Family Systems and Psychoeducation in Chronic Illness Care: A Quasi- Experimental Comparative Study of Diabetes and Dementia in India
DOI:
https://doi.org/10.55712/pwvxvj48Keywords:
Family systems, Psychoeducation, Diabetes, Dementia, Chronic illness, Caregiving, Social psychiatryAbstract
This study investigates the role of family systems and psychoeducational interventions in supporting the management of diabetes and dementia—two chronic conditions with distinct implications. A quasi-experimental, pre-post comparative research design was employed. Sixty primary caregivers (thirty per condition) completed validated measures—the Family Assessment Device (FAD), Coping Strategies Inventory (CSI), and Caregiver Burden Inventory (CBI)—before and after six psychoeducational sessions conducted over a 3-month period. Dementia caregivers reported significantly higher baseline emotional and physical strain (CBI mean difference: -7.3, p=.002) than diabetes caregivers, who focused more on routine compliance. Psychoeducation significantly improved coping scores in both groups, with a larger effect in the dementia cohort (CSI mean difference: +10.9, p=.001). The analysis revealed notable between-group differences in family functioning, particularly in communication (FAD: 2.9 vs. 3.8, p=.003) and affective involvement (FAD: 2.7 vs. 4.1, p=.001). These findings highlight the need for condition-specific, family-centred interventions to address the multidimensional demands of chronic disease care and improve quality of life.
References
[1] Gupta, R., & Sharma, S. (2019). Caregiver burden in dementia: A study from a teaching hospital in rural North India. Indian Journal of Social Psychiatry, 35(3), 197–202. https://doi.org/10.4103/ijsp.ijsp_45_18
[2] Joshi, K., & Anand, M. (2020). Gender differences in caregiver experiences in India. Asian Journal of Social Science, 48(3), 212–228. https://doi.org/10.1163/15685314-04803002
[3] Kumar, S., Kumar, S., & Yadav, R. (2020). Psychoeducational interventions in dementia care: An Indian perspective. Indian Journal of Psychiatry, 62(Supple 2), S247–S254. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_771_19
[4] McCubbin, H. I., & Patterson, J. M. (1983). The family stress process: The double ABCX model of adjustment and adaptation. Marriage & Family Review, 6(1–2), 7–37. https://doi.org/10.1300/J002v06n01_02
[5] Mehta, A., & Chaturvedi, S. K. (2015). Decision-making in families of chronically ill patients. Asian Journal of Psychiatry, 13, 45–49. https://doi.org/10.1016/j.ajp.2014.05.004
[6] Paul, S., & George, S. (2019). Burnout among caregivers of patients with dementia: A qualitative study. Indian Journal of Gerontology, 33(2), 208–225.
[7] Prakash, S., & Banerjee, A. (2018). Coping mechanisms among families of chronic illness patients. Indian Journal of Social Psychiatry, 34(2), 153–159. https://doi.org/10.4103/ijsp.ijsp_82_17
[8] Rao, D., Prasad, G., & Reddy, N. (2020). Cultural competence in psychoeducation: A study of intervention practices. Journal of Indian Psychology, 38(1), 88–97.
[9] Sharma, K., & Dey, A. (2021). Spirituality and coping in caregivers of chronic illness patients. Journal of Social Work Practice, 25(1), 66–79.
[10] Shrivastava, S. R., Shrivastava, P. S., & Ramasamy, J. (2013). Role of self-care in management of diabetes mellitus. Journal of Diabetes & Metabolic Disorders, 12(1), 14. https://doi.org/10.1186/2251-6581-12-14
[11] Singh, A., & Shukla, A. (2022). Family and psychosocial dimensions of chronic illness: Comparative insights from diabetes and dementia. International Journal of Health Sciences and Research, 12(10), 76–82.
[12] Singh, N., Verma, R., & Mathur, P. (2021). Emotional regulation in family caregiving: Evidence from urban India. Indian Journal of Health and Social Work, 12(2), 45–52.
[13] Srinivasan, T. N., & Thara, R. (2001). Beliefs about causation of schizophrenia: Do Indian families believe in supernatural causes? Social Psychiatry and Psychiatric Epidemiology, 36(3), 134–140. https://doi.org/10.1007/s001270050304
[14] World Health Organization. (2023). Noncommunicable diseases progress monitor 2023. https://www.who.int/publications/i/item/9789240078863
Downloads
Published
Data Availability Statement
The datasets generated and/or analysed during the current study are available from the corresponding author upon reasonable request.
Issue
Section
License
Copyright (c) 2026 International Journal of Social Research & Innovation

This work is licensed under a Creative Commons Attribution 4.0 International License.
CC Attribution-International 4.0