title: Clinicians' versus caregivers' ratings of burden in patients with schizophrenia and bipolar disorder.
abstract: BACKGROUND
  Only a few studies have evaluated the similarities and differences between clinicians' and caregivers' rating of burden of caring for a person with chronic mental illness.
  
  
  OBJECTIVE
  To compare clinician-rated and caregiver-rated burden in a population of patients with either schizophrenia or bipolar disorder, using two different scales to measure caregiver burden.
  
  
  METHODS
  Caregivers of patients with schizophrenia (n = 65) or bipolar disorder (n = 57) completed the Hindi version of the Involvement Evaluation Questionnaire (Hindi-IEQ) by themselves. Clinicians rated the burden on the Family Burden Interview Schedule (FBI) based on semi-structured interview with the same caregivers.
  
  
  RESULTS
  Both total objective and subjective burden on the FBI (clinician ratings) demonstrated significant positive correlations with the total Hindi-IEQ (caregiver ratings) scores. Most areas of burden on the FBI correlated positively with the tension and the worrying-urging II subscales, as well as the total Hindi-IEQ scores. According to clinicians, a significantly higher percentage of caregivers of patients with schizophrenia were experiencing a moderate to severe degree of subjective burden; objective burden in this group was also significantly higher in the domains of effect on the mental health of caregivers. Contrastingly, caregivers of patients with bipolar disorder judged burden to be higher in this group than schizophrenia.
  
  
  CONCLUSIONS
  There were many areas of agreement as well as some significant discrepancies between clinicians' and caregivers' assessment of burden in this population of patients. This suggests that a comprehensive evaluation of burden should include assessments by both clinicians and caregivers of patients.
authors.affiliation: Department of Psychiatry, Postgraduate Institute of Medical Education & Research, Chandigarh, India drsandeepg2002@yahoo.com.
authors.forename: Sandeep
authors.initials: S
authors.lastname: Grover
authors.affiliation: Department of Psychiatry, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
authors.forename: Subho
authors.initials: S
authors.lastname: Chakrabarti
authors.affiliation: Department of Psychiatry, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
authors.forename: Deepak
authors.initials: D
authors.lastname: Ghormode
authors.affiliation: Department of Psychiatry, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
authors.forename: Alakananda
authors.initials: A
authors.lastname: Dutt
authors.affiliation: Department of Psychiatry, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
authors.forename: Natasha
authors.initials: N
authors.lastname: Kate
authors.affiliation: Department of Psychiatry, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
authors.forename: Parmanand
authors.initials: P
authors.lastname: Kulhara
mesh_terms: D000328:Adult; D001714:Bipolar Disorder; D017028:Caregivers; D017281:Cost of Illness; D005260:Female; D006801:Humans; D007194:India; D007407:Interviews as Topic; D008297:Male; D008505:Medical Staff, Hospital; D008875:Middle Aged; D010044:Outpatient Clinics, Hospital; D036301:Qualitative Research; D012559:Schizophrenia; D011795:Surveys and Questionnaires
keywords: Caregiver burden; bipolar disorder; clinicians; schizophrenia