Psychological impact on caregivers traumatized by the violent behavior of a family member with schizophrenia

Hanzawa, Setsuko; Bae, Jeong Kyu; Bae, Yong Jun; Chae, Moon hyeon; Tanaka, Hideki; Nakane, Hideyuki; Ohta, Yasuyuki; Zhao, Xianghua; Iizuka, H; Nakane, Yoshibumi

doi:10.1016/j.ajp.2012.08.009

Cited by 46 publications

(43 citation statements)

References 21 publications

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“…Despite this literature, the links between patient-initiated violence and caregiver outcomes in psychosis have rarely been investigated. A small body of evidence suggests that verbal and physical aggression from patients are positively related to trauma symptoms in caregivers 40,44. Reported physical abuse by patients also shares a positive relation with caregiver reports of burden, distress, and patient-focused criticism 45.…”

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confidence: 99%

Caregiver Reports of Patient-Initiated Violence in Psychosis

et al. 2014

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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

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confidence: 99%

Caregiver Reports of Patient-Initiated Violence in Psychosis

et al. 2014

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“…This is against a suggested background of higher levels of the patients' premorbid exposure to violence [7] -between 34% and 81% of patients with severe mental illness (SMI), reported premorbid childhood and sexual abuse, and between 43% and 81% of patients with SMI had had exposure to physical and sexual violence [8,9]. It is also known that the risk of violent behaviour increases with substance use problems [10] and that half of FEP admissions have comorbid substance diagnoses [11,12]. It is also known that the greater exposure to violence by a family member is associated with greater levels of trauma (including PTSD) for the families [13].…”

Section: Discussionmentioning

confidence: 99%

“…It is also known that the greater exposure to violence by a family member is associated with greater levels of trauma (including PTSD) for the families [13]. Risk for violence also increases with nonadherence with medication, poor levels of insight [10], dual diagnosis (SMI and substance use), and if there was a family history of substance use and family history of mental illness [6].…”

Section: Discussionmentioning

confidence: 99%

“…It is possible that family intervention in the early stages of psychosis may prevent the development of a critical family atmosphere and the onset of the associated expressed emotion, and effectively postpone the onset of later relapses [19][20]. Care-giver burden may be somewhat alleviated with improved community-based services for preventative long-term care, including medication adherence (rather than multiple hospitalizations) [10].…”

Section: Future Researchmentioning

confidence: 99%

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Involuntary First Admissions to a Tertiary Psychiatric Hospital in Cape Town: A Five Year Review of Family Referrals to Psychology

Thornton¹

2015

JPCPY

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“…Esto se debe al manejo brusco y agresivo resultante de la contención física y, en otros casos, al manejo farmacológico y sus efectos adversos (26). A su vez, estas crisis incrementan la carga de cuidados que deben sobrellevar los familiares, ya que tienen que estar más pendientes de riesgos como las autolesiones o la agresión hacia otros (32).…”

Section: Vivir Con Esquizofrenia Es Vivir Encerrado a Oscuras Y Con unclassified

Encerrado a oscuras: significado de vivir con esquizofrenia para diagnosticados y sus cuidadores, Medellín-Colombia

Zaraza-Morales

Hernández-Holguín

2017

Aquichan

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Vivir con esquizofrenia representa un enigma para todas aquellas personas que no presentan la enfermedad o conviven con alguien que la padece. Objetivo: comprender el significado de vivir con esquizofrenia para personas que presentan la enfermedad y sus familiares, quienes acudieron a una institución estatal para la atención de problemas de salud mental de alta complejidad en Colombia durante el 2014 y 2015. Materiales y método: se utilizó un enfoque cualitativo y la información fue analizada por medio del método de la teoría fundamentada. Las técnicas de recolección de información fueron ocho entrevistas a profundidad y dos grupos focales, con una participación de 21 personas diagnosticadas y sus cuidadores. Resultados: por medio de la codificación, el muestreo teórico, la comparación constante y los memos analíticos, se llegó a la categoría “Vivir con esquizofrenia es vivir encerrado, a oscuras y con los sueños truncados”. Conclusiones: para los pacientes, la familia y para los cuidadores, vivir con esquizofrenia conlleva una sensación de encerramiento que afecta el proyecto de vida de unos y otros.

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Psychological impact on caregivers traumatized by the violent behavior of a family member with schizophrenia

Cited by 46 publications

References 21 publications

Caregiver Reports of Patient-Initiated Violence in Psychosis

Caregiver Reports of Patient-Initiated Violence in Psychosis

Involuntary First Admissions to a Tertiary Psychiatric Hospital in Cape Town: A Five Year Review of Family Referrals to Psychology

Encerrado a oscuras: significado de vivir con esquizofrenia para diagnosticados y sus cuidadores, Medellín-Colombia

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