’ Quality of Life. Journal of Clinical Medicine, 14(7), 2209. https://doi.org/10.3390/jcm14072209
Navaie-Waliser, M., Spriggs, A., & Feldman, P. H. (2002). Informal caregiving: differential experiences by gender. Medical care, 40(12), 1249-1259. https://doi.org/10.1097/01.MLR.0000036408.76220.1F
Shami, A. Z. A., Afzal, D., Ahmad, Y., Azam, S., Noureen, S., Ashraf, S. J., & Abid, S. (2025). Perceived Stress and Burnout Among Caregivers of Patients with Bipolar Disorder: A Quantitative Study of Pakistani Cohorts. Journal of Asian Development Studies, 14(1), 1723-1728. https://doi.org/10.62345/jads.2025.14.1.137
Steele, A., Maruyama, N., & Galynker, I. (2010). Psychiatric symptoms in caregivers of patients with bipolar disorder: a review. Journal of Affective Disorders, 121(1-2), 10-21. https://doi.org/10.1016/j.jad.2009.04.020
Stein, D. J., Ruscio, A. M., Altwaijri, Y., Chiu, W. T., Sampson, N. A., Aguilar-Gaxiola, S., Al-Hamzawi, A., Alonso, J., Cherdoul, S., Gureje, O., Hu, C., Karam, E. G., McGrath, J. J., Navarro-Mateu, F., Scott, K. M., Stegnaro, J. C., Torres, Y., Vladescu, C., Wciorka, J., Xavier, M., Kessler, R. C., & the world mental health survey collaborators (2025). Obsessive-compulsive disorder in the World Mental Health surveys. BMC Medicine, 23(1), 416. https://doi.org/10.1186/s12916-025-04209-5
Tabassum, R., Khan, S., Munir, H., Izzah, Z., Naz, F., Liaqat, S., & Malik, A. P. (2025). Mental health problems among caregivers of individuals with neurocognitive, neurodevelopmental and mood disorders: a quantitative comparative study of Pakistani adults. Insights-Journal of Life and Social Sciences, 3(3), 33-39. https://doi.org/10.71000/fwk48749
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