Coping Styles in Carers of People With Recent and Long-Term Psychosis

Onwumere, Juliana; Kuipers, Elizabeth; Bebbington, Paul; Dunn, Graham; Freeman, Daniel; Fowler, David; Garety, Philippa

doi:10.1097/nmd.0b013e31821ccb07

Cited by 31 publications

(30 citation statements)

References 18 publications

(15 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This corresponds with findings by Montgomery and Williams (2001) who reported that length of care in carers of the elderly was not an independent predictor of carer well-being. This would also support Onwumere et al (2011) who suggested that carer well-being was influenced more by the coping strategy used rather than the duration of care. The well-being of carers of people with SEED was not significantly different.…”

Section: Discussionmentioning

confidence: 63%

“…Furthermore, in the psychosis literature, carers of people with first episode psychosis experienced high levels of burnout early on in their caregiving role (Onwumere et al, 2015). However, earlier research by Kuiper's team suggested that carer well-being may not be nfluenced by illness duration but avoidant carer coping strategies, which were detrimental (Onwumere et al, 2011). To date, there is limited information on illness duration in carers of people with ED, perhaps due to a lack of longitudinal studies (Gonzalez et al, 2012).…”

mentioning

confidence: 96%

See 1 more Smart Citation

Comparing carer wellbeing: implications for eating disorders

Linacre

Heywood-Everett

Sharma

et al. 2015

Mental Health Review Journal

View full text Add to dashboard Cite

Purpose -Around 50 per cent of carers of people with eating disorders (EDs) experience mental health difficulties. The purpose of this paper is to investigate well-being of carers of people with ED and carers of people with severe and enduring eating disorders (SEEDs). Design/methodology/approach -Carers (n ¼ 104) were recruited from UK support groups and stratified using duration of the care recipient's ED (0-2, 2-6, W6 years), with the W6 years category classified as SEED. Data were compared with existing carer well-being studies of other patient groups. Findings -Carers of people with SEED were not significantly different on reported well-being to carers of people with ED. However, carers of people with ED reported significantly less well-being than community norms, carers of people with brain injury and of people with dementia. Specifically, poorer social functioning was reported.Research limitations/implications -Further research on carers of people with SEED is warranted as carers of people with SEED were not equally balanced in gender. It would be beneficial if support groups and skill-based workshops were more available for carers. Originality/value -This is the first known study to compare carer well-being of people with SEED with carers of other clinical populations. Further research is required to identify the needs of carers.

show abstract

Section: Discussionmentioning

confidence: 63%

mentioning

confidence: 96%

Comparing carer wellbeing: implications for eating disorders

Linacre

Heywood-Everett

Sharma

et al. 2015

Mental Health Review Journal

View full text Add to dashboard Cite

show abstract

“…In addition, the study adjusted for caregiver and patient characteristics and included two caregivers per patient in a multilevel analysis. The inclusion of two caregivers possibly explains why we have more male participants compared with other studies on caregiver distress as most studies include only one significant other which typically is the mother [49,50]. With these limitations and strengths in mind, the current study provides further support for the stress-appraisal coping theory and the cognitive model of caregiving in families with first-episode psychosis.…”

Section: Limitations Strengths and Clinical Implicationsmentioning

confidence: 60%

Caregiver distress in first-episode psychosis: the role of subjective appraisal, over-involvement and symptomatology

Jansen

Haahr

Harder

et al. 2014

Soc Psychiatry Psychiatr Epidemiol

View full text Add to dashboard Cite

Caregiver distress is significant in the early phase of illness, and this seems to be more related to their subjective appraisal and over-involvement, than to variations in symptoms and global functioning of the person diagnosed with FEP. This lends further support to the stress-appraisal coping model and the cognitive model of caregiving in FEP, and highlights supportive interventions aimed at handling unhelpful cognitions and behaviors.

show abstract

“…Emotional and physical burnout recorded in caregivers has been equivalent to levels observed in psychiatric staff 16. Caregiver distress is associated with less adaptive coping styles characterized by behavioural and cognitive avoidance 17,18…”

mentioning

confidence: 92%

Caregiver Reports of Patient-Initiated Violence in Psychosis

et al. 2014

Self Cite

View full text Add to dashboard Cite

Objective:Aggressive behaviour in psychosis is not uncommon. Community provision for people with psychosis has left informal caregivers to take on a greater role in their care. However, few studies have explored links between patient-initiated violence in mental health caregiving relationships and caregiver functioning. Our study investigated caregiver reports of aggressive acts committed by their relative with psychosis and their links to caregiver appraisals of the caregiving relationship and caregiver outcomes.Method:Caregivers of patients with a recent relapse of psychosis, recruited to a psychological therapy trial, completed the audiotaped Camberwell Family Interview at baseline. This semi-structured interview includes questions on the quality of the relationship between caregiver and patient, and patient history of violence. Seventy-two transcripts of interviews were assessed for reports of patient-initiated violence.Results:One-half of the caregiver sample (52.9%) reported an incident of patient-initiated violence during their interview; 62.2% of these involved violence toward themselves, and 24.3% toward property. Reports of patient violence were associated with caregiver ratings of hostility expressed toward patients, lower self-esteem, and emotion-focused coping. People caring on their own were more likely to report incidents of patient violence. Younger patients, males, and inpatients were more frequently identified as having a history of this kind of violence.Conclusions:Our findings suggested that caregiver reports of patient-initiated violence in psychosis are not uncommon. Mental health staff need to be aware of the risks of such violence for caregivers of people with psychosis, and consider appropriate procedures for minimizing it.Clinical Trial Registration Number: ISRCTN83557988

show abstract

Coping Styles in Carers of People With Recent and Long-Term Psychosis

Cited by 31 publications

References 18 publications

Comparing carer wellbeing: implications for eating disorders

Comparing carer wellbeing: implications for eating disorders

Caregiver distress in first-episode psychosis: the role of subjective appraisal, over-involvement and symptomatology

Caregiver Reports of Patient-Initiated Violence in Psychosis

Contact Info

Product

Resources

About