Posttraumatic stress symptoms (PTSS) in caregivers of people with psychosis and associations with caregiving experiences

Kingston, Cara; Onwumere, Juliana; Keen, Nadine; Ruffell, Tamatha; Kuipers, Elizabeth

doi:10.1080/15299732.2015.1089969

Cited by 29 publications

(24 citation statements)

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“…Table presents the characteristics of the eligible studies. All these studies were published between 1994 and 2017 and conducted in the United States (Bassirnia et al., ; Biegel, Milligan, Putnam, & Song, ; Greenberg, Kim, & Greenley, ), Hong Kong (Chen et al., ; Mak & Cheung, , ), Taiwan (Chang, Yen, Jang, Su, & Lin, ; Chang et al., ; Wu & Chen, ), UK (Kingston, Onwumere, Keen, Ruffell, & Kuipers, ; Whitney, Haigh, Weinman, & Treasure, ), India (Koschorke, Thornicroft, Thara, Balaji, & Patel, ; Singh, Mattoo, & Grover, ), Israel (Hasson‐Ohayon, Levy, Kravetz, Vollanski‐Narkis, & Roe, ), Sri Lanka (Fernando, Deane, & McLeod, ; Fernando, Deane, McLeod, et al., ), Ethiopia (Girma et al., ; Weldeslasie Hailemariam, ), Turkey and Brazil (Ferreira de Araujo Jorge & Chaves, ), Portugal (Gonçalves‐Pereira et al., ), and Japan and Korea (Hanzawa et al., , ). All studies were cross‐sectional, except for one follow‐up study.…”

Section: Resultsmentioning

confidence: 99%

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Correlates of affiliate stigma among family caregivers of people with mental illness: A systematic review and meta‐analysis

Shi

Shao

et al. 2018

Psychiatric Ment Health Nurs

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Accessible Summary What is known on the subject? A growing body of qualitative and quantitative research has investigated the experiences of affiliated stigma for family members of PWMI. Some findings are contradictory and have not been considered systematically. What does the paper adds to existing knowledge? Family caregivers of PWMI may encounter affiliate stigma, but no systematic review or meta‐analysis has been conducted to evaluate affiliate stigma among them. We identified eight variables significantly related to affiliate stigma among caregivers of PWMI. The findings can be used to help clinical practice to develop health promotion and prevention strategies. What are the implications for practice? Affiliate stigma was prevalent among the family caregivers of PWMI and is important for clinicians to consider. Health‐focused interventions for family caregivers can mediate the impact of affiliated stigma through provision of social support by practitioners, such as respite care based on the “Senses Framework,” self‐help groups and online support program. And the caregivers of PWMI might benefit from further support (e.g., psychoeducation) to improve their knowledge about mental illness. Abstract IntroductionMany studies have investigated the correlates of affiliate stigma among family caregivers of people with mental illness (PWMI). Thus far, no systematic review or meta‐analysis has been conducted to synthesize these results. Aims/QuestionThis review aims to identify the correlates of affiliate stigma among family caregivers of PWMI. MethodWe searched four databases including PubMed, PsycINFO, EMBASE and Web of Science for studies that investigated the association of affiliate sigma with socio‐demographic, psychosocial and disease‐related factors. ResultsTwenty‐two studies including 3,381 participants met the inclusion criteria. Eighteen variables were included for the meta‐analysis. For disease‐related characteristics, only “disease attribution” and “care time/day” were associated with affiliate stigma. For psychosocial characteristics, “support from others,” “burden,” “depression,” “stress,” “distress” and “face concern” were related to affiliate stigma. DiscussionThis review is the first to assess the association of affiliate stigma with other characteristics of interest. However, the findings are limited due to a very small number of studies. Researchers should conduct in‐depth study in this area and improve the quality of the literature. Implications for practiceHealth‐focused interventions for family caregivers such as respite care, self‐help groups, online support program and psychosocial education can mediate the impact of affiliated stigma.

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Section: Resultsmentioning

confidence: 99%

“…Two cross‐sectional studies assessed and reported that the negative mental health indicators among caregivers were not correlated with affiliate stigma (Bassirnia et al., ; Kingston et al., ).…”

Section: Resultsmentioning

confidence: 99%

Correlates of affiliate stigma among family caregivers of people with mental illness: A systematic review and meta‐analysis

Shi

Shao

et al. 2018

Psychiatric Ment Health Nurs

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“…Stress responses in caregivers of people in the early stages of psychotic illness can include symptoms of anxiety, depression and trauma (Barton & Jackson, 2008;Jansen, Gleeson, & Cotton, 2015;Kingston, Onwumere, Keen, Ruffell, & Kuipers, 2016). Caregiver distress has additionally been associated with high expressed emotion in early caregiving relationships or with critical or overinvolved interactions with patients (Sadath, Muralidhar, Varambally, Gangadhar, & Jose, 2017;Tomlinson, Onwumere, & Kuipers, 2014).…”

Section: Introductionmentioning

confidence: 99%

Role of poor sleep in determining distress in caregivers of individuals with early psychosis

Smith

Onwumere

Craig

et al. 2018

Early Intervention Psych

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“…Reports of fatigue, suicidal thinking, psychological distress, social isolation, sleep dysfunction and poor quality of life are all significantly elevated in carer groups (Gupta et al, 2015;Hayes, et al, 2015;Stansfeld et al, 2014). Family carers have also reported feelings of ''burnout'' , reports of loss, not dissimilar to reactions following a bereavement (Patterson et al, 2005), and trauma (Kingston et al, 2016).…”

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confidence: 99%

Caregiving roles: when will they be routinely recognized and supported?

Onwumere

Kuipers

2017

Journal of Mental Health

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Posttraumatic stress symptoms (PTSS) in caregivers of people with psychosis and associations with caregiving experiences

Cited by 29 publications

References 50 publications

Correlates of affiliate stigma among family caregivers of people with mental illness: A systematic review and meta‐analysis

Correlates of affiliate stigma among family caregivers of people with mental illness: A systematic review and meta‐analysis

Role of poor sleep in determining distress in caregivers of individuals with early psychosis

Caregiving roles: when will they be routinely recognized and supported?

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