scholarly journals Family Focused Therapy for Family Members of Patients with Bipolar Disorder: Case Reports of Its Impact on Expressed Emotions

2020 ◽  
pp. 025371762095025
Author(s):  
N. Padmavathi ◽  
Sailaxmi Gandhi ◽  
Manjula M ◽  
Biju Viswanath ◽  
Sanjeev Jain
Keyword(s):  
Bipolar Disorder ◽  
Family Caregivers ◽  
Psychosocial Functioning ◽  
Case Reports ◽  
Family Members ◽  
Single Subject ◽  
Interaction Patterns ◽  
Physical And Mental Health ◽  
The Family ◽  
Expressed Emotions

Caregivers of patients with bipolar disorder (BD) undergo a considerable amount of burden. In India, family caregivers are the primary source of support and care for their ill relatives. The burden faced by family members of patients with BD often results in physical and mental health consequences. This may lead to negative interaction patterns such as hostility, criticality, and overinvolvement, termed as expressed emotions (EE). Here, we report how we addressed the EE in family members, using a single-subject design that involved the family caregivers (n = 2) of two adults who presented with a diagnosis of BD with a current episode of mania. An assessment of family caregivers, using the family questionnaire, revealed high EE. Family focused therapy (FFT) of 12 sessions was delivered over 3–4 weeks on an inpatient basis, with positive outcomes of reductions in EE and family stress and improved psychosocial functioning in patient that were sustained over 9–10 months. FFT can be an important add on psychosocial therapy to reduce EE and stress and to facilitate functioning and communication.

scholarly journals A Study on the Problems faced by Mentally ill Patients living in Mangalore

2017 ◽  
pp. 24-30
Author(s):  
Meena Monteiro ◽  
Laveena D’Mello
Keyword(s):  
Physical Health ◽  
Health Problem ◽  
Mentally Ill ◽  
Psychiatric Patients ◽  
Family Members ◽  
Secondary Data ◽  
Lifestyle Factors ◽  
Physical And Mental Health ◽  
The Family ◽  
Obesity Hypertension

Psychiatric patients have got an increased morbidity and mortality to other physical health problem. The most problem they are facing is the lifestyle factors such as the use of substances and the decreased physical activity. These patients are mainly restricted to their home. If mental ill patients do not create any problems to the family members and their neighbouring families, the family members are happy and not so much bother about the patients. And if they are not creating any problems for others, family members are not bothered or motivated to treat the mentally ill patients. Hence the lack of motivation from the other family members results in mentally ill patients showing the symptoms of the high risk of being affected by other health problem. There is the availability of treatment to the mentally ill patient. There was only a little availability of the treatment facilities for the psychiatric patients. So the lack of services available and the most vulnerable nature made them more adherent to the problems. There is a direct relationship between the physical and mental health of the patients. In this study the researcher dealing with only the minor issues such as substance abuse, obesity, hypertension, diabetes along with the mental illness, and it would be a way to understand the problems of these patients. The main aim of the study is to study the problems of mentally ill patients and the objectives are; to study the physical health status of the mentally ill patients; and to study the lifestyle factors such as smoking and alcoholism affected the life of mentally ill. The detail studies of 5o intake patients from the hospital where the psychiatric department exist are taken. The interview schedule is used and more observation and case records were referred to get the history. Secondary data is also considered for the research study.

scholarly journals Meanings attributed by family members in pediatrics regarding their interactions with nursing professionals

2015 ◽  
Vol 49 (6) ◽  
pp. 951-957 ◽  
Author(s):  
Giovana Calcagno Gomes ◽  
Daiani Modernel Xavier ◽  
Aline Campelo Pintanel ◽  
Dóris Helena Ribeiro Farias ◽  
Valéria Lerch Lunardi ◽  
...  
Keyword(s):  
Family Caregivers ◽  
Family Members ◽  
Hospitalized Children ◽  
Methodological Framework ◽  
Southern Brazil ◽  
Hospital Environments ◽  
The Family ◽  
Nursing Team ◽  
Objective Understanding ◽  
Nursing Professionals

Abstract OBJECTIVE Understanding the meanings attributed by family caregivers of children in hospital environments about their interactions with nursing professionals. METHODS This qualitative study used Symbolic Interactionism as a theoretical reference and Grounded Theory as the methodological framework. It was carried out in a Pediatrics Center in southern Brazil, in the first half of 2013. Participants were 15 family caregivers of hospitalized children. Data were collected through interviews and submitted to open and axial analysis. RESULTS Interactions with the nursing team enable family to trust or distrust in the provided child care and to positively evaluate the care received. CONCLUSION Interactions between family members and the nursing team contribute to the significance attributed by the family to the nursing care received by the child. Nurses should be aware of the attitudes of the nursing team regarding the child and their family, prioritizing humanized care.

scholarly journals Psychosocial Needs of the Families with a Person with First Episode Psychosis

2019 ◽  
Vol 10 (1) ◽  
pp. 56
Author(s):  
Praful Prabhuappa Kapse ◽  
Manisha Kiran
Keyword(s):  
Tertiary Care ◽  
Family Members ◽  
First Episode Psychosis ◽  
First Episode ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Episode Psychosis ◽  
The Family ◽  
Expressed Emotions

Background: The people who experience psychotic symptoms first time can be frightening for them and their close family members. It is crucial to provide family support and care to persons with first episode psychosis. Aim: To assess the needs of family members presenting to a tertiary care centre. Methods: Cross-sectional outpatient based study design was adapted to collect data from the family members of persons with first episode psychosis presented to a tertiary care centre. Total 60 family members were randomly selected for the study and assessed for the burden, attitude, ways of coping and quality of life. Results: Study results indicate the high burden; it has noted that high negative expressed emotions among family members. Negative coping styles were also found and the family members and having a poor quality of life. Conclusion: First episode of psychosis can traumatizing to the patients and their family members. Family members can experience the burden of caregiving including financial burden, can have faulty ways of coping and negative expressed emotions towards their own wards having psychosis which can lead to poor treatment outcome. Findings indicated that need to provide psychosocial intervention for family members of persons with first episode psychosis. Keyword: Family, psychosocial intervention, needs, first episode psychosis, expressed emotions, burden

Penerapan Komunikasi Terapeutik terhadap Pelaksanaan Family Psychoeducation pada Extended Familydengan Hipertensi: Laporan Kasus

2019 ◽  
Vol 12 (2) ◽  
Author(s):  
Siti Hajar Salawali ◽  
Herni Susanti
Keyword(s):  
Case Report ◽  
Extended Family ◽  
Case Reports ◽  
Family Members ◽  
Active Listening ◽  
Family Psychoeducation ◽  
Therapeutic Communication ◽  
Extended Families ◽  
Communication Techniques ◽  
The Family

Abstrak Pelaksanaan terapi family psychoeducation pada extended familydengan hipertensitidak dapat dipandang sebelah mata. Keluarga yang merawat anggota keluarga dengan hipertensi memiliki resiko mengalami beban dan seluruh beban yang dirasakan oleh keluarga merupakan stresor yang harus dihadapioleh seluruh anggota keluarga bersama-sama. Perawat yang terlibat dalam upaya perawatan kepada klien juga harus memperhatikan masalah yang dihadapi oleh keluarga. Salah satu upaya yang dapat dilakukan untuk mengatasi beban dengan pemberian terapi family psychoeducation.Metode yang digunakan adalah laporan kasus. Laporan kasus ini menjadi yang pertama kalinya bagaimana penerapan komunikasi terapeutik terhadap family psychoeducation pada extended family dengan hipertensi dilakukan serta disajikan dalam bentuk laporan kasus. Penulis melakukan terapi sebanyak 6 sesi dengan menggabungkan menggunakan tekhnik komunikasi terapeutik. Hasil studi ini didapatkan bahwa terapifamily psychoeducation dan penggunaan komunikasi terapeutik dapat digunakan sebagai cara untuk menyelesaiakan masalah dalam keluarga yang merawat anggota keluarga dengan penyakit fisik (seperti hipertensi) pada kondisi dengan extended family, dimana dalam melaksanaan family psychoeducation, perawat lebih menggunakan tekhnik komunikasi terapeutik terutama pada sesi 3 yaitu manajemen stres dan sesi 4 yaitu manajemen beban keluarga. Tekhnik komunikasi terapeutik yang lebih sering digunakan penulis dalam pemberian family psychoeducation pada keluarga dengan kondisi extended familyyaitu mendengarkan aktif dan mengulang, klarifikasi dan fokus, refleksi dengan menunjukkan rasa empati dan rasa hormat, menggunakan humor, dan diam serta sesekali memberikan sentuhan yang terapeutik.Kata Kunci: Komunikasi Terapeutik, Psikoedukasi Keluarga, Keluarga Besar, Hipertensi Application of Therapeutic Communication to the Implementation of Family Psychoeducation at Extended Family with Hypertension: Case Report AbstractThe implementation of family psychoeducation therapy in extended families with hypertension cannot be underestimated. Families who care for family members with hypertension have a risk of experiencing the burden and all the burden felt by the family is a stressor that must be faced by all family members together. Nurses who are involved in care efforts to clients must also pay attention to problems faced by the family. One of the efforts that can be done to overcome the burden of therapy is family psychoeducation. The method used is a case report. This case report is the first time how the application of therapeutic communication to family psychoeducation in the extended family with hypertension is carried out and presented in the form of case reports. The author did therapy for 6 sessions by combining using therapeutic communication techniques. The results of this study found that family psychoeducation therapy and the use of therapeutic communication can be used as a way to solve family problems that treat family members with physical illness (such as hypertension) in conditions with extended families, where in implementing family psychoeducation, nurses use therapeutic communication techniques. especially in session 3, stress management and session 4, namely family burden management. Therapeutic communication techniques that are more often used by writers in giving family psychoeducation to families with extended family conditions, namely active listening and repetition, clarification and focus, reflection by showing empathy and respect, using humor, and being quiet and occasionally giving a therapeutic touch.Keywords: Comunication Therapeutic, Family Psychoeducation, Extended Family, Hipertention

Comparing health-related quality of life (HRQL) of cancer patients undergoing chemotherapy with family members in a tertiary hospital

2009 ◽  
Vol 27 (15_suppl) ◽  
pp. e20535-e20535 ◽  
Author(s):  
A. Papadopoulos ◽  
I. Vrettos ◽  
K. Kamposioras ◽  
D. Charitos ◽  
G. Giannopoulos ◽  
...  
Keyword(s):  
Mental Health ◽  
Cancer Patients ◽  
Health Survey ◽  
Medical Condition ◽  
Bodily Pain ◽  
Family Members ◽  
Healthy Population ◽  
Physical And Mental Health ◽  
Sf 36 ◽  
The Family

e20535 Background: In Greece there is limited information concerning the HRQL of cancer patients undergoing chemotherapy. The aim of this study was to estimate and compare the HRQL of cancer patients and their relatives during the period of chemotherapy and to investigate potential differences in HRQL. Methods: 122 family members (45 men and 77 women) of mean age 48.3 ±14.5 and 122 cancer patients undergoing chemotherapy (49 men and 73 women) of mean age 56.6 ±15.4 1SD completed the SF-36 health survey by personal interview. The SF-36 health survey was used to evaluate and compare HRQL which contains eight scales measuring physical functioning (PF), role physical (RP), bodily pain (BP), general health perception (GH), vitality (VT), social functioning (SF), role emotional (RE), and mental health (MH), with higher scores (0–100 range) reflecting better-perceived health. Two component summary scores capture the overall physical and mental health (Physical Component Summary or PCS and Mental Component Summary or MCS). Data analysis was performed with SPSS version 13.0 while statistical analysis was performed with Wilcoxon signed ranks test. Results: The table below summarizes the results of our study. Conclusions: Although the physical health was significantly higher in the family members as it was expected for a healthy population, the mental health and especially MCS was significantly lower from the cancer patients undergoing chemotherapy. It seems that medical condition of the patients affects severely the mental HRQL of family members. Supportive psychological programs for both the patients and the family members seem mandatory. [Table: see text] No significant financial relationships to disclose.

scholarly journals Family Health Climate: A Qualitative Exploration of Everyday Family Life and Health

2020 ◽  
Author(s):  
Hagen Wäsche ◽  
Christina Niermann ◽  
Jelena Bezold ◽  
Alexander Woll
Keyword(s):  
Physical Activity ◽  
Health Behavior ◽  
Family Life ◽  
Family Members ◽  
Family Health ◽  
Family Interactions ◽  
Interaction Patterns ◽  
Structured Interviews ◽  
The Family ◽  
Health Related

Abstract Background The family is an important social environment for children’s, adolescents’ and adults’ health. However, studies mostly focused on dyadic and unidirectional influences of parents on their children. Studies addressing influences arising from daily family life and including family level influences are rare and the existing studies solely focus on the relevance for children’s health or health-related behaviors. We use a qualitative approach to explore how daily family life and its inherent health-related cues affect family members’ physical activity and eating behavior. Methods Semi-structured interviews utilizing an interview guide were conducted. Since we aimed to examine family life, we analyzed both parents’ and their children’s views on health-related interaction patterns and family environmental influences on individuals’ health-related behavior. Twenty-two members of seven families were interviewed. Transcripts of the interviews were systematically analyzed following Grounded Theory principles.Results The interviews revealed that various individual as well as environmental factors shape health-related aspects of daily family life. A model was developed that organizes these influencing factors on family life with regard to health-related interactions and the emergence of the Family Health Climate (FHC) – reflecting shared perceptions and cognitions regarding a healthy lifestyle within families – and its consequences. Family interactions and family time, often realized through shared family meals, are key factors for families’ health with regard to nutrition and physical activity. The FHC showed to affect various aspects related to health behavior of individual family members.Conclusions The model allows to gain knowledge on underlying processes and mechanisms of family life that influences individuals’ health-related behavior. Based on a better understanding of the association between family life and individual health behavior the development of family-based interventions can be informed. Furthermore, the insights can help to guide further research focusing on families as a system.

scholarly journals A Comparative Study on the Burden of Disease of Schizophrenia, Bipolar Disorder Type I, and Autism Spectrum Disorder on the Family Caregivers in Iran

2021 ◽  
Vol 22 (3) ◽  
pp. 320-341
Author(s):  
Massoud Ahmadzadeh Asl ◽  
◽  
Ahmad Shojaee ◽  
Behnam Shariati ◽  
Maryam Rasoolian ◽  
...  
Keyword(s):  
Autism Spectrum Disorder ◽  
Bipolar Disorder ◽  
Family Caregivers ◽  
Disease Burden ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Depression And Anxiety ◽  
Schizophrenia Group ◽  
The Family

Objective: Patients with severe psychiatric diseases, due to the debilitating and chronic nature of these diseases, requires prolonged care by family and other rated people. In addition to the patient, these diseases affect the caregiver and create high psychological, social, and individual pressure to take care of themselves. This study aims to compare the burden of schizophrenia, Bipolar Disorder (BD) type 1, and Autism Spectrum Disorder (ASD) on the family caregivers in Iran. Materials & Methods: In this descriptive-analytical study, using the non-probability sampling method, 450 family caregivers of patients with schizophrenia, BD type 1, and ASD were selected based on the inclusion criteria. Data collection tools comprised a demographic checklist, short-form Zarit Burden Interview (ZBI-12), and the Depression, Anxiety, and Stress Scale (DASS). The questionnaires were distributed to the patients selected from the Psychiatric Institute of Tehran, Iran Psychiatric Hospital, and Ali Asghar Hospital. The collected data were analyzed using descriptive statistics, ANOVA for evaluating the relationship of demographic factors with the amount and severity of disease burden, and interclass correlation coefficient in SPSS v. 22. Results: The disease burden was higher on caregivers of ASD patients, followed by that of BD type 1 and schizophrenia patients. The highest and lowest hours of care were related to the ASD and schizophrenia groups, respectively. Women made up the majority of family caregivers. The educational level of family caregivers was higher in the BD type 1 group and was lower in the schizophrenia group. Most caregivers in the BD type 1 group were employed, while most of them in the schizophrenia group were housewives. The lowest and highest income levels were related to the family caregivers of ASD and schizophrenia groups, respectively. The highest and lowest hospitalization frequencies were seen in the BD type 1 and ASD groups, respectively. Conclusion: The burden of three diseases on the family caregivers is high. It is recommended that state-run consulting and screening centers be more active in this field. Because of the low-income level of some family caregivers, it is better to plan for more employment of family caregivers with the assistance of governmental and non-governmental organizations. It is better to hold strategic classes for the family caregivers to reduce their disease burden. Different methods to reduce the burden of diseases in caregivers, such as lowering care hours and using respite care and respite recess and dividing tasks between caregivers, using social or daycare services, can reduce their symptoms of depression and anxiety. Their depression and anxiety should be monitored, and pharmacological and non-pharmacological measures should be used for their treatment.

Tensions in support for family caregivers of people with dementia in Singapore: A qualitative study

Dementia ◽  
2021 ◽  
pp. 147130122199056
Author(s):  
Iccha Basnyat ◽  
Leanne Chang
Keyword(s):  
Family Support ◽  
Family Caregivers ◽  
Emotional Support ◽  
Family Members ◽  
Primary Caregivers ◽  
Support Needs ◽  
Physical Support ◽  
Cultural Expectations ◽  
People With Dementia ◽  
The Family

Background Family members as informal caregivers are considered the first line of support for people with dementia across the world. In Singapore, caregiving expectations revolve around the cultural expectations of providing care in the home environment. However, studies in Singapore have identified a lack of family support for primary caregivers. Family support has been discussed in the literature as the provision of care for people with dementia, and rarely as a resource for family caregivers. Method To understand family support among primary caregivers in Singapore, 24 semi-structured interviews were conducted. Thematic analysis found four themes: excuses for lack of physical support for the caregiver, tensions between cultural expectations of caregiving and the provision of support, unmet emotional support, and lack of awareness of dementia and caregiving needs. Findings Caregivers rationalized and forgave the absence of physical support but were frustrated when the lack of support impacted people with dementia. This was seen as a lack of fulfilling cultural obligations of caring for elderly parents. The caregivers also felt frustrated with the lack of emotional support provided to them, but these were unspoken between the caregiver and the family members. Insufficient and unhelpful support giving was exacerbated with the perception of family members’ limited understanding of the demands of caregiving. Conclusion The findings offer four practical suggestions to address unmet support needs. First, public education is needed to enhance general knowledge about the symptoms and progression of dementia. Second, help is needed to address miscommunication about support within the family. Third, the development of guidebooks is needed to help family caregivers communicate with family members about their various support needs. Fourth, the relationship between cultural expectation and caregiving must be understood within the context of modernity and urbanism.

scholarly journals Family health climate: a qualitative exploration of everyday family life and health

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hagen Wäsche ◽  
Christina Niermann ◽  
Jelena Bezold ◽  
Alexander Woll
Keyword(s):  
Physical Activity ◽  
Health Behavior ◽  
Family Life ◽  
Family Members ◽  
Family Health ◽  
Family Interactions ◽  
Interaction Patterns ◽  
Structured Interviews ◽  
The Family ◽  
Health Related

Abstract Background The family is an important social environment for children’s, adolescents’ and adults’ health. However, studies mostly focused on dyadic and unidirectional influences of parents on their children. Studies addressing influences arising from daily family life and including family-level influences are rare and the existing studies solely focus on the relevance for children’s health or health-related behaviors. We use a qualitative approach to explore how daily family life and its inherent health-related cues affect family members’ physical activity and eating behavior. Methods Semi-structured interviews utilizing an interview guide were conducted. Since we aimed to examine family life, we analyzed both parents’ and their children’s views on health-related interaction patterns and family environmental influences on individuals’ health-related behavior. Twenty-two members of seven families were interviewed. Transcripts of the interviews were systematically analyzed following Grounded Theory principles. Results The interviews revealed that various individual as well as environmental factors shape health-related aspects of daily family life. A model was developed that organizes these influencing factors on family life with regard to health-related interactions and the emergence of the Family Health Climate (FHC) – reflecting shared perceptions and cognitions regarding a healthy lifestyle within families – and its consequences. Family interactions and family time, often realized through shared family meals, are key factors for families’ health with regard to nutrition and physical activity. The FHC showed to affect various aspects related to health behavior of individual family members. Conclusions The model sheds light on underlying processes and mechanisms of family life that influences individuals’ health-related behavior. Based on a better understanding of the association between family life and individual health behavior the development of family-based interventions can be informed. Furthermore, the insights can help to guide further research focusing on families as a system.

scholarly journals Expressed emotions and experiences from relatives regarding having a family member living in a nursing home for older people

2019 ◽  
Vol 7 ◽  
pp. 205031211882341 ◽  
Author(s):  
Åsa Dorell ◽  
Karin Sundin
Keyword(s):  
Nursing Home ◽  
Older People ◽  
Family Member ◽  
Older Persons ◽  
Family Members ◽  
Family Health ◽  
Illness Trajectory ◽  
The Family ◽  
Expressed Emotions ◽  
New Situation

Objectives: The purpose of this study was to describe the topics relatives with a family member in a nursing home for older persons choose to talk about and focus on when participating in a nurse-led “Family Health Conversations” intervention. Family Health Conversations consisted of a series of three nurse-led conversations with each family, with a 2-week interval between meetings. Methods: The Family Health Conversations meetings were tape-recorded and analyzed using qualitative content methods. The participants were relatives of family members living in a nursing home for older persons in a municipality in Sweden. Results: The findings showed how the relatives talked about their suffering and difficulties concerning the new situation. The relatives talked about frustration and sadness together in a new way, with a focus on how to manage the future. They also wished that they had been offered an opportunity to talk about this with nurses earlier in the illness trajectory. Conclusion: The relatives had a significant need to talk about their experiences together within the family and together with the nurses. Nurses have an especially important task in supporting relatives having a family member living in a nursing home.

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