Quality of Life in Caregivers of Patients with Mental Retardation: A Cross-Sectional Study
DOI:
https://doi.org/10.69980/ajpr.v28i5.628Keywords:
Mental retardation, caregivers, quality of life, socio-demographic factors, epilepsy, caregiver burdenAbstract
Mental retardation (MR) is a lifelong condition that significantly impacts not only patients but also their caregivers. The quality of life (QOL) of caregivers can be adversely affected due to continuous caregiving , stress, and socio-economic challenges. This study aimed to assess the QOL of caregivers of patients with MR responsibilities and analyze its relationship with socio-demographic variables of both patients and caregivers, as well as clinical variables related to the severity of MR.
AIMS AND OBJECTIVES:- The study aims to assess the quality of life of caregivers of patients with mental retardation in relation to socio-demographic factors and severity of illness.
Material and Methods: A cross-sectional study was conducted involving 100 patients diagnosed with mental retardation and their respective caregivers. Caregivers’ QOL was measured using a standardized QOL questionnaire, and socio-demographic and clinical data of both patients and caregivers were collected. Statistical analyses were performed to determine the correlation between QOL scores and various socio-demographic and clinical factors, with significance tested at p<0.05.
Results: Caregivers’ QOL scores ranged from 29% to 86%, with a mean score of 52.6% (SD=10.4), indicating a moderate impairment in quality of life. Patients’ age showed an inverse relationship with caregivers’ QOL; however, other patient variables such as sex, domicile, religion, education, and occupation showed no significant correlation with caregiver QOL. Caregivers’ age was also negatively correlated with their QOL, while their education, marital status, type of family, and per capita income showed significant positive associations with better QOL scores. Caregivers’ sex, domicile, religion, occupation, and relationship to the patient were not significantly related to their QOL. Severity of MR did not significantly influence caregivers’ QOL; however, caregivers of patients with MR and comorbid epilepsy reported significantly poorer QOL scores compared to those without epilepsy.
Conclusion: The study reveals that caregivers of individuals with mental retardation experience moderately impaired quality of life, influenced more by socio-demographic factors than by the severity of the patient’s condition. Caregiver support programs and policies need to focus on improving socio-economic conditions and providing psycho-social assistance to enhance caregiver well-being.
References
1. Gupta, A., & Singhal, N. (2004). Positive perceptions in parents of children with disabilities. Asia Pacific Disability Rehabilitation Journal, 15(1), 22–35.
2. American Association on Intellectual and Developmental Disabilities. (2010). Intellectual disability: Definition, classification, and systems of supports (11th ed.). AAIDD.
3. World Health Organization. (2020). World report on disability. WHO Press.
4. NIMHANS. (2016). National Mental Health Survey of India, 2015-16: Prevalence, patterns and outcomes. Bengaluru: National Institute of Mental Health and Neurosciences.
5. Kumar, A., & Akhtar, S. (2012). Stress and coping strategies among parents of mentally challenged children. Journal of the Indian Academy of Applied Psychology, 38(2), 227–237.
6. Schulz, R., & Eden, J. (Eds.). (2016). Families caring for an aging America. National Academies Press.
7. Raina, P., O'Donnell, M., Schwellnus, H., Rosenbaum, P., King, G., Brehaut, J., ... & Wood, E. (2005). Caregiving process and caregiver burden: Conceptual models to guide research and practice. BMC Pediatrics, 4(1), 1–13.
8. Bourke‐Taylor, H., Howie, L., & Law, M. (2012). Impact of caring for a school‐aged child with a disability: Understanding mothers’ perspectives. Australian Occupational Therapy Journal, 59(2), 78–86.
9. Dambi, J. M., Jelsma, J., & Mlambo, T. (2015). Caring for a child with cerebral palsy: The experience of Zimbabwean mothers. African Journal of Disability, 4(1), 168.
10. Rao, D., Venkat, A., & Srinivasan, N. (2018). Burden and coping in mothers of children with intellectual disabilities and autism. International Journal of Research in Medical Sciences, 6(6), 2084–2089.
11. Ravindranadan, V., & Raju, S. (2007). Emotional intelligence and quality of life of parents of children with special needs. Journal of the Indian Academy of Applied Psychology, 33(1), 45–50.
12. WHOQOL Group. (1997). WHOQOL: Measuring quality of life. World Health Organization. https://www.who.int/tools/whoqol
13. Endicott J, Nee J, Harrison W, Blumenthal R. Quality of Life Enjoyment and Satisfaction Questionnaire: A new measure. Psychopharmacol Bull. 1993;29(2):321–326.
14. Greenberg JS, Seltzer MM, Krauss MW. The effect of severity of intellectual disability on caregiver burden. Am J Ment Retard. 1993;98(3):277–288.
15. Hubert J, Hurlbutt K, Stalker K. Caregiver stress and quality of life: A review. J Clin Psychol. 1991;47(4):436–441.
16. Awerdalla HI, Hassan SA, Khalifa GA. Correlates of caregiver burden in families of children with intellectual disabilities. Egypt J Psychiatry. 2010;31(2):92–101.
17. Mbugua MN, Kabiru CW, Mbwayo AW. Quality of life of caregivers of children with intellectual disabilities in Kenya. Afr J Health Sci. 2011;18(3):83–89.
18. Yildrim Sari D, Aydin O, Eser E. Caregiver quality of life in intellectual disability: A correlational study. Turkish J Med Sci. 2010;40(6):1045–1051.
19. John A, Balakrishnan S, Padmini P. Stress and coping among caregivers of mentally challenged children. Indian J Psychol Med. 2012;34(1):16–20.
20. Schofield H, Huang IC, Wu SF. Family caregivers of children with intellectual disabilities: Sociodemographic correlates of quality of life. J Pediatr Nurs. 1998;13(3):147–154.
21. Upadhyaya RG, Sharma K, Singh P. Factors affecting caregiver quality of life in intellectual disability. Asian J Psychiatr. 2008;1(2):82–85.
22. Magana S, Lopez K, Aguinaga A. The influence of patient occupation on caregiver burden. Disabil Rehabil. 2006;28(22):1353–1360.
23. McDermott S, Pisani L, Baker B. Quality of life of families of children with disabilities. J Pediatr Psychol. 1997;22(3):411–420.
24. Walker A, Walker C. Caregiving and quality of life: A longitudinal study. Br J Soc Work. 1998;28(3):353–373.
25. Chou YC, Boldy DP, Lee A. Age and quality of life in caregivers of intellectually disabled persons. Arch Gerontol Geriatr. 2010;51(3):346–352.
26. Purkayastha P, Sharma S, Singh V. Gender differences in caregiver burden among families of intellectually disabled children. Indian J Soc Psychiatry. 2012;28(1):29–34.
27. • Mohammed A, Al-Khateeb SN, Al-Shammari SA. Socioeconomic factors influencing caregiver quality of life. Saudi Med J. 2013;34(9):931–936.
28. Folorunsho TN, Balogun SA, Omigbodun OO. The impact of epilepsy on caregivers
of intellectually disabled children. Seizure. 2010;19(1):52–55.
29. Tajudeen Nuhu F, Yusuf AJ, Lasisi AO, Akinbiyi A, Ayilara OO, Adebayo KJ. The burden experienced by family caregivers of patients with epilepsy attending the government psychiatric hospital, Kaduna, Nigeria. Pan Afr Med J. 2010;5(1):16. doi:10.4314/pamj.v5i1.56197
Downloads
Published
Issue
Section
License
Copyright (c) 2025 American Journal of Psychiatric Rehabilitation

This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License permitting all use, distribution, and reproduction in any medium, provided the work is properly cited.