Abstract:BackgroundMost studies of family attitudes and burden have been conducted in developed countries. Thus it is important to test the generalizability of this research in other contexts where social conditions and extended family involvement may be different. The aim of this study was to assess the relationship between the attitudes of caregivers and the burden they experience in such a context, namely Arica, a town located in the northernmost region of Chile, close to the border with Peru and Bolivia.MethodsWe a… Show more
“…Parents especially mothers were the caregivers with the highest score (CSI), this finding is consistent with (19) , this is because a large percentage of them are primary caregivers, taking responsibility for all the care of their schizophrenic son. This is due to the greater involvement of mothers, both psychologically and in practice (in their role) (20) and is an aspect that needs to be addressed more actively by mental health professionals (12,22,23) .…”
Section: Psychosocial Burden Among Caregivers Of Patients ………supporting
Most studies of family burden have been conducted in developed countries, thus it is important to conduct studies in developing countries, namely Egypt. Aim of the study: To evaluate the psychosocial burden among caregivers of schizophrenic patients. Subjects and Methods: A total of 120 schizophrenic patients attending the outpatient Clinic of Zagazig University Hospital with their primary caregivers, using Caregiver Strain Index (CSI), Caregiver Self Assessment Questionnaire (CSAQ), Hamilton Anxiety Scale, Hamilton Scale of Depression. Results: High level of burden was found mainly among caregivers of disorganized type followed by catatonic type, also high levels of anxiety and depression in disorganized type followed by catatonic type. Conclusion: Schizophrenia is associated with high level of burden on caregiver. So effort should be made to alleviate the burden for better outcome in both patients and caregivers.
“…Parents especially mothers were the caregivers with the highest score (CSI), this finding is consistent with (19) , this is because a large percentage of them are primary caregivers, taking responsibility for all the care of their schizophrenic son. This is due to the greater involvement of mothers, both psychologically and in practice (in their role) (20) and is an aspect that needs to be addressed more actively by mental health professionals (12,22,23) .…”
Section: Psychosocial Burden Among Caregivers Of Patients ………supporting
Most studies of family burden have been conducted in developed countries, thus it is important to conduct studies in developing countries, namely Egypt. Aim of the study: To evaluate the psychosocial burden among caregivers of schizophrenic patients. Subjects and Methods: A total of 120 schizophrenic patients attending the outpatient Clinic of Zagazig University Hospital with their primary caregivers, using Caregiver Strain Index (CSI), Caregiver Self Assessment Questionnaire (CSAQ), Hamilton Anxiety Scale, Hamilton Scale of Depression. Results: High level of burden was found mainly among caregivers of disorganized type followed by catatonic type, also high levels of anxiety and depression in disorganized type followed by catatonic type. Conclusion: Schizophrenia is associated with high level of burden on caregiver. So effort should be made to alleviate the burden for better outcome in both patients and caregivers.
“…This finding was consistent with the results of some other studies such as those of Angela-Cole and Caqueo-Urízar (10,28). This matter showed that long-term caring for a patient with psychiatric disorder at home can create tension and negative attitude in the caregivers (10). Though in the conducted research cases, females were introduced as the main caregivers, in the current study, more than half of the caregivers (52%) were male .This finding matches the Indian research based results (22).…”
Section: Discussionsupporting
confidence: 83%
“…The more the care hours per week, the more negative the attitude. This finding was consistent with the results of some other studies such as those of Angela-Cole and Caqueo-Urízar (10,28). This matter showed that long-term caring for a patient with psychiatric disorder at home can create tension and negative attitude in the caregivers (10).…”
Section: Discussionsupporting
confidence: 82%
“…In other words, the attitude scores of a high school diploma holding caregiver was better than that of a higher education holder. These findings did not match with the results of some studies such as the ones by Caqueo-Urizar and Shinde (10,22).…”
Section: Discussioncontrasting
confidence: 56%
“…Birami assumes that the negative attitude of caregivers of patients with psychiatric disorders induces this belief in them that they cannot care for and look after their patient appropriately and feel a sense of failure in this respect (8). In 2007, a study in Australia disclosed that many individuals in the society have negative attitude toward the disease and the patients with psychiatric disorders (9).The results of the research by Caqueo-Urizar showed that family caregivers had negative attitude toward the psychiatric disorders and patients with psychiatric disorders (10). The research by Award et al on family's attitude toward caring for patients with schizophrenia revealed that caregivers' attitude can be influential in improving the living environment, reducing the disease relapse and lowering care pressure among the family members.…”
Background: Providing care for the elderly with psychiatric disorders is a long-term and stressful process leading to some negative outcomes on the caregivers' physical, psychological and social health. In addition, it seems that the caregivers' attitude toward providing long-term cares affects their performance and behavior. Objectives: The current study aimed to outline the caregivers' attitude toward providing long-term cares for the elderly patients with psychiatric disorders. Patients and Methods: The current descriptive study was conducted on 200 elderly patients with psychiatric disorders, referred to the Zare teaching psychiatric hospital in Sari, Iran. The participants were selected via convenient sampling method. The sampling lasted from June to mid-November in 2015 .Two questionnaires were applied to collect data , the demographics (the elderly and caregivers) and the short form of Klein attitude toward the provision of long-term care scale (ATPLTC scale). The data were analyzed using descriptive and inferential statistics such as independent T-test, ANOVA and Scheffe test.
Results:The study results indicated that the mean ± SD age of the caregivers was 51.24 ± 12.16 years. Ninety-four percent of the caregivers were married and the education level in 49% was above high school diploma. Sixty-seven percent of them reported average economic status. The findings showed that 71% of the caregivers had negative attitude toward long-term care giving. There was a significant relationship between caregivers' education level (P = 0.017), other family members with psychiatric disorder (P = 0.036) and the weekly hours caring for the patient (P = 0.032).
Conclusions:The caregivers' negative attitude toward caring for the elderly patients with psychiatric disorders is an alarm for the mental healthcare policy makers and psychiatric/mental health team workers. To promote the mental health among the elderly patients with psychiatric disorders and those of their caregivers, it is necessary to develop family-oriented education, counseling and supportive programs and perform more studies on the issue.
Purpose The lifespan of people with severe mental illness (SMI) is shorter compared to the general population. There might be common familial pathway leading to a high co-occurrence of somatic disorders and SMI. To study this we explored the long-term mortality for natural causes in the offspring of people with SMI. Methods Participants were members of the Northern Finland Birth Cohort 1966 (NFBC1966; N = 11,325). The data on cause of deaths of the members were obtained from the Population Register Center until year 2015. The data on hospital-treated psychiatric disorders of parents were obtained from nationwide Care Register for Health Care. Cumulative incidences by age were calculated in the NFBC1966 members having a parent with SMI and those who did not have. We were able to take into account multiple confounders. Results Of the total sample of 11,325 offspring, 853 (7.4%) died during the follow-up period, 74 (8.7%) from the study cohort and 779 (91.3%) from the comparison group. These numbers included 160 stillborn children. There were 557 cases of deaths from diseases and medical conditions and 296 deaths from external causes. The adjusted risk ratio for offspring of mothers with SMI was 1.08 (0.72-1.64), and for offspring of fathers with SMI 0.58 (0.36-0.93). Conclusions This was the first long-term follow-up study (up to age 49) of all-cause mortality in offspring of parents with SMI. Our findings were contrary to expectations. Offspring of parents with SMI had no increased risk for dying. In fact, the risk for dying in the group of offspring of fathers with SMI was lower than in the comparison group. This study does not support the assumption of common familial pathway leading to a high co-occurrence of somatic disorders and SMI.
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