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There is no doubt that minor offspring of mentally ill parents experience a high level of burden (Krautgartner et al. 2007; Stelling et al. 2008) and are at a high risk for developing social, emotional, and behavioral disorders (Duffy et al. 2014; Maoz et al. 2014).
Informal carers experience a high level of burden [ 10, 11].
Out of the 108 carers, 72 (66.7%) had high level of burden (ZBI score > 24).
The study reveals a high level of burden among the caregivers of children and adolescents with mental health problems.
Given the high level of burden associated with lung cancer in terms of poor prognosis, treatment side effects and declining physical health, this finding is not surprising.
Carers generally had a high level of burden, mean CBI score of 30 (SD = 2.35) and highest scores in 'time dependency' (11.71) and 'developmental' (7.59) burden subscales.
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Even though the adult children in our study reported some positive aspects of parental psychiatric illness, they predominately experienced high levels of burden.
Predominately, adult children of parents suffering from bipolar or depressive disorder show high levels of burden and are in urgent need of professional support.
Just as our first manuscript showed headache to be highly prevalent in Zambia – no less so than elsewhere in the world [24] – here we have demonstrated that there are high levels of burden arising from it.
We hypothesize that high levels of burden may predict more severe depressive symptoms.
However, these families report high levels of burden related to caring for a member with schizophrenia [ 3, 4].
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