Innovations in clinical neuroscience · 2026
A Comparative Study of Perceived Stress and Quality of Marital Life in Spouses of Patients With Bipolar Disorder and Schizophrenia.
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Tyagi Manish, Kumar Ajay, Jain Sanjeev Kumar, Sharma Sonika, Afaq Shehzeen
Аннотация
BACKGROUND: Schizophrenia and bipolar disorder (BD) are chronic psychiatric conditions that place considerable psychological and relational burdens on caregivers, particularly spouses. However, comparative insights into their impact in non-Western sociocultural settings remain limited.
OBJECTIVE: To compare perceived stress, marital adjustment, and quality of marital life among spouses of patients with schizophrenia and BD, and to explore the influence of perceived stress and sociodemographic variables on marital outcomes.
METHODS: A cross-sectional study was conducted in a tertiary care psychiatry outpatient department in India. A total of 100 spouses-50 of patients with schizophrenia (Group 1) and 50 of patients with BD (Group 2)-were assessed using the Perceived Stress Scale (PSS), Quality Marriage Index (QMI), and Short Marital Adjustment Test (SMAT). Sociodemographic data were also analyzed.
RESULTS: Spouses of patients with BD reported significantly higher perceived stress and poorer marital outcomes compared to those of patients with schizophrenia. Across both groups, perceived stress was strongly and negatively correlated with marital adjustment and marital quality. Older age and longer marital duration were associated with lower stress and better marital functioning.
CONCLUSION: Both schizophrenia and BD are associated with substantial caregiver burden, with greater impact observed among spouses of patients with BD. Integrating targeted stress management and culturally sensitive support into caregiver interventions is essential to enhance marital wellbeing and reduce psychological strain.
OBJECTIVE: To compare perceived stress, marital adjustment, and quality of marital life among spouses of patients with schizophrenia and BD, and to explore the influence of perceived stress and sociodemographic variables on marital outcomes.
METHODS: A cross-sectional study was conducted in a tertiary care psychiatry outpatient department in India. A total of 100 spouses-50 of patients with schizophrenia (Group 1) and 50 of patients with BD (Group 2)-were assessed using the Perceived Stress Scale (PSS), Quality Marriage Index (QMI), and Short Marital Adjustment Test (SMAT). Sociodemographic data were also analyzed.
RESULTS: Spouses of patients with BD reported significantly higher perceived stress and poorer marital outcomes compared to those of patients with schizophrenia. Across both groups, perceived stress was strongly and negatively correlated with marital adjustment and marital quality. Older age and longer marital duration were associated with lower stress and better marital functioning.
CONCLUSION: Both schizophrenia and BD are associated with substantial caregiver burden, with greater impact observed among spouses of patients with BD. Integrating targeted stress management and culturally sensitive support into caregiver interventions is essential to enhance marital wellbeing and reduce psychological strain.