Evidence map›Paper›PMID 34983438›Full record

Trial reportBMC psychiatry2022

Perceived burden and family functioning among informal caregivers of individuals living with schizophrenia in Tanzania: a cross-sectional study.

Rosarito Clari, Jennifer Headley, Joseph Egger, Praxeda Swai, Paul Lawala, Anna Minja, Sylvia Kaaya, Joy Noel Baumgartner

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
7.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. The global cost of schizophrenia: a health economic modelling study.International journal of mental health systems · 2026
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  16. Quantifying the Societal Impacts of Schizophrenia: A Survey of Caregivers.Psychiatric research and clinical practice · 2025
    Article
  17. Review
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  20. Factors influencing family function in spousal caregivers of head and neck cancer patients within 6 months posttreatment.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Rosarito ClariDuke Global Health Institute, Duke University, Durham, NC, USA.ORCID 0000-0002-4032-8495
Jennifer HeadleyDuke Global Health Institute, Duke University, Durham, NC, USA.ORCID 0000-0002-2058-4467
Joseph EggerDuke Global Health Institute, Duke University, Durham, NC, USA.ORCID 0000-0002-0862-9511
Praxeda SwaiSchool of Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Paul LawalaMirembe National Mental Health Hospital, Dodoma, Tanzania.
Anna MinjaSchool of Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Sylvia KaayaSchool of Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.ORCID 0000-0001-6732-3590
Joy Noel BaumgartnerDuke Global Health Institute, Duke University, Durham, NC, USA. joy.baumgartner@unc.edu.ORCID 0000-0002-1783-8972
Duke University · USMuhimbili University of Health and Allied Sciences · TZMuhimbili National Hospital · TZUniversity of North Carolina at Chapel Hill · US

Funding

Family psychoeducation for adults with psychotic disorders in TanzaniaR34MH106663 · NIMH · DUKE UNIVERSITY · PI BAUMGARTNER, JOY NOEL · 2017 to 2019
$644k
NIMH NIH HHS R34 MH106663
6 · The paper itself

Abstract

backgroundGlobally, families play a critical role in providing care and support for persons living with schizophrenia. It is important to identify potentially modifiable factors that influence perceived caregiver burden in order to properly address the needs of caregivers. This is especially relevant in low-resource settings where psychiatric services are scarce and interventions could be most effective if targeted to both the individual living with schizophrenia and their caregiver. This study examines correlates of perceived burden among informal caregivers of individuals with schizophrenia in Tanzania, in particular, the association between burden and caregiver-reported family functioning.

methodsThis study used baseline data from an individually randomized controlled trial with 65 pairs of individuals with schizophrenia and their informal caregivers in Dar es Salaam and Mbeya, Tanzania. Caregiver burden was measured using the Burden Assessment Scale. Univariable and multivariable regression analyses were performed to determine the relationship between caregiver burden and family functioning and to explore other correlates of burden.

resultsSixty-three percent of caregivers reported experiencing high burden as a result of caring for a relative with schizophrenia. Multivariable regression analyses revealed that poor family functioning and the caregiver being employed were associated with high caregiver burden, while higher levels of hopefulness in the caregiver was associated with low caregiver burden.

conclusionCaregivers who were employed, reported poor family functioning, and/or had low levels of hopefulness were more likely to perceive high caregiver burden. Future interventions aiming to reduce caregiver burden may benefit from improving family functioning and nurturing hope among caregivers of individuals living with schizophrenia. Policies and programs should be cognizant of the needs of caregivers that work in addition to providing care for a relative with schizophrenia in order to better support them.

Indexed as

CaregiversSchizophreniaCost of IllnessCross-Sectional StudiesFamilyHumansTanzaniaCaregiver burdenCaregivingFamily functioningPsychotic disordersSchizophrenia

Identifiers

PMID34983438
PMCPMC8728903
OpenAlexW4205564576

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.