Bad, burdened or ill? Characterizing the spouses of women with schizophrenia

Seeman, Mary V.

doi:10.1177/0020764012456818

Cited by 11 publications

(4 citation statements)

References 52 publications

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“…Also, Seeman (2013) showed women whose husbands are suffering from schizophrenia bear a lot of burden. The caregiving burden causes much marital discord; in this regard, marital support and counseling are needed more than ever [20].…”

Section: Introductionmentioning

confidence: 99%

Defining the concept of family caregiver burden in patients with schizophrenia: a systematic review protocol

et al. 2019

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BackgroundSince the deinstitutionalization policy, in psychiatric hospitals, the care of patients with schizophrenia was left to their families which has been imposing a heavy burden on them. Family caregiver burden could have consequences for caregivers, patients, and the society. There is very little consensus on the definition and dimensions of the caregiver burden, which leads to a lack of consistency in the results of research. Thus, the present study was aimed to redefine the family caregiver burden of patients with schizophrenia.MethodsThe databases PubMed, Scopus, Web of Science, MEDLINE (Via Ovid), ProQuest, SCI, Magiran, SID, and IranDoc will be searched from 1940 to 2018 using subject headings and appropriate terms in both Farsi and English languages. Also, gray literature and the reference list of included articles will be used to offer an appropriate definition of the family caregiver burden in patients with schizophrenia. Two independent reviewers will participate in study selection, data collection, and quality assessment steps. The result will be presented in tabular form, and meta-synthesis will be performed.DiscussionThe result of this systematic review will help present the comprehensive definition of the family caregiver burden in patients with schizophrenia according to its evolutionary trend.Systematic review registrationPROSPERO CRD42018099372

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Section: Introductionmentioning

confidence: 99%

Defining the concept of family caregiver burden in patients with schizophrenia: a systematic review protocol

et al. 2019

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“… 38 The cognitive deficits of schizophrenia may reduce a person’s ability to avoid hazardous situations and increase their risk of exploitation by others. 39 A qualitative study of staff at domestic violence agencies noted that violent perpetrators specifically targeted individuals with psychiatric conditions who they perceived as more vulnerable. 40 Schizophrenia is also associated with social isolation and limited support systems, which may increase vulnerability to entering and remaining in violent relationships.…”

Section: Discussionmentioning

confidence: 99%

Risk of interpersonal violence during and after pregnancy among people with schizophrenia: a population-based cohort study

Leslie

Barker

Brown

et al. 2023

CMAJ

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Background: Schizophrenia is associated with increased risk of experiencing interpersonal violence. Little is known about risk specifically around the time of pregnancy. Methods: This population-based cohort study included all individuals (aged 15–49 yr) listed as female on their health cards who had a singleton birth in Ontario, Canada, between 2004 and 2018. We compared those with and without schizophrenia on their risk of an emergency department (ED) visit for interpersonal violence in pregnancy or within 1 year postpartum. We adjusted relative risks (RRs) for demographics, prepregnancy history of substance use disorder and history of interpersonal violence. In a subcohort analysis, we used linked clinical registry data to evaluate interpersonal violence screening and self-reported interpersonal violence during pregnancy. Results: We included 1 802 645 pregnant people, 4470 of whom had a diagnosis of schizophrenia. Overall, 137 (3.1%) of those with schizophrenia had a perinatal ED visit for interpersonal violence, compared with 7598 (0.4%) of those without schizophrenia, for an RR of 6.88 (95% confidence interval [CI] 5.66–8.37) and an adjusted RR of 3.44 (95% CI 2.86–4.15). Results were similar when calculated separately for the pregnancy (adjusted RR 3.47, 95% CI 2.68–4.51) period and the first year postpartum (adjusted RR 3.45, 95% CI 2.75–4.33). Pregnant people with schizophrenia were equally likely to be screened for interpersonal violence (74.3% v. 73.8%; adjusted RR 0.99, 95% CI 0.95–1.04), but more likely to self-report it (10.2% v. 2.4%; adjusted RR 3.38, 95% CI 2.61–4.38), compared with those without schizophrenia. Among patients who did not self-report interpersonal violence, schizophrenia was associated with an increased risk for a perinatal ED visit for interpersonal violence (4.0% v. 0.4%; adjusted RR 6.28, 95% CI 3.94–10.00). Interpretation: Pregnancy and postpartum are periods of higher risk for interpersonal violence among people with schizophrenia compared with those without schizophrenia. Pregnancy is a key period for implementing violence prevention strategies in this population.

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“…Domestic abuse is a too frequent and recurring problem for women with schizophrenia, perhaps because these women sometimes enter into relationships with abusive and substance abusing men [46]. Abuse appears to be aggravated during pregnancy [47,48].…”

Section: Hormone-related Periodicity In Womenmentioning

confidence: 99%

Schizophrenia Psychosis in Women

Seeman

2020

Women

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A first step towards personalized medicine is to consider whether, for some disorders, the safest and most effective treatment of women needs to differ from standard guideline recommendations developed on the basis of clinical trials conducted, for the most part, in men. A second step is to consider how women’s reproductive stages—pre-pubertal years, menstrual phases, pregnancy trimesters, lactation and postpartum periods, menopausal and postmenopausal/aging status—affect the optimal choice of treatment. This review focuses on these two steps in the treatment of psychosis, specifically schizophrenia. It discusses genetics, precursors and symptoms of schizophrenia, reproductive and associated ethical issues, antipsychotic drug response and adverse effects, substance abuse, victimization and perpetration of violence, and issues of immigration and of co-morbidity. The conclusions, while often based on clinical experience and theoretical considerations rather than strictly on the evidence of randomized controlled trials, are that clinical recommendations need to consider clinical and role differences that exist between men and women and make appropriate correction for age and reproductive status.

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Bad, burdened or ill? Characterizing the spouses of women with schizophrenia

Abstract: There is a need for support and psychoeducation programmes that are specifically designated for spouses and that address their special concerns.

Cited by 11 publications

References 52 publications

Defining the concept of family caregiver burden in patients with schizophrenia: a systematic review protocol

Defining the concept of family caregiver burden in patients with schizophrenia: a systematic review protocol

Risk of interpersonal violence during and after pregnancy among people with schizophrenia: a population-based cohort study

Schizophrenia Psychosis in Women

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