Severe mental illness, including bipolar disorder, schizo- phrenia and depression, is associated with a substantial loss of quality of life [1], increased rates of mortality and morbidity, high levels of service use and huge economic costs [2]. However, it is not only the patients themselves who suffer. With the deinstitutionalization of care which
* Correspondence: m.zegwaard@altrecht.nl
1Altrecht Mental Health Care, Gedachtengang 1, 3705 WH Zeist, The Netherlands
Full list of author information is available at the end of the article
has taken place in recent decades, a growing number of patients are cared for at home by relatives. These care- givers spend a significant amount of time and energy in caring for their loved ones, despite the large emotional burden and the impact on their personal goals [3–12]. Given these consequences, it is not surprising that care- givers have a significantly increased risk of becoming overloaded [7, 12–14], which can severely impair their quality of life, potentially leading to withdrawal from caregiving.
Severe mental illness, including bipolar disorder, schizo- phrenia and depression, is associated with a substantial loss of quality of life [1], increased rates of mortality and morbidity, high levels of service use and huge economic costs [2]. However, it is not only the patients themselves who suffer. With the deinstitutionalization of care which* Correspondence: m.zegwaard@altrecht.nl1Altrecht Mental Health Care, Gedachtengang 1, 3705 WH Zeist, The NetherlandsFull list of author information is available at the end of the articlehas taken place in recent decades, a growing number of patients are cared for at home by relatives. These care- givers spend a significant amount of time and energy in caring for their loved ones, despite the large emotional burden and the impact on their personal goals [3–12]. Given these consequences, it is not surprising that care- givers have a significantly increased risk of becoming overloaded [7, 12–14], which can severely impair their quality of life, potentially leading to withdrawal from caregiving.
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