Empathy in Married Women Caregivers: A Comparative Analysis Across Psychiatric, Medical, And Non-Caregiver Groups
Sanya Sinha , Amity Institute of Behavioural and Allied Sciences Seema Rani Sarraf , Amity University Uttar Pradesh, Lucknow, IndiaAbstract
Caregiving is a challenging role that impacts the emotional well-being of women, however it remains the most neglected area in clinical and social research. The present study aims to examine and compare the empathy among three various groups of married women: psychiatric patient caregivers, medical patient caregivers and non-caregiving women.
Methodology: Purposive sampling was used to assess 389 married women (mean age 40.5). The sample comprises psychiatric caregivers (n = 122), medical caregivers (n = 137), and non-caregiving women (n = 130). To collect desired response for empathy Toronto empathy questionnaire developed by Spreng et al. (2009) was used. Data was analyzed using descriptive statistics and one-way ANOVA.
Results: One-way ANOVA represents high significant results, which denotes significant differences in empathy scores across three groups. Descriptive statistics reveal that non-caregiver women’s empathy level was highest, followed by medical caregivers and psychiatric caregivers respectively.
Implication: The findings emphasized that women who were actively involved in caregiving, especially for psychiatric patients, demonstrated low empathy among all the groups. This can be due to the absence of adequate amount of societal and institutional support systems for female caregivers. Psychiatric patient caregivers in particular face severe stigma, isolation and high levels of exhaustion and burden with no societal support. While medical caregivers experience only partial support structure.
These results highlight the urgent need for the intervention such as social support programs for caregivers and policy level initiatives that acknowledges the unseen burden carried by women caregivers in Indian society.
Keywords
Empathy, Caregiver Burden, Married Women Caregivers, Psychiatric Caregiving
References
Böge, K., Zieger, A., Mungee, A., Tandon, A., Fuchs, L. M., Schomerus, G., … Hahn, E. (2018). Perceived stigmatization and discrimination of people with mental illness: A survey-based study of the general population in five metropolitan cities in India. Indian Journal of Psychiatry, 60(1), 24–31. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_406_17
Davis, M. H. (1994). Empathy: A social psychological approach. Westview Press.
Decety, J., & Jackson, P. L. (2004). The functional architecture of human empathy. Behavioral and Cognitive Neuroscience Reviews, 3(2), 71–100. https://doi.org/10.1177/1534582304267187
Figley, C. R. (1995). Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized. Brunner/Mazel.
Franza, F., Del Buono, G., & Pellegrino, F. (2015). Psychiatric caregiver stress: Clinical implications of compassion fatigue. Psychiatria Danubina, 27(Suppl. 1), 321–327.
Gupta, R., Kumar, R., & Das, A. (2025). Caregiver burden as perceived by caregivers of patients with schizophrenia: A meta-analysis of Indian studies. Asian Journal of Psychiatry, 94, 104041. https://doi.org/10.1016/j.ajp.2024.104041
Klimecki, O. M., & Singer, T. (2012). Empathic distress fatigue rather than compassion fatigue? Integrating findings from empathy research in psychology and social neuroscience. In B. Oakley, A. Knafo, G. Madhavan, & D. S. Wilson (Eds.), Pathological altruism (pp. 368–383). Oxford University Press.
Koschorke, M., Padmavati, R., Kumar, S., Cohen, A., Weiss, H. A., Chatterjee, S., … Thornicroft, G. (2017). Experiences of stigma and discrimination faced by family caregivers of people with schizophrenia in India. Social Science & Medicine, 178, 66–77. https://doi.org/10.1016/j.socscimed.2017.01.061
Koujalgi, S. R., & Nayak, R. B. (2021). Family burden among caregivers of patients with chronic mental disorders. BLDE University Journal of Health Sciences, 6(2), 164–167. https://doi.org/10.4103/bjhs.bjhs_51_20
Lipsa, J. M., Rajkumar, E., Gopi, A., John, R., & George, K. (2024). Effectiveness of psychological interventions for compassion fatigue: A systematic review and meta-analysis. Journal of Occupational Health, 66(1), uiae061. https://doi.org/10.1093/joccuh/uiae061
Paul, S. (2016). Gender, mental health, and caregiving in India: A socio-cultural analysis. Journal of Indian Psychology, 14(2), 45–62.
Praharaj, S. K., & Arahanthabailu, P. (2024). Exploring barriers to seek mental health services among patients with severe mental illness and their caregivers in a modified assertive community treatment program: A qualitative thematic analysis. Indian Journal of Psychiatry, 66(7), 621–629. https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_314_24
Rathi, G., & Bhatt, B. (2018). Caregiver burden and quality of life in caregivers of patients with psychiatric illness: Role of gender. Indian Journal of Social Psychiatry, 34(1), 30–36. https://doi.org/10.4103/ijsp.ijsp_26_17
Soni, A., Kumar, R., & Das, A. (2024). Experiences of the family caregivers of persons with schizophrenia in north Indian region: A qualitative inquiry. Archives of Psychiatric Nursing, 5, 17–24. https://doi.org/10.1016/j.apnu.2024.05.005
Spreng, R. N., McKinnon, M. C., Mar, R. A., & Levine, B. (2009). The Toronto Empathy Questionnaire: Scale development and initial validation of a factor-analytic solution to multiple empathy measures. Journal of Personality Assessment, 91(1), 62–71. https://doi.org/10.1080/00223890802484381
Srivastava, K., Chatterjee, K., & Bhat, P. S. (2017). Mental health awareness: The Indian scenario. Industrial Psychiatry Journal, 25(2), 131–134. https://doi.org/10.4103/ipj.ipj_45_17
Sukut, O., Sahin-Bayindir, G., Ayhan-Balik, C. H., & Albal, E. (2022). Professional quality of life and psychological resilience among psychiatric nurses. Perspectives in Psychiatric Care, 58(4), 2388–2397. https://doi.org/10.1111/ppc.13068
Thomas, P., & Hazif-Thomas, C. (2020). [Empathy fatigue and psychiatric care of the elderly.] Soins Gérontologie, 25(142), 29–32. https://doi.org/10.1016/j.sger.2020.01.008
Zarit, S. H., Reever, K. E., & Bach-Peterson, J. (1980). Relatives of the impaired elderly: Correlates of feelings of burden. The Gerontologist, 20(6), 649–655. https://doi.org/10.1093/geront/20.6.649
Zhang, Y.-Y., Zhang, C., Han, X.-R., Li, W., & Wang, Y.-L. (2018). Determinants of compassion satisfaction, compassion fatigue and burnout in nursing: A correlative meta-analysis. Medicine (Baltimore), 97(26), e11086. https://doi.org/10.1097/MD.0000000000011086
Liu, Z., Heffernan, C., and Tan, J. (2020). Caregiver burden: A concept analysis, International Journal of Nursing Sciences, Vol. 7, Issue 4, 438-445, ISSN 2352-0132, https://doi.org/10.1016/j.ijnss.2020.07.012.
Akdoğan H. K. and İlhan N. (2024). Factors Associated with Caregiver Burden in Family Caregivers of Older Adults: A Cross-Sectional Study. Florence Nightingale J Nurs. 6;32(3):254-260. doi: 10.5152/FNJN.2024.24090. PMID: 39530639; PMCID: PMC11562595.
Download and View Statistics
Copyright License
Copyright (c) 2026 Sanya Sinha, Seema Rani Sarraf

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors retain the copyright of their manuscripts, and all Open Access articles are disseminated under the terms of the Creative Commons Attribution License 4.0 (CC-BY), which licenses unrestricted use, distribution, and reproduction in any medium, provided that the original work is appropriately cited. The use of general descriptive names, trade names, trademarks, and so forth in this publication, even if not specifically identified, does not imply that these names are not protected by the relevant laws and regulations.

Articles
| Open Access |
DOI: