Antoninus Obinna Ezeukwu

Background / Purpose of the Study Caring for a child with Cerebral Palsy (CP) imposes substantial emotional and physical strain on caregivers, often leading to mental health issues like chronic stress, anxiety, and depression. In resource-limited settings such as the South-South region of Nigeria, these vulnerabilities are exacerbated by inadequate social support and financial constraints. This descriptive cross- sectional study investigated the specific factors influencing the mental well-being of caregivers of children with CP receiving care at the University of Benin Teaching Hospital (UBTH), with a focus on assessing mental health status, caregiving burden, and coping mechanisms. Methods A descriptive cross-sectional design was employed, involving a purposive non-probability sample of 30 caregivers of children with CP at the UBTH Physiotherapy pediatric clinic. Data was collected using a structured questionnaire that included the Zarit Burden Interview (ZBI), the Depression, Anxiety, and Stress Scale (DASS-42), and the Social Support Questionnaire for Caregivers of Children with Cerebral Palsy (SSQ-CP). Data analysis involved descriptive statistics, Pearson’s correlation coefficient, and Multiple Regression Analysis to test the relationship between caregiving factors and mental health. Result A total of 30 caregivers participated in the study, of whom 22 were women and mothers, and the sample showed a clear skew toward lower income groups. Findings revealed a moderate to strong positive correlation between caregiving burden measured by the Zarit Burden Interview (ZBI) and all indicators of psychological distress—depression, anxiety, and stress—with the overall relationship between ZBI and Mental Health Total being r = 0.712, p = 0.000, indicating a statistically significant association. Perceived social support measured by the Social Support Questionnaire (SSQ) demonstrated a significant negative correlation with mental health symptoms (r = −0.456, p = 0.011), suggesting that higher support functions as a protective or mitigating factor against psychological distress. Furthermore, multiple regression analysis confirmed that caregiving-related variables collectively and significantly predicted variations in mental health outcomes (F = 5.605, p = 0.001; Adjusted R² = 0.588). However, the severity of the child’s condition, represented by mobility status, did not show a statistically significant effect on caregivers’ mental health in this sample (F = 0.475, p = 0.627). Conclusion The study concluded that caregiving burden and the availability of emotional/social support are significant factors influencing caregiver mental health. Interventions should prioritize reducing the caregiving burden, enhancing formal and informal support systems, and addressing socioeconomic barriers to improve the overall well-being of these vulnerable caregivers in lowresource settings.