The British Journal of Psychiatry (2007) 190: 333-338. doi: 10.1192/bjp.bp.106.025353
© 2007 The Royal College of Psychiatrists
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Burden on caregivers of people with schizophrenia: comparison between Germany and Britain

CHRISTIANE ROICK, MD, MPH and DIRK HEIDER

Department of Psychiatry, University of Leipzig, Germany

PAUL E. BEBBINGTON, MD

Department of Mental Health Sciences, University College, London, UK

MATTHIAS C. ANGERMEYER, MD

Department of Psychiatry, University of Leipzig, Germany

JEAN-MICHEL AZORIN, MD

Service Hospitalo-Universitaire de Psychiatrie, Marseille, France

TRAOLACH S. BRUGHA, MD

Department of Health Sciences, University of Leicester, UK

REINHOLD KILIAN, PhD

Department of Psychiatry II, University of Ulm, Günzburg, Germany

SONIA JOHNSON, MRCPsych

Department of Mental Health Sciences, Royal Free and University College Medical School, London, UK

MONDHER TOUMI, MD and ÅSA KORNFELD

Lundbeck SAS, Paris, France

the EuroSC Research Group

Correspondence: Dr. med. Christiane Roick, MPH, University of Leipzig, Department of Psychiatry, Johannisallee 20, 04317 Leipzig, Germany. Tel: +49 341 972 4512; fax: +49 341 972 4539; email: christiane.roick{at}medizin.uni-leipzig.de

Declaration of interest Partial funding from H. Lundbeck A/S (see Acknowledgements).

Background Burden on the relatives of patients with schizophrenia may be influenced not only by patient and caregiver characteristics, but also by differences in mental health service provision.

Aims To analyse whether family burden is affected by national differences in the provision of mental health services.

Method Patients with schizophrenia and their key relatives were examined in Germany (n=333) and Britain (n=170). Differences in family burden in both countries were analysed with regression models controlling for patient and caregiver characteristics.

Results Family burden was associated with patients’symptoms, male gender, unemployment and marital status, as well as caregivers’coping abilities, patient contact and being a patient’s parent. However, even when these attributes were controlled for, British caregivers reported more burden than German caregivers.

Conclusions National differences in family burden may be related to different healthcare systems in Germany and Britain. Support for patients with schizophrenia may be shifted from the professional to the informal healthcare sector more in Britain than in Germany.


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