Mental disorders in patients with lateral amyotrophic sclerosis and their family members

2015 ◽  
Vol 115 (2) ◽  
pp. 64
Author(s):  
G. N. Levitsky ◽  
A. S. Levitsky ◽  
V. M. Gilod
2020 ◽  
Vol 10 (2) ◽  
Author(s):  
Yusuf Efendi ◽  
Errix Kristian Julianto

ABSTRAKDiera perkembangan jaman saat ini, beberapa keluarga dihadapkan dengan permasalahna tentang adanya angggota keluarga yeng mengaami gangguan jiwa, tak jarang keluarga tidak mengetahui bagaimana merawat angota keluarga dengan gangguan jiwa. Self help group pada keluarga dengan gangguan jiwa perlu dilakukan untuk membantu keluarga mengatasi permasalahannya yang diselesaikan bersama dalam kelompok. Manfaat yang didapatkan pada terapi ini adalah terdapatnya peningkatan pengetahuan keluarga tentang Skizofrenia. Peningkatan pengetahuan ini akan berdampak terhadap kemampuan keluarga dalam merawat klien Skizofrenia..Desain penelitian ini menggunakan desain pre eksperimental dengan rancangan one group pre-posttest design. Sampel pada penelitian ini adalah keluarga penderita Skizofrenia di PKU Jiwa Kalitidu yang berjumlah 32. . Data dikumpulkan menggunakan kuesioner kemudian dianalisis dengan menggunakan uji Wolcoxon sign dengan tingkat kemaknaan 0,05. Hasil penelitian menunjukkan bahwa kondisi responden sebelum dan sesudah dilakukan intervensi dengan self help group pada kemampuan merawat dengan  nilai uji wilcoxon sebesar 0,001 yang berarti ada pengaruh dari intervensi self help group dengan merawat keluarga dengan gangguan jiwa. Kata Kunci       : Self Help Group, Kemampuan Merawat, Skizofrenia   ABSTRACT. In the current era of development, some families are faced with problems about family members who suffer from mental disorders, often families do not know how to care for family members with mental disorders. Self help groups for families with mental disorders need to be done to help families overcome the problems that are solved together in a group. The benefit of this therapy is that there is an increase in family knowledge about Schizophrenia. This increase in knowledge will have an impact on the ability of families to care for Schizophrenia clients.The design of this study used a pre-experimental design with one group pre-posttest design. The sample in this study was the families of Schizophrenics in  Kalitidu public helath centre, amounting to 32.. Data were collected using a questionnaire and then analyzed using the Wolcoxon sign test with a significance level of 0.05.The results showed that the condition of the respondents before and after the intervention with self help group on the ability to care for Wilcoxon test value of 0.001, which means there is an influence of self help group intervention by caring for families with mental disorders. Keywords: Self Help Group, Caring Ability, Schizophrenia


2020 ◽  
Vol 12 (12) ◽  
pp. 4862
Author(s):  
Rubén Trigueros ◽  
Noelia Navarro ◽  
Adolfo J. Cangas ◽  
Isabel Mercader ◽  
José M. Aguilar-Parra ◽  
...  

Parenting a child or teenager is not particularly easy for parents, and this becomes even more difficult if a child has a serious mental disorder. This situation places parents in a vulnerable position that leads to heightened feelings of guilt and emotional stress. Therefore, the aim of this study was to analyze the influence of the families’ emotional intelligence on their own self-stigma and burnout. A total of 537 family members from Southern Spain who care for individuals with mental disorders participated in this study. To analyze the results of the study, a structural equation model was constructed. The results from the equation showed that emotional intelligence is negatively related to self-stigma and burnout. In turn, self-stigma is positively related to burnout syndrome. Thus, the findings indicate that emotional intelligence may have a protective role against self-stigma, which is closely related to burnout syndrome. The relevance of these results when designing interventions that work with the negative feelings produced by self-stigma and family burnout is discussed.


2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Bazondlile D. Marimbe ◽  
Frances Cowan ◽  
Lazarus Kajawu ◽  
Florence Muchirahondo ◽  
Crick Lund

Background: Mental health service resources are inadequate in low-income countries, and families are frequently expected to provide care for their relative with a mental disorder. However, research on the consequences of care giving has been limited in low-income countries, including Zimbabwe.Objective: The study explored the perceived impact of mental illness, reported coping strategies and reported needs of family members of persons diagnosed with bipolar affective disorder or schizophrenia attending a psychiatric hospital in Harare, Zimbabwe.Methods: A purposive sample of 31 family members participated in in-depth interviews and focus group discussions using standardized study guides. Participants were also screened for Common Mental Disorders (CMD) using the 14-item Shona Symptom questionnaire (SSQ). Qualitative data were analyzed thematically. Statistical Package for Social Sciences (SPSS version 16) was used for quantitative data analysis.Results: Caregivers experienced physical, psychological, emotional, social and financial burden associated with care giving. They used both emotion-focused and problem-focused coping strategies depending on the ill family members’ behaviours. Seeking spiritual assistance emerged as their most common way of coping. Twenty one (68%) of the caregivers were at risk of CMD and were referred to a psychiatrist for further management. Caregivers required support from health care professionals to help them cope better.Conclusion: Caregivers carry a substantial and frequently unrecognized burden of caring for a family member with mental disorder. Better support is needed from health professionals and social services to help them cope better. Further research is required to quantitatively measure caregiver burden and evaluate potential interventions in Zimbabwe.


Author(s):  
Ilma Widiya Sari

Mental disorders become a serious problem. The prevalence of mental disorders has increased every year. The family as the closest unit to people with mental disorders and be the main care giver for sufferers. Families as a big role in determining the care needed by sufferers at home. When one family member experiences a mental disorder, all family members also feel the negative effects. The additional role of the family in caring for family members with mental disorders causes the emergence of pressure or burden in the family that can affect physical, psychological, social and economic conditions. Family counseling is needed for media to help families overcome various problems in life as a whole. The role of counseling is the family can answer all questions that disturb the mind and behavior so that the family is able to solve the problem. This research aims to determine the effect of counseling on family burdens in caring for people with mental disorders. This study uses a quasi-experimental method with a post-test and pre-test one group design. The sample taken in this study is a family that has 76 people with mental disorders. Sampling technique using simple random sampling. Bivariate analysis using paired t-test. Bivariate test showed yhe differences in the average value of the family burden before and after the intervention, where the p value is smaller than the alpha (0.00<0.05). It can be concluded that there is an effect of counseling on family burdens in caring for people with mental disorders. Keywords: counseling; family burdens; mental disorders ABSTRAKGangguan jiwa menjadi permasalahan serius dan terus mengkhawatirkan. Prevalensi kasus gangguan jiwa mengalami peningkatan setiap tahunnya. Keluarga sebagai unit paling dekat dengan orang dengan gangguan jiwa dan menjadi penyedia perawatan utama bagi penderita. Keluarga beperan besar dalam menentukan cara atau perawatan yang diperlukan penderita di rumah. Ketika satu anggota keluarga mengalami gangguan jiwa, maka seluruh anggota keluarga turut merasakan dampak negatif. Adanya tambahan peran keluarga dalam merawat anggota keluarga dengan gangguan jiwa menyebabkan munculnya tekanan atau beban dalam keluarga yang dapat mempengaruhi kondisi fisik, psikologis, sosial dan ekonomi. Konseling untuk keluarga dibutuhkan sebagai media perantara guna membantu keluarga mengatasi berbagai permasalahan dalam kehidupan. Konseling bagi keluarga dapat menjawab berbagai pertanyaan yang menganggu pikiran serta tingkah lakunya. Penelitian bertujuan menguji pengaruh konseling terhadap beban keluarga dalam merawat orang dengan gangguan jiwa. Penelitian ini menggunakan metode quasi eksperimen dengan rancangan post-test and pre-test one group design. Sampel penelitian ini adalah 52 responden dari keluarga yang mempunyai orang dengan gangguan jiwa. Pengambilan sampel dilakukan dengan teknik simple random sampling. Analisis data bivariat untuk menguji pengaruh secara statistik menggunakan paired t-test. Hasil uji bivariat secara statistik menunjukkan perbedaan nilai rata-rata beban keluarga sebelum dan setelah intervensi, nilai p lebih kecil daripada nilai alpha (0,00<0,05). Dengan demikian dapat disimpulkan bahwa ada pengaruh konseling terhadap beban keluarga dalam merawat orang dengan gangguan jiwa.


Author(s):  
Tri Sumarsih ◽  
Irfanuddin Wakhid ◽  
Arnika Dwi Asti

The phenomenon of mental disorders is currently experiencing a significant increase and always increase every year in various parts of the world. Family support is a form of providing support to other family members who experienced problems. The family influences the client's values, beliefs, attitudes and behavior. Based on data at Kutowinangun Health Center related to mental disorder patient visited in 2016 totaling 330 patients, the average number of monthly visit was around 11% or 28 patients. To find out family attitudes and support for family members who experienced mental disorders in Kutowinangun Health Center. This research is a descriptive study with a survey approach. The method of taking respondents in this study uses purposive sampling from the results of sample calculations obtained 75 respondents. Based on the research conducted, it was found that family attitudes toward family members who experience mental disorders in Kutowinangun Primary Health Center, the majority of the category is very good as many as 54 respondents (72,0%) and family support in the majority of good categories as many as 46 respondents (61,3% ). Nurses motivate families to invite family members with mental disorders to exercise control at the Kutowinangun Health Center and families to monitor medication regularly.


Author(s):  
Volodymyra Pechko ◽  

The article is devoted to the application of preventive measures to persons with mental disorders. The article presents the views and positions of leading domestic scientists on the types of the most effective precautionary measures for persons in respect of whom proceedings on the application of coercive measures of a medical nature are considered. The article draws attention to international standards as guidelines on the path to legality and justice in the process of applying precautionary measures against insane persons. Scientific positions on the types and features of special precautionary measures that can be applied to insane persons are given. The author found that the problematic issues of application of precautionary measures against persons subject to proceedings on the application of coercive measures of a medical nature are the lack of regulations in the CPC of Ukraine or family members within the precautionary measure in the form of transfer to the care of guardians, close relatives or family members with compulsory medical supervision, as well as the lack of direct right of the person in respect of which the application of coercive measures of a medical nature is decided. appeal against a court decision on the application of a precautionary measure. To improve the legislative provision of the rights of persons subject to coercive measures of a medical nature, as well as to eliminate legislative gaps in the mechanism of application of precautionary measures against such persons, the author proposed specific regulations on the procedure of application of precautionary measures under Chapter 39 of the CPC of Ukraine. care for guardians, close relatives or family members with mandatory medical supervision; as well as placement in a psychiatric institution in conditions that exclude its dangerous behavior. The article expresses the point of view on the need to improve the legislative technique by developing sanctions against persons responsible for the implementation of precautionary measures against insane persons.


Author(s):  
Daniele Alcalá Pompeo ◽  
Arélica de Carvalho ◽  
Aline Morgado Olive ◽  
Maria da Graça Girade Souza ◽  
Sueli Aparecida Frari Galera

ABSTRACT Objective: to identify the coping strategies of family members of patients with mental disorders and relate them to family member sociodemographic variables and to the patient's clinical variables. Method: this was a descriptive study conducted at a psychiatric hospital in the interior of the state of São Paulo, with 40 family members of hospitalized patients over the age of 18, and who followed the patient before and during hospitalization. We used tools to characterize the subjects and the Folkman and Lazarus Inventory of Coping Strategies. Results: the coping strategies most often used by family members were social support and problem solving. Mothers and fathers used more functional strategies (self-control p=0.037, positive reappraisal p=0.037, and social support p=0,021). We found no significant differences between the strategies and other variables examined. Conclusion: despite the suffering resulting from the illness of a dear one, family members make more use of functional strategies, allowing them to cope with adversities in a more well-adjusted way.


Rev Rene ◽  
2014 ◽  
Vol 15 (2) ◽  
Author(s):  
Luana Idalino da Silva ◽  
Álissan Karine Lima Martins ◽  
Kariny Kelly De Oliveira Maia ◽  
Francisca Bezerra de Oliveira ◽  
Ângela Maria Alves e Souza

Author(s):  
Zhou Zhu ◽  
Shabei Xu ◽  
Hui Wang ◽  
Zheng Liu ◽  
Jianhong Wu ◽  
...  

ABSTRACTBACKGROUNDThe outbreak of COVID-19 has laid unprecedented psychological stress on health workers (HWs). We aimed to assess the immediate psychological impact on HWs at Tongji Hospital in Wuhan, China.METHODSWe conducted a single-center, cross-sectional survey of HWs via online questionnaires between February 8th and 10th, 2020. We evaluated stress, depression and anxiety by Impact of Event Scale-Revised (IES-R), Patient Health Questionnaire-9 (PHQ-9), and Generalized Anxiety Disorder 7-item (GAD-7), respectively. We also designed a questionnaire to assess the effect of psychological protective measures taken by Tongji Hospital. Multivariate logistic regression was used to identify predictors of acute stress, depression, and anxiety.RESULTSWe received 5062 completed questionnaires (response rate, 77.1 percent). 1509 (29.8 percent), 681 (13.5 percent) and 1218 (24.1 percent) HWs reported stress, depression and anxiety symptoms. Women (hazard ratio[HR], 1.31; P=0.032), years of working> 10 years (HR, 2.02; P<0.001), concomitant chronic diseases (HR, 1.51; P<0.001), history of mental disorders (HR, 3.27; P<0.001), and family members or relatives confirmed or suspected (HR, 1.23; P=0.030) were risk factors for stress, whereas care provided by hospital and department administrators(odds ratio [OR], 0.76; P=0.024) and full coverage of all departments with protective measures (OR, 0.69; P=0.004) were protective factors.CONCLUSIONSWomen and those who have more than 10 years of working, concomitant chronic diseases, history of mental disorders, and family members or relatives confirmed or suspected are susceptible to stress, depression and anxiety among HWs during the COVID-19 pandemic. Psychological protective measures implemented by the hospital could be helpful.


2020 ◽  
Author(s):  
Liliana Lorettu ◽  
Alessandra MA Nivoli ◽  
Irma Daga ◽  
Paolo Milia ◽  
Cristiano Depalmas ◽  
...  

Abstract Background. Healthcare workers have a 16 times greater risk of suffering workplace violence than workers in other sectors and around 50% experience workplace violence in the course of their career. The objective of this study is to explore the characteristics and circumstances of work-related killings of doctors. Methods. Work-related homicides of doctors over the period 1988-2019 were identified retrospectively through the Italian national statistical agencies. Variables such as perpetrator, motive and location of the crime were obtained through forensic psychiatric work. After classification, the absolute and percent values of the main characteristics of the homicides were calculated. Results. Over the period considered, 21 doctors were killed in Italy in connection with their professional activity. In 52% (n=11) of cases, the killer was one of the doctor’s patients, in 29% (n=6) of cases it was a patient’s relative, in 19% (n=4) an occasional patient (first consultation). The location of the homicide was a community clinic in 48% (n=10) of cases, the street in 19% (n=4) of cases, the doctor’s home in 14% (n=3), the hospital in 14% (n=3) and the patient’s home in 5% (n=1). In 57% (n=12) of cases the perpetrator was not affected by any mental disorders. The motive for the homicide was revenge without previous threats in 52.4% (n=11) of cases; in 28.6% (n=6) the revenge was preceded by stalking. Conclusions. Doctors should be aware that the risk of being killed is not limited to hospital settings and that their patients’ family members might also pose a threat to them.


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