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      Caregiver burden in children with intellectual disability: Does special school education help?

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          Abstract

          Background:

          Caregivers are playing a vital role in mentally ill patients in India. Families of children with intellectual disability encounter a high degree of stress such as physical, emotional, and financial.

          Aim:

          The aim of this study was to compare and evaluate the caregiver burden and depression between the special school-going children and nonschool-going children with intellectual disability.

          Materials and Methods:

          The present study was conducted on caregivers of patients with intellectual disability at Radianz Health Care and Research Private Limited, Ahana Hospitals, Akash Special School, and M. S. Chellamuthu Trust and Research Foundation, Madurai. The Zarit Burden Interview scale was utilized to assess the level of burden experienced by the caregivers. The Major Depression Inventory scale was utilized to assess the severity of depression experienced by the caregivers. The Binet Kamat Test of Intelligence was administered by a psychologist to assess the IQ level of the children.

          Results:

          Totally 80 caregivers were participated in the study. The mothers of children with intellectual disability suffered from burden and depression when compared to the fathers ( P < 0.0001). The parents of nonschool-going children had a higher level of burden and depression as compared to the parents of special school-going children ( P < 0.0001).

          Conclusion:

          Special school is playing a vital role for children with intellectual disability. It can be reasonably concluded from the study that both the groups face burden and depression. However, the severity of burden and depression is comparatively higher among parents of nonschool-going children.

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          Most cited references28

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          Child and adolescent mental health worldwide: evidence for action.

          Mental health problems affect 10-20% of children and adolescents worldwide. Despite their relevance as a leading cause of health-related disability in this age group and their longlasting effects throughout life, the mental health needs of children and adolescents are neglected, especially in low-income and middle-income countries. In this report we review the evidence and the gaps in the published work in terms of prevalence, risk and protective factors, and interventions to prevent and treat childhood and adolescent mental health problems. We also discuss barriers to, and approaches for, the implementation of such strategies in low-resource settings. Action is imperative to reduce the burden of mental health problems in future generations and to allow for the full development of vulnerable children and adolescents worldwide. Copyright © 2011 Elsevier Ltd. All rights reserved.
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            Validity and reliability of the Zarit Burden Interview in assessing caregiving burden.

            This study aims to validate the Zarit Burden Interview as an instrument to measure the level of burden experienced by caregivers of patients with dementia (PWD) in Singapore.
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              The internal and external validity of the Major Depression Inventory in measuring severity of depressive states.

              We have developed the Major Depression Inventory (MDI), consisting of 10 items, covering the DSM-IV as well as the ICD-10 symptoms of depressive illness. We aimed to evaluate this as a scale measuring severity of depressive states with reference to both internal and external validity. Patients representing the score range from no depression to marked depression on the Hamilton Depression Scale (HAM-D) completed the MDI. Both classical and modern psychometric methods were applied for the evaluation of validity, including the Rasch analysis. In total, 91 patients were included. The results showed that the MDI had an adequate internal validity in being a unidimensional scale (the total score an appropriate or sufficient statistic). The external validity of the MDI was also confirmed as the total score of the MDI correlated significantly with the HAM-D (Pearson's coefficient 0.86, P < or = 0.01, Spearman 0.80, P < or = 0.01). When used in a sample of patients with different states of depression the MDI has an adequate internal and external validity.
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                Author and article information

                Journal
                Ind Psychiatry J
                Ind Psychiatry J
                IPJ
                Industrial Psychiatry Journal
                Wolters Kluwer - Medknow (India )
                0972-6748
                0976-2795
                Jul-Dec 2019
                14 August 2020
                : 28
                : 2
                : 176-184
                Affiliations
                [1]Department of Psychiatry, Ahana Hospitals LLP, Madurai, Tamil Nadu, India
                [1 ]Department of Psychiatry, M. S Chellamuthu Trust and Research Foundation, Madurai, Tamil Nadu, India
                Author notes
                Address for correspondence: Dr. Vikhram Ramasubramanian, Ahana Hospitals, No. 11.Subburam Street, Gandhi Nagar, Madurai - 625 020, Tamil Nadu, India. E-mail: vikhram@ 123456ahanahospitals.in
                Article
                IPJ-28-176
                10.4103/ipj.ipj_7_15
                7660008
                dd935028-7079-4fe0-9929-3ce4c019f639
                Copyright: © 2020 Industrial Psychiatry Journal

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

                History
                : 20 January 2015
                : 15 February 2018
                : 30 October 2019
                Categories
                Original Article

                Clinical Psychology & Psychiatry
                burden,caregiver,intellectual disability,major depression inventory,special school,zarit burden scale

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