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Health effects of caregiving and coping with severe mental disorders: A caregivers’ experience


Olindah Silaule
Fasloen Adams
Nokuthula G. Nkosi

Abstract

Background: Informal caregivers are an essential health resource in the care of persons with severe mental disorders, particularly in  South Africa where access to mental healthcare services is limited.


Aim: The study aimed to explore and describe the coping strategies  used by informal caregivers and the specific health impacts they face in the context of severe mental disorders in South Africa.


Setting:  The study was conducted in Bushbuckridge municipality situated in the northeastern parts of Mpumalanga province, South Africa.  


Methods: A descriptive qualitative methodology was used to conduct semi-structured  interviews with 12 purposefully selected  participants. Audio-recorded interviews were translated, transcribed and analysed inductively on NVivo12 using reflexive thematic analysis.


Results: The themes identified were caregivers’ experience of consequences of caregiving and caregivers’ experience of coping  with their caregiving role. Participants experienced negative consequences on their emotional, mental and physical health. The  participants use internal and external resources to cope with the challenges they face, and many highlighted using emotion-focused  coping strategies.


Conclusion: The findings revealed an urgent need to develop support strategies to strengthen informal caregivers’  coping and promote good health particularly in rural South Africa where informal caregivers play a crucial role in the management of  severe mental disorders.


Contribution: The finding demands that policymakers and healthcare providers prioritise the health and well- being of the informal caregivers. There should be policies targeted specifically at developing and implementing caregiver-orientated  healthcare services. 


Journal Identifiers


eISSN: 2078-6786
print ISSN: 1608-9685