Association between Mutuality and Health-Related Quality of Life in Patient–Caregiver Dyads Living with Schizophrenia

Chiu-Yueh Hsiao, Huei-Lan Lu and Yun-Fang Tsai
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Chiu-Yueh Hsiao: School of Nursing, College of Medicine, Chang Gung University, Taoyuan City 333, Taiwan
Huei-Lan Lu: Director of Nursing Department, Jianan Psychiatric Center, Ministry of Health and Welfare, Rende, Tainan 717, Taiwan
Yun-Fang Tsai: School of Nursing, College of Medicine, Chang Gung University, Taoyuan City 333, Taiwan

IJERPH, 2021, vol. 18, issue 5, 1-9

Abstract: Background: Although caregivers are a crucial support in the recovery of patients with schizophrenia, little is known about how mutuality is related to health-related quality of life within the dyadic (patient and caregiver) context. This study aimed to investigate the dyadic relationship between mutuality and health-related quality of life in patients with schizophrenia and caregivers. Methods: A cross-sectional, correlational study was conducted with a sample of 133 dyads of patients with schizophrenia and caregivers. Structured questionnaires were used to collect data. Data were analyzed using descriptive statistics, paired sample t -tests, Pearson’s product-moment correlations, and the Actor–Partner Interdependence Model. Results: Mutuality of patients was significantly higher than that of caregivers. Compared with caregivers, patients had significantly lower total scores for health-related quality of life. Patients’ and caregivers’ mutuality was related to their own health-related quality of life (actor effect) and their partners’ health-related quality of life (partner effect). Conclusion: Mutuality plays a critical role in health-related quality of life in dyads of patients with schizophrenia and caregivers. Viewing a dyad as a unit of nursing care reveals a promising approach for developing recovery-oriented modalities targeted at stimulating mutuality that may enhance health-related quality of life for both patients and caregivers.

Keywords: mutuality; health-related quality of life; schizophrenia; patient–caregiver dyads; actor–partner interdependence model (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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