Components and Correlates of Family Burden in Schizophrenia

Perlick, D. A.; Rosenheck, Robert A.; Kaczynski, R.; Swartz, M. S.; Canive, J. M.; Lieberman, Joseph A.

doi:10.1176/appi.ps.57.8.1117

Cited by 53 publications

(68 citation statements)

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“…The specificity of this finding (i.e. symptoms of activation syndrome associated with caregiver 'tension') is similar to that of a multicenter USA study, which reported that domains of family burden were differentially related to patients' characteristics [68] . It underscores the need for continued interaction with family members after the acute inpatient phase of treatment, in order to address the impact of symptoms [68] .…”

Section: Factors Associated With Dimensions Of Psychopathologysupporting

confidence: 82%

Schizophrenia Psychopathology in a Kuwaiti Arab Sample

Zahid

Ohaeri²

2010

Psychopathology

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Background: The heterogeneity of schizophrenia psychopathology has led to a search for symptom clusters that could be related to broad features of the disease. The objectives of the study were to: (1) highlight the pattern of symptoms among Kuwaiti subjects with schizophrenia, using the ICD-10 symptom checklist; (2) assess the factor structure of the Brief Psychiatric Rating Scale 18 (BPRS-18) and BPRS-24, and (3) evaluate the relationship of the resulting factors with sociodemographic characteristics, age at onset of illness, family history of mental illness, objective indicators of quality of life, self-esteem, affect balance, family caregiver burden, patient’s perceptions of service satisfaction and needs for care. Method: Consecutive outpatients in stable condition were assessed with the BPRS and ICD-10 symptom checklist, as well as measures of quality of life, needs for care, service satisfaction and family caregiver burden. Results: There were 130 patients (66.1% men, mean age = 36.8 years, age at onset of illness = 24.2 years, duration of illness = 12.9 years). Of the ICD-10 symptoms, the commonest positive symptoms were hallucinations (58.5%) and delusions (72%). Catatonic symptoms were rare (2.9%). About a quarter of the subjects experienced 4 of the negative symptoms. In exploratory factor analysis, we broadly replicated the known syndromes for BPRS-24 (disorganization, positive, activation, manic, negative and depression) and BPRS-18 (negative, positive, activation and affect). In regression analyses, the variables independently associated with psychopathology were family income, negative affect, self-esteem, duration of illness, age, lack of money for enjoyment, met needs for care and caregiver tension. The negative syndrome had more significant associations with the variables investigated than the positive syndrome. Psychopathological scores were separable from indices of psychological well-being. Conclusion: In this first study of schizophrenia psychopathology from the Arab world, the clinical manifestations were similar to the data from the developed countries. The persistence of psychotic symptoms despite freely available antipsychotic treatment and the impact on caregiver burden call for attention to the perennial issue of treatment resistance and underscore the need for continued interaction with family members after the acute inpatient phase of treatment, in order to address the impact of symptoms.

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Section: Factors Associated With Dimensions Of Psychopathologysupporting

confidence: 82%

Schizophrenia Psychopathology in a Kuwaiti Arab Sample

Zahid

Ohaeri²

2010

Psychopathology

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“…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) . Some authors have even argued that the care given by mothers is a 'moral obligation' within a patriarchal society, in that this care towards others represents the way they connect with the social sphere (80) .…”

Section: Psychosocial Burden Among Caregivers Of Patients ………mentioning

confidence: 99%

Psychosocial Burden Among Caregivers of Patients With Schizophrenia in Egypt

Fouad

Fawzi

2013

Zagazig University Medical Journal

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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.

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“…In one of the earliest studies on the subject, Magliano et al (18) reported that the family burden decreased in proportion to improvement in the patient's social functionality. Another study concluded that patients' daily hours of work was a predictor of caregiver burden (19). It has been suggested that measures aimed at increasing patients' functionality will have a positive impact on caregivers, and studies testing these measures have shown that increasing levels of patient functionality reduces the caregiver burden (18,(20)(21)(22).…”

Section: Introductionmentioning

confidence: 99%

Şizofrenide bakım veren yükünün boyutları: Hastaların işlevselliğinin rolü

Pazvantoğlu¹,

Sarısoy²,

Böke³

et al. 2014

Dusunen Adam

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The dimensions of caregiver burden in schizophrenia: the role of patient functionalityObjective: The purpose of this study was to investigate the relationship between schizophrenia patients' functionalities and symptoms and caregiver burden subdimensions.Method: Ninety-two schizophrenia patients and their caregivers were included. Patient functionality was evaluated using the Functional Remission of General Schizophrenia Scale; symptom severity and type were evaluated using the Positive and Negative Syndrome Scale and caregiver burden was evaluated using the Zarit Caregiver Burden Scale.Results: According to our findings, while patients' positive symptoms were uncorrelated with caregiver burden, negative symptoms exhibited a direct linear correlation with the dependency and economic burden dimensions in particular. Patients' functionalities exhibited a significant reverse correlation with almost all caregiver burden dimensions (except for impairment in social relationships). The highest correlation was with the psychological tension and impairment of private life burden dimension. Conclusion:In conclusion, a small number of negative symptoms and a good level of functionality are associated with less caregiver burden, and this correlation is more pronounced in certain burden dimensions, such as dependency, economic burden, psychological tension and impairment of private life.

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Components and Correlates of Family Burden in Schizophrenia

Cited by 53 publications

References 0 publications

Schizophrenia Psychopathology in a Kuwaiti Arab Sample

Schizophrenia Psychopathology in a Kuwaiti Arab Sample

Psychosocial Burden Among Caregivers of Patients With Schizophrenia in Egypt

Şizofrenide bakım veren yükünün boyutları: Hastaların işlevselliğinin rolü

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