Individual Counseling and Stress of Psychiatric Patient’s Caregivers

Main Article Content

Supawadee Disro
Jaturaporn Sangkool


This quasi-experimental research, one group pretest-posttest design aimed to compare the stress of psychotic in-patient caregivers after attending individual psychological counseling based on client-centered therapy. The data were collected among caregivers of psychotic patients who were diagnosed with psychotic disorders in Songklanagarind hospital between May 2017- September 2019. The data were collected from a self-report questionnaire including demographic information of caregivers and stress questionnaires. The data were analyzed by using descriptive statistics and paired t-test. The results showed that 65 participants had the mean score of stress after attending individual psychological counseling was significantly decreased in all 4 components including 1) the relationship between caregivers and patients (p-value <0.001), 2) the emotional coping change (p-value <0.001), 3) the relationship between relative in their families (p-value = 0.040) and 4) the complications in various matters (p-value <0.001). The results suggested that the individual psychological counseling process should be provided to caregivers for decreasing their stress, which focuses on building relationships between the therapist and caregivers and promotes caregivers to have a good attitude and positive interaction with patients.

Article Details

How to Cite
Disro S, Sangkool J. Individual Counseling and Stress of Psychiatric Patient’s Caregivers. Health Sci J Thai [Internet]. 2021 May 14 [cited 2024 Feb. 27];3(2):14-2. Available from:
Original articles


Varint, H. Risk factor to relapse in schizophrenia patient of Srithanya hospital. [Internet]. [Cited in 25 June, 2019]. Available from:

Sukmak, V., Chaorathirun, U., & Srichunlah, A. Strategies used by caregivers in managing psychiatric patients at home. J Psychiatr Assoc Thailand 2001; 46(2): 107-17. (In Thai)

Namlao, W. Factors affecting burden among caregivers of patients with schizophrenia in Sakaeo Ratchanakarindra psychiatric hospital [master’s thesis]. [Sakaeo]:Burapha University; 2016. (In Thai)

Awad, AG., Voruganti, LNP. The burden of schizophrenia on caregivers: a review. Pharmacoeconomics 2008; 26(2): 149-62.

Dharmathai, K. Stress and coping style of caregivers’s adolescent psychiatric patients. Journal of Clinical Psychology 2003; 34: 1-14. (In Thai)

Bualert, A. Effects of rogerian group counseling on reducing stress in schizophrenic patients' relative [master’s thesis]. [Bangkok]: Chulalongkorn University;1993. (In Thai)

Chincharoensap, D. Client-Centered Counseling for adjustment problem person: the practical handbook for finding the cause and solving the problems in mind;2007. (In Thai)

Lippi, G. Schizophrenia in a member of the family: burden, expressed emotion and addressing the needs of the whole family. SAfr J Psychiatr 2016; 22(1): 922.

Vivekwan, Y. Mental health and caring behaviors of caregivers of schizophrenic patients [Master’s thesis]. [Bangkok]: Mahidol University; 2000. (In Thai)

Chimsuk, N., & Dangdomyouth, P. Selected factors related to psychological distress of family caregivers of schizophrenic patients. The Journal of Psychiatric Nursing and Mental Health 2014; 28: 49-62. (In Thai)

Kongkhum, C. Knowledge, attitude and relationship among caregiver and psychiatric patient [Master’s thesis]. [Bangkok]: Mahidol University; 1999. (In Thai)

Pusey-Murray, A., Miller, P. 'I need help': caregivers' experiences of caring for their relatives with mental illness in Jamaica. Ment Health Fam Med 2013; 10(2): 113-21.

Poreddi, V., BIrudu, R., Thimmaiah, R., et al. Mental health literacy among caregivers of persons with mental illness: a descriptive survey. J Neurosci Rural Pract 2015; 6: 355-60.

Pitanupong, J., & Rueangwiriyanan, C. Caregiver burdens in patients with schizophrenia and related factors. Journal of Mental Health of Thailand 2019; 27: 95-106. (In Thai)

Pokaeo, S. Buddhism Psychotherapy Department of psychology Faculty of Education Chulalongkorn University; 1993. (In Thai)

Barry, C. handbook for counseling skills. Bangkok(Thailand): Charoen Publisher; 2006.

Siriphat, M., & Yunibhand, J. The Effect of Coping Group Program on Expressed Emotion of Schizophrenic Patients’ Caregivers. Journal of Nursing Science Chulalongkorn University 2018; 30(3): 78-90. (In Thai)

Agrasuta, T., & Pitanupong, J. Perceived stigma in patients with schizophrenia and caregivers in Songklanagarind hospital: cross-sectional study. Songklanagarind Medical Journal 2017; 35(1): 37-45. (In Thai)

Adeosun, I. I. Correlates of caregiver burden among family members of patients with schizophrenia in Lagos, Nigeria. [Internet] [Cited in 28 June, 2019]. Available from

Sripromphut, K., Nintachan, P., & Sangon, S. Relationships between resilience, stigma, knowledge, social support and personal factors and caregivers’ burden of schizophrenia patients.[Internet] [Cited in 10 July, 2019]. Available from

Pungketsunthorn, N., & Lueboonthavatchai, O. The effect of family interventions program on burden among family caregiver of schizophrenic patient in community. Psychiatric Nurse Association of Thailand 2011; 25: 51-6. (In Thai)

Hegde, S., Rao, SL., Raguram, A. Integrated psychological intervention for schizophrenia. IJPR2007; 11: 5-18.

Chien, W., Chan, S., & Morrissey, J. The perceived burden among Chinese family caregivers of people with schizophrenia. J ClinNurs 2007; 16: 1151-61.

Kuipers, E. Family interventions in schizophrenia: evidence for efficacy and proposed mechanisms of change. J FamTher 2006; 28: 73-80.

Caqueo-Urízar, A., Rus-Calafell, M., Craig, T., et al. Schizophrenia: impact on family dynamics. Curr Psychiatry Rep 2017; 19(1): 2.

Songsri, C., Jankaeo, N. Effect of counseling on coping ability among caregivers of patients with chronic illness. Journal of SakonNakhon Hospital 2019; 22: 50-9. (In Thai)

Gananont, K. Person centered counseling to stress of parent’s inpatient of newborn intensive care building at Maharat NakhonRatchasima Hospital [Master’s thesis]. [Mahasarakham]: Mahasarakham University; 2004. (In Thai)

Lueboonthavatchai, O. Family intervention: roles of psychiatric nurses. The Journal of Psychiatric Nursing and Mental Health 2015; 29: 1-13. (In Thai)

Smithnaraseth, A. Coping and adaptation of family caregivers with schizophrenia patients. EAU Heritage Journal Science and Technology 2017; 11: 43-56. (In Thai)

Simpson, G., Jones, K. How important is resilience among family members supporting relatives with traumatic brain injury or spinal cord injury? ClinRehabil 2013; 27(4):367-77.