ORIGINAL ARTICLE Burden and Expressed Emotion in Caregivers of Bipolar Affective Disorder-Mania: A Cross-Sectional Study Arun Kumar Yadav . Seema Parija . Jyoti Yadav . Ashok Kumar Patel . Prashant Mishra Received: 16 October 2017 / Accepted: 20 April 2018 / Published online: 19 May 2018 Ó Springer (India) Private Ltd., part of Springer Nature 2018 Abstract There is a paucity of literature on care- giver burden and expressed emotion among persons with bipolar affective disorder and its correlates in Indian settings. Data was collected from outpatient department of psychiatry, Institute of Mental Health and Hospital, Agra, regarding socio-demographic characteristics (e.g. age, gender, domicile), followed by Burden Assessment Scale (BAS), Family emo- tional involvement and criticism scale, and young mania rating scale from patients of bipolar affective disorder in manic episode and their caregivers. Descriptive statistics like mean, standard deviation and unpaired ‘‘t’’ test was applied for continuous data and Chi square for categorical data. Spearman corre- lation was used to find the correlation. The mean age of patients with mania and their caregivers were 35.9 (SD = 9.8) and 43.5 (SD = 12.9) respectively. The mean total BAS score was 76.7 (12.3), which reflect a significant amount of caregiver burden. Age of the caregivers was positively correlated with total BAS scale respectively. Marital status of caregivers was negatively correlated with external support (- 0.6, p \ 0.05). Education of caregivers was negatively correlated with Physical and mental (- 0.5, p \ 0.05) and other relation (- 0.5, p \ 0.05). Occupation of the caregivers was positively related to taking respon- sibility (0.5, p \ 0.05). The presence of significant amount of burden of care and expressed emotion in patients with bipolar affective disorder in manic episode point out to the need for psychosocial support to the family. Keywords Bipolar affective disorder Á Caregiver burden Á Expressed emotion Introduction Family members are the primary source of caregiving for patients with chronic psychiatric illness. Caregiv- ing extols a significant burden on the caregiver as a result of the shift of the burden of care from hospital to families, and on society at large in terms of significant A. K. Yadav (&) AFMC, Pune, India e-mail: arunyadavpsm@gmail.com Present Address: S. Parija Kalinga Institute of Medical Sciences, Bhubaneswar, Orissa, India S. Parija IMHH, Agra, India J. Yadav JGH, New Delhi, India A. K. Patel AIIMS, New Delhi, India P. Mishra ACMS, New Delhi, India 123 J. Psychosoc. Rehabil. Ment. Health (2018) 5:83–88 https://doi.org/10.1007/s40737-018-0112-6