Psychiatric morbidity among spouses of patients with stroke.

Carnwath, Tom; Johnson, Damian

doi:10.1136/bmj.294.6569.409

Cited by 152 publications

(108 citation statements)

References 7 publications

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“…For example, caregiver depression exacerbates depression in the stroke survivor (Carnwath and Johnson, 1987), similar to the close association found over time between levels of stroke survivor stress and caregiver stress (Godwin et al, 2013). Caregivers are a critical healthcare resource who save national healthcare systems vast sums each year (Arno et al, 1999;Langa et al, 2001).…”

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confidence: 76%

Caring for caregivers after a stroke

Ski

Lautenschlager

Moore

2014

Int. Psychogeriatr.

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Stroke usually occurs in the latter years of life, is sudden and all too often unexpected and unforgiving. When non-fatal, stroke, the second leading cause of disability after dementia, is nearly always disabling (World Health Organization (WHO), 2011). Due to common ensuing physical and cognitive impairments, many stroke survivors are unable to care for themselves in the following weeks, months, and possibly years (Lutz et al., 2011). Thus, the caregiver role is instant and often long-term with no or very little time to adapt to the many, varied and immediate challenges.

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confidence: 76%

Caring for caregivers after a stroke

Ski

Lautenschlager

Moore

2014

Int. Psychogeriatr.

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“…Between 10 and 30% of relatives are probable cases of psychiatric morbidity-a level that is likely to increase as the illness advances and the treatment becomes palliative [22]. Finally, it is important to note that caregivers' bad adjustment has been associated with patients' poor social rehabilitation [24], poor treatment adherence [25] and increased emotional distress [26,27]. Physicians' communication skills addressed to the relatives (who could improve this adjustment) could thus improve patient support and quality of life.…”

Section: Introductionmentioning

confidence: 99%

Does psychological characteristic influence physicians’ communication styles? Impact of physicians’ locus of control on interviews with a cancer patient and a relative

Libert

Merckaert

Reynaert

et al. 2005

Support Care Cancer

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Context: Physicians' psychological characteristics may influence their communication styles and may thus interfere with patientcentred communication. Objective: Our aim was to test the hypothesis that, in interviews with a cancer patient and a relative, physicians with an "external" locus of control (LOC; who believe that life outcomes are controlled by external forces such as luck, fate or others) have a communication style different from that of physicians with an "internal" LOC (who believe that life outcomes are controlled by their own characteristics or actions). Design, setting, participants and intervention: Eighty-one voluntary physicians practising in the field of oncology were recorded while performing an actual and a simulated interview with a cancer patient and a relative. Main outcome measures: Physicians' communication skills were assessed using the Cancer Research Campaign Workshop Evaluation Manual. Physicians' LOC was assessed using the Rotter I-E scale. The communication skills of the upper and lower quartiles of physicians in respect of their scores on this scale were compared using Student's t test. Results: In actual interviews, physicians with an "external" LOC talked more to the relative (P=0.017) and used more utterances with an assessment function (P=0.010) than physicians with an "internal" LOC. In simulated interviews, physicians with an "external" LOC used less utterances that give premature information (P=0.031) and used more utterances with a supportive function, such as empathy and reassurance (P=0.029), than physicians with an "internal" LOC. Conclusion: These results provide evidence that physicians' LOC can influence their communication styles. Physicians' awareness of this influence constitutes a step towards a tailoring of their communication skills to every patient's and relative's concerns and needs and thus towards a patient-centred communication.

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“…The burden of caring can be predicted from increasing patient dependency and stroke severity (Carnwath et al, 1987, Dennis et al, 1998. Carer characteristics are also relevant including physical health symptoms and psychosocial factors (Carnwath et al, 1987), particularly with respect ABSTRACT Carers of stroke survivors face significant burdens, and increased carer strain has negative implications for both the stroke survivor and the carer. There are limited data on carer strain in the British Indian UK population.…”

Section: Introductionmentioning

confidence: 99%

“…For stroke survivors, increased carer strain risks unsuccessful rehabilitation (Carnwath et al, 1987), poorer physical and psychosocial outcomes (King 1996), high rates of institutionalisation (Bamford et al, 1986), and reduction in quality of care. The burden of caring can be predicted from increasing patient dependency and stroke severity (Carnwath et al, 1987, Dennis et al, 1998.…”

Section: Introductionmentioning

confidence: 99%

“…Keywords: British Indian, carer strain, depression, ethnic minority, informal carers, South Asian, stroke, White British to concerns regarding future care (Reimer et al, 1998), social isolation (Carnwath et al, 1987), unmet requests for support and information (Anderson et al, 1995), financial implications of lost earnings and buying in support, and occupational loss (Kniepmann, 2012).…”

Section: Introductionmentioning

confidence: 99%

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British Indian carers of stroke survivors experience higher levels of anxiety and depression than White British carers: findings of a prospective observational study

Johnson¹,

Manning²,

Katbamna³

et al. 2014

Divers Equal Health Care

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What we know . Up to 40% of carers report significant carer strain. Consequences of increased carer strain include unsuccessful rehabilitation, poorer physical and psychosocial outcomes for stroke survivors, and high rates of institutionalisation. . Though caregiver strain depends in part on the severity of the initial stroke, the level of disability caused, and the level of care needed by the stroke survivor, carer characteristics are also important. . The supplementation of information and emotional support with specific training in basic nursing skills and activities of daily living facilitation is beneficial, in terms of carer outcomes, at least in a white, middle class population. . For minority ethnic groups, we do not know whether the same factors predict carer strain as for the majority, or whether the same interventions, aimed at alleviating it, are beneficial.What this paper adds . British Indian carers reported higher levels of depressive symptoms than White British carers.. British Indian stroke survivors were more likely to have significant cognitive impairment.. We found no significant differences in either the incidence or predictors of carer strain between White British and British Indian carers, using our prespecified definitions of carer strain. . Levels of reported depression, and anxiety and depression combined, were significantly higher in the British Indian carers, and levels of physical activity among carers were lower.

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Psychiatric morbidity among spouses of patients with stroke.

Cited by 152 publications

References 7 publications

Caring for caregivers after a stroke

Caring for caregivers after a stroke

Does psychological characteristic influence physicians’ communication styles? Impact of physicians’ locus of control on interviews with a cancer patient and a relative

British Indian carers of stroke survivors experience higher levels of anxiety and depression than White British carers: findings of a prospective observational study

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