Symptoms and social adjustment of schizophrenic patients as evaluated by family members

Otsuka, Toshihiro; Nakane, Yoshibumi; Ohta, Yasuyuki

doi:10.1111/j.1600-0447.1994.tb01496.x

Cited by 25 publications

(18 citation statements)

References 43 publications

(23 reference statements)

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“…The family factor is one of the psychosocial factors that affect the clinical course and outcome of schizophrenia including its recurrence 1–4 . A close relation between the degree of emotional expression by the family and the recurrence rate of schizophrenic patients has been demonstrated regardless of country and culture 5–7 .…”

Section: Introductionmentioning

confidence: 99%

Factors affecting the family support system of patients with schizophrenia: A survey in the remote island of Tsushima

Hamada

Ohta

Nakane

2003

Psychiatry Clin Neurosci

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Possible support for home-cared schizophrenic patients and their families was investigated on Tsushima, one of the many isolated islands in Japan. The psychopathologic symptoms of the patients were evaluated using the Brief Psychiatric Rating Scales (BPRS), their social adjustment using the Psychiatric Disability Assessment Schedule (DAS), mental states of the families using the General Health Questionnaire (GHQ), and the quality of life (QOL) using the Life Satisfaction Rating Scales (LSR). The family support systems for the patients were evaluated with regard to: (i) family support for the patient's daily life (FS), (ii) hardships of family life caused by living with the patient (HF), and (iii) empathic attitude of the family toward the patient (EA). Psychotic symptoms of schizophrenic patients were closely related to the mental state and QOL of their families. Family support was significantly correlated with HF and EA. Moreover, the family support system was shown to be related both to the psychotic symptoms of the patient and the mental state of the family. These results suggest that an approach to improve the family support system for the patient may exert positive effects on the patient's psychotic symptoms and his/her social adjustment. We also consider that intervention by a public organization is necessary to improve the family support system on islands.

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Section: Introductionmentioning

confidence: 99%

Factors affecting the family support system of patients with schizophrenia: A survey in the remote island of Tsushima

Hamada

Ohta

Nakane

2003

Psychiatry Clin Neurosci

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“…Estudos anteriores mostraram que essa super expectativa dos familiares sobre o desempenho de pacientes esquizofrênicos podem gerar atitudes demonstradas como altos níveis de emoção expressa (EE). 23 No Brasil, Martins et al 14 observaram altos níveis de EE em familiares de esquizofrênicos -diferentemente do que o previsto -, que ocorrem principalmente devido a um superenvolvimento familiar. Huguelet et al 7 demonstraram que pacientes esquizofrênicos que viviam em famílias com alta emoção expressa (EE) apresentaram pior ajustamento social em seguimento de quatro anos do que aqueles que viviam em famílias com baixa EE, apesar de achados contraditórios terem sido relatados.…”

Section: Discussionunclassified

“…4 Recentemente, diversos estudos têm sido desenvolvidos em relação à recaída e seguimento de pacientes psiquiátricos, ressaltando-se a importância do papel dos membros da família. 23 O ajustamento social adequado é um fator importante de prevenção de recaída em situações estressantes 19 e um meio de evitar possíveis comentários críticos e hostilidade dos familiares em relação aos déficits sociais, 26 que estão associados a um aumento na taxa de recaída. 13 Várias pesquisas têm relatado melhora no ajustamento e funcionamento social após intervenção terapêutica para membros da família, 2 embora o mecanismo pelo qual esta melhora é alcançada ainda não tenha sido determinado.…”

Section: Introductionunclassified

Expectativa de desempenho social de pacientes psiquiátricos internados em hospital geral

2002

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OBJETIVO: Avaliar, prospectivamente, o desempenho de atividades socialmente esperadas de pacientes psiquiátricos durante o primeiro ano após a alta de uma enfermaria psiquiátrica em hospital geral; e avaliar a expectativa do próprio paciente e a do familiar em relação a esse desempenho. MÉTODOS: O estudo foi realizado em um hospital geral localizado em Ribeirão Preto, SP. Foi aplicada a Escala de Katz ao paciente e ao familiar informante, durante a internação, referindo-se à semana que antecedeu a admissão e um, seis e 12 meses após a alta hospitalar, referindo-se à semana anterior. Concluíram o estudo, 55 pacientes (33 do sexo feminino e 22 do sexo masculino) e seus respectivos familiares informantes dentre as 86 díades que iniciaram o estudo. Os escores das escalas de desempenho e expectativa foram comparados pela análise de variância (ANOVA) e pelo teste t de Student. RESULTADOS: A expectativa não mostrou variação significativa na avaliação do paciente ou do familiar. Nas duas avaliações, a expectativa foi significativamente maior que o desempenho. Entretanto, foi observada melhora significativa no desempenho de atividades socialmente esperadas em relação à pré-internação, desde o primeiro mês após a alta. Essa melhora se manteve ao longo do primeiro ano, tanto na avaliação do paciente como na da família. CONCLUSÕES: Os resultados sugerem que a internação em uma enfermaria psiquiátrica, em hospital geral, além de reduzir os sintomas psiquiátricos, colabora para a melhora no desempenho de atividades socialmente esperadas. Esse nível de desempenho manteve-se constante durante o primeiro ano após a alta, embora variáveis demográficas e clínicas possam influir nesses resultados.

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“…Given the unpredictability of such patients, it is likely that the difficulties faced by caregivers are connected to the fear of violent behavior from patients with schizophrenia. Consequently, the family's attitudes toward the person with schizophrenia may have a significant impact on the patient's social adjustment and the achievement of affective goals (Otsuka et al, 1994;Ohta et al, 1997;Magliano et al, 2004).…”

Section: Introductionmentioning

confidence: 99%

Personal stigma and coping strategies in families of patients with schizophrenia: Comparison between Japan and Korea

Hanzawa

Bae

Tanaka

et al. 2010

Asia-Pacific Psychiatry

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Introduction: It has been extensively documented that caregivers of persons who have serious and persistent mental disorders must successfully cope with many challenging problems in order to provide good care. However, little is known about the relationship between family stigma and strategies for coping with patients with schizophrenia. Therefore, the present study compared the personal stigma and coping strategies of families of patients with schizophrenia by examining the socio‐cultural factors that affect the care experience of families in Northeast Asian countries. Methods: Two self‐rating scales were used to compare personal stigma and coping strategies regarding family members of patients with schizophrenia in 47 Japanese and 92 Korean families. Respondents reported their personal attitudes (personal stigma) with respect to a case vignette that described a person with chronic schizophrenia. Results: Analysis revealed the following: 1) although no differences in coping strategies were observed between the countries, the personal stigma of families was significantly higher in Korea than in Japan; 2) coping strategies, such as positive communication, coercion, and avoidance, were significantly associated with personal stigma in Korean families; however, in Japanese families, resignation was significantly associated with personal stigma. Discussion: The present findings suggest that personal family stigma was higher in Korea than Japan, and the features associated with coping strategies differ between countries. It is important to determine the features of personal stigma that are associated with schizophrenia. Furthermore, education and support programs for families with schizophrenia based on trans‐cultural considerations must be emphasized in both countries.

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Symptoms and social adjustment of schizophrenic patients as evaluated by family members

Cited by 25 publications

References 43 publications

Factors affecting the family support system of patients with schizophrenia: A survey in the remote island of Tsushima

Factors affecting the family support system of patients with schizophrenia: A survey in the remote island of Tsushima

Expectativa de desempenho social de pacientes psiquiátricos internados em hospital geral

Personal stigma and coping strategies in families of patients with schizophrenia: Comparison between Japan and Korea

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