Carer burden and burnout in relation to behavioral and emotional problems in children’s homes

• Main Authors: Mohd Ali, Fauzah Rahimah, Abd Rahman, Fairuz Nazri
• Format: Article
• Language: English
• Published: Scientific Research Publishing 2023
• Subjects: R Medicine (General)
• Online Access: http://irep.iium.edu.my/103441/2/103441_Carer%20burden%20and%20burnout%20in%20relation.pdf; http://irep.iium.edu.my/103441/; https://www.scirp.org/pdf/jss_2023011915303538.pdf

Introduction: Carers in children’s homes encounter challenges in dealing with the children’s behavioural and emotional problems. This may lead to burden and burnout among carers. Aim: The objectives of this study were to determine the burden and burnout among carers in selected children’s homes. The correlation between them and the children’s behavioural and emotional problems were measured. Method: This was a comparative cross-sectional study among 3 governments’ (40 carers) and 11 private children’s homes (40 carers) in Kuala Lumpur, Selangor and Pahang. Assessments were carried out using the Maslach Burnout Inventory-General Survey (MBI-GS), Zarit Burden Interview (ZBI) for the carers and Strength and Difficulties Questionnaire (SDQ) for the children. Result: Carers at both types of homes showed high levels of burnout. Majority of the carers from both types of homes had a mild to moderate burden of 52.5% government and 47.5% for private homes. Carers at government children’s homes showed moderate to severe burden at 15% compared to private children’s homes at 5% (p = 0.226). Children at government homes had more behavioural problems. Carers at government homes showed significant association but a low correlation of cynicism with total difficulties, exhaustion and cynicism with conduct problems. Carers at private homes showed a significant association but a low correlation of decreased sense of personal efficacy with total difficulties, conduct problems and exhaustion with low prosocial behaviour. There was a significant association but a low correlation of burden with total difficulties and emotional problems in private homes. Simple logistic regression on association of children’s behavioral and emotional problems with carer’s burden and burnout did not reveal significant findings. Conclusion: Carer’s burden and burnout levels are high in children’s homes even though they were not significantly contributed by the children’s behavioural and emotional problems.