Perception of social support and psychotic symptoms among persons with schizophrenia: A strategy to lessen caregiver burden

Peng, Man‐Man; Zhang, Tianming; Liu, Kezhi; Гонг, Ке; Huang, Caili; Guang-zhi, Dai; Hu, Shi-Hui; Lin, Fuchun Joseph; Chan, Sherry Kit Wa; Ng, Siu-Man; Ran, Mao‐Sheng

doi:10.1177/0020764019866230

Cited by 32 publications

(38 citation statements)

References 61 publications

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“…It is common as the caregiving responsibilities are often delegated to family members with the least economic value [20]. Available services, resources, and support for patients and their family caregivers could help to relieve the burdens on caregivers [21]. The awareness and utilization of disability certificates ranked the first in our study.…”

Section: Discussionmentioning

confidence: 82%

Awareness, utilization and influencing factors of social supports for main informal caregivers of schizophrenia patients: a cross-sectional study in primary care settings in Beijing, China

et al. 2020

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Background Most schizophrenia patients are supported by main informal caregivers at home in China. This study aims to investigate the further needs of social supports for main informal caregivers of schizophrenia patients and to analyze influencing factors on the awareness and utilization of social supports in Beijing. The results of this study could potentially act as reference for health professionals to implement appropriate and effective support programs. Methods A mixed-methods approach was used in this study. Awareness, utilization and influencing factors of social supports for main informal caregivers were investigated using questionnaires in 6 urban districts in Beijing. Meanwhile, individual in-depth interviews with 10 main informal caregivers from the urban districts of Beijing were conducted to identify the caregivers’ perspective on social supports and their further needs. Results Quantitative results showed that although the government provided multi-channel resources for schizophrenia patients and their families, awareness and utilization of the resources such as rehabilitation and relevant subsidies were less than 10.0 and 5.0% respectively. Most caregivers in in-depth interviews expressed that they had negative experiences with respect to obtaining social supports, and they emphasized that more support would be needed in terms of financial support, respect, and rehabilitation institutions. Conclusions The awareness and utilization of social supports are low for main informal caregivers of schizophrenia patients. More services and improved public attitudes are needed for schizophrenia patients and their caregivers.

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Section: Discussionmentioning

confidence: 82%

Awareness, utilization and influencing factors of social supports for main informal caregivers of schizophrenia patients: a cross-sectional study in primary care settings in Beijing, China

et al. 2020

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“…Available services, resources, and support for patients and their family caregivers could help to relieve the burdens on caregivers [21]. The awareness and utilization of disability certi cates ranked the rst in our study.…”

Section: Discussionmentioning

confidence: 83%

Awareness, utilization and influencing factors of social supports for main informal caregivers of schizophrenia patients: a cross-sectional study in primary care settings in Beijing, China

Wang

Jin

Wei

et al. 2020

Preprint

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Background: Most schizophrenia patients are supported by main informal caregivers at home in China. This study aims to investigate the further needs of social supports for main informal caregivers of schizophrenia patients and to analyze influencing factors on the awareness and utilization of social supports in Beijing. The results of this study could potentially act as reference for health professionals to implement appropriate and effective support programs.Methods: A mixed-methods approach was used in this study. Awareness, utilization and influencing factors of social supports for main informal caregivers were investigated using questionnaires in 6 urban districts in Beijing. Meanwhile, individual in-depth interviews with 10 main informal caregivers from the urban districts of Beijing were conducted to identify the caregivers’ perspective on social supports and their further needs. Results: Quantitative results showed that although the government provided multi-channel resources for schizophrenia patients and their families, awareness and utilization of the resources such as rehabilitation and relevant subsidies were less than 10.0% and 5.0% respectively. Most caregivers in in-depth interviews expressed that they had negative experiences with respect to obtaining social supports, and they emphasized that more support would be needed in terms of financial support, respect, and rehabilitation institutions.Conclusions: The awareness and utilization of social supports are low for main informal caregivers of schizophrenia patients. More services and improved public attitudes are needed for schizophrenia patients and their caregivers.

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“…It has also been shown that schizophrenia patients receive less social support compared to healthy controls (39,40). Studies report increased subjective social support shows correlation with a lower degree of psychotic symptoms (7), and emotional and socialization supports are helpful for schizophrenia patients (9). On the contrary, exposure to social stress is strongly associated with onset of psychosis, schizophrenia in particular (41).…”

Section: Discussionmentioning

confidence: 99%

“…Social support can help individuals to cope with everyday life, particularly in response to critical situations. Increased subjective social support shows correlation with a lower degree of psychotic symptoms (7,8). Social support can provide a buffer against psychosocial stressors and protect against the negative effects of SLE in schizophrenia (7,9).…”

Section: Introductionmentioning

confidence: 96%

“…Increased subjective social support shows correlation with a lower degree of psychotic symptoms (7,8). Social support can provide a buffer against psychosocial stressors and protect against the negative effects of SLE in schizophrenia (7,9). Furthermore, the beneficial effects of social support on health can be influenced by culture and race (10,11).…”

Section: Introductionmentioning

confidence: 99%

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Hair Cortisol Is Associated With Social Support and Symptoms in Schizophrenia

et al. 2020

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Introduction: Psychosocial stressors may worsen psychotic symptoms in schizophrenia, while social support could protect against the effects of stress in schizophrenia. Hypothalamus-pituitary-adrenal axis dysfunction has been associated with schizophrenia. Hair cortisol concentrations (HCC) allow assessment of cumulative cortisol secretion over the preceding 3 months. The relationship between HCC, psychosocial stressors, social support, and the clinical characteristics of schizophrenia needs to be explored. Methods: One hundred nine schizophrenia patients and 86 healthy controls between the ages of 18 and 60 were enrolled in the study. Three-centimeter samples of hair were collected from the scalp and HCC were measured using ELISA kits. Linear regression and factor analysis were employed to examine the relationship between HCC, childhood trauma, the number of stressful life events (SLE), the amount of social support in the 3 months prior to the hair cortisol assessment and clinical characteristics of schizophrenia. Results: Schizophrenia patients experience more SLE in their lifetime, receive less social support, and have lower HCC in the recent 3 months compared to healthy controls. In the schizophrenia patients, HCC are positively associated with the amount of social support and negatively associated with the severity of delusions. The interaction between social support and SLE predicts decreased HCC. Factor analysis shows that a subgroup of schizophrenia patients who experience childhood trauma and SLE are characterized by decreased HCC. Conclusions: Findings indicate social support could be a moderator for the relationship between SLE and HCC which may attenuate the effects of SLE in schizophrenia.

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Perception of social support and psychotic symptoms among persons with schizophrenia: A strategy to lessen caregiver burden

Cited by 32 publications

References 61 publications

Awareness, utilization and influencing factors of social supports for main informal caregivers of schizophrenia patients: a cross-sectional study in primary care settings in Beijing, China

Awareness, utilization and influencing factors of social supports for main informal caregivers of schizophrenia patients: a cross-sectional study in primary care settings in Beijing, China

Awareness, utilization and influencing factors of social supports for main informal caregivers of schizophrenia patients: a cross-sectional study in primary care settings in Beijing, China

Hair Cortisol Is Associated With Social Support and Symptoms in Schizophrenia

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