Our finding
supports an earlier study which reported that schizophrenia
leads to high direct and indirect cost on carers [27]. It
should be also noted that many of the carers were either
daily wage earners or housewives. Furthermore, in agreement
with earlier findings [28–30], carers in this study
perceived (internalized) stigma, which not only caused
high levels of distress but also restricted their social
interaction outside home, and thereby led to poor social support.