scholarly journals Family Functioning and Psychological Health of Children with Mentally Ill Parents

2019 ◽  
Vol 16 (7) ◽  
pp. 1278 ◽  
Author(s):  
Silke Wiegand-Grefe ◽  
Marlit Sell ◽  
Bonnie Filter ◽  
Angela Plass-Christl
Keyword(s):  
Mental Illness ◽  
Mental Disorders ◽  
Family Functioning ◽  
Psychological Health ◽  
Mentally Ill ◽  
Psychological Problems ◽  
Parental Mental Illness ◽  
Good Family ◽  
Positive Correlations ◽  
Mentally Ill Parents

Parental mental illness can be linked to reduced family functioning, which is associated with more conflicts, less adaptability and cohesion as well as a disorganized pattern of everyday planning. Concurrently, family functioning is an important moderator for the influence of parental mental disorders on the development of the children. Consequently, the current study addresses the correlation of family functioning in families with mentally ill parents and the psychological health of the children. The sample consists of 67 mentally ill parents. Both parents and therapists completed questionnaires related to family functioning and the psychological health of the children. Family functioning was rated as dysfunctional in 38% of the families. The psychological health of the children was classified as clinical or subclinical in 43% of the cases. 52% of the children were rated to have no psychological problems. In families with good family functioning, children were assessed to have less psychological problems than in families with poor functioning. Children outside the clinical range lived in families with good family functioning and vice versa. Significant positive correlations were found between the FB-A scales, the CBCL/4-18 syndrome scales and the CBCL/4–18 total score. Results indicate that family functioning and psychological health of children in families with mentally ill parents correlate closely and represent potential targets for future family interventions.

scholarly journals Impact of mental illness on in-patient hospital costs for somatic disorders and associated factors

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Michel ◽  
A J Hammami ◽  
K Chevreul
Keyword(s):  
Primary Care ◽  
Health Promotion ◽  
Mental Illness ◽  
Mental Disorders ◽  
Economic Burden ◽  
Mentally Ill ◽  
Hospital Costs ◽  
Healthcare Systems ◽  
Interaction Terms

Abstract Background People suffering from mental disorders are in poorer somatic health that the general population. This is due in part to poor quality of care in primary care settings, which can in turn have a major impact on hospitals and healthcare systems, in particular in terms of costs. Our objective was to assess the economic burden of acute care admissions for somatic diseases in patients with a mental illness compared to other patients and analyse the factors associated with it. Methods An exhaustive study using French hospital discharge databases was carried out between 2009 and 2013. Total acute hospital costs were calculated from the all payer perspective (statutory health insurance, private health insurances and patient out-of pocket payments). A multivariate regression modelled the association between mental illness and hospital costs while adjusting for other explanatory variables, with and without interaction terms. Results 37,458,810 admissions were included in the analysis. 1,163,972 patients (6.54%) were identified as being mentally ill. Mean total hospital costs at five years per patient were €8,114. Costs per mentally ill patient were on average 34% higher than for a non-mentally patient (€10,637 vs. €7,949). A longitudinal analysis of costs showed a widening of the gap between the two groups as time went by, from 1.60% in 2009 to 10.51% in 2013. In the multivariate model, mental disorders were significantly associated with increased costs, and interaction terms found an increased impact of mental illness on costs in deprived patients. Conclusions Improving quality of primary care and health promotion in people with a mental illness both for their own sake and to decrease the economic burden on the healthcare system, is of vital importance. Key messages There is a significant increase in hospital costs for somatic care in patients with a mental illness compared to other patients, in particular in patients who are also deprived. It is necessary to improve primary care and health promotion in mentally ill patients, for their sake and for the sake of healthcare systems.

scholarly journals Associations of Family Functioning and Social Support With Psychopathology in Children of Mentally Ill Parents: Multilevel Analyses From Different Rating Perspectives

2021 ◽  
Vol 12 ◽  
Author(s):  
Marlit Sell ◽  
Claus Barkmann ◽  
Bonnie Adema ◽  
Anne Daubmann ◽  
Reinhold Kilian ◽  
...  
Keyword(s):  
Social Support ◽  
Family Functioning ◽  
Mentally Ill ◽  
Externalizing Problems ◽  
Child Psychopathology ◽  
Multilevel Analyses ◽  
Cross Sectional ◽  
Internalizing And Externalizing Problems ◽  
Internalizing And Externalizing ◽  
Mentally Ill Parents

Offspring of mentally ill parents is at heightened risk for psychological symptoms. The identification of environmental factors that predict their mental health is crucial for the development of preventive and therapeutic measures. In the current study, we addressed the combined role of family functioning and social support by taking mentally ill patients’, their partners’, and children’s perspectives into account. The cross-sectional sample included n=195 families (195 patients, 127 partners, and 295 children). Family members completed questionnaires related to family functioning, social support as well as parental and child psychopathology. We conducted multilevel analyses to investigate the associations with internalizing and externalizing problems in children. Family functioning and social support were significantly associated with child internalizing and externalizing problems. However, results varied depending on the rating perspective. We found significant interaction effects of family functioning and social support on child psychopathology. The findings point to the importance of family functioning and social support as potential targets for interventions. Findings should be replicated in future longitudinal studies.

scholarly journals Biogenetic explanations and public acceptance of mental illness: Systematic review of population studies

2011 ◽  
Vol 199 (5) ◽  
pp. 367-372 ◽  
Author(s):  
Matthias C. Angermeyer ◽  
Anita Holzinger ◽  
Mauro G. Carta ◽  
Georg Schomerus
Keyword(s):  
Systematic Review ◽  
Mental Illness ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Mentally Ill ◽  
General Public ◽  
Causal Attributions ◽  
Population Studies ◽  
Public Acceptance ◽  
People With Mental Illness

BackgroundBiological or genetic models of mental illness are commonly expected to increase tolerance towards people with mental illness, by reducing notions of responsibility and blame.AimsTo investigate whether biogenetic causal attributions of mental illness among the general public are associated with more tolerant attitudes, whether such attributions are related to lower perceptions of guilt and responsibility, to what extent notions of responsibility are associated with rejection of people who are mentally ill, and how prevalent notions of responsibility are among the general public with regard to different mental disorders.MethodA systematic review was conducted of representative population studies examining attitudes towards people with mental illness and beliefs about such disorders.ResultsWe identified 33 studies relevant to this review. Generally, biogenetic causal attributions were not associated with more tolerant attitudes; they were related to stronger rejection in most studies examining schizophrenia. No published study reported on associations of biogenetic causal attributions and perceived responsibility. The stereotype of self-responsibility was unrelated to rejection in most studies. Public images of mental disorder are generally dominated by the stereotypes of unpredictability and dangerousness, whereas responsibility is less relevant.ConclusionsBiogenetic causal models are an inappropriate means of reducing rejection of people with mental illness.

Non-Professionals' Attributions of Deviant Behavior: Mental Illness as a Non-Preferred Label

1980 ◽  
Vol 46 (1) ◽  
pp. 235-238
Author(s):  
Robert J. Ritzema ◽  
Suzanne C. Fancher
Keyword(s):  
College Students ◽  
Mental Illness ◽  
Mentally Ill ◽  
Emotionally Disturbed ◽  
Deviant Behavior ◽  
Psychological Problems

This study examined the manner in which non-professional judges (36 male and 36 female freshmen) applied the labels “mentally ill,” “emotionally disturbed,” “insane,” and “has psychological problems” to instances of deviant behavior. College students rated brief descriptions of behavior varying in severity and in type of deviance exhibited. Subjects used the term “mental illness” less than the term “emotionally disturbed” in the case of moderately deviant behavior. The terms “emotionally disturbed” and “has psychological problems” were used more than was the term “mentally ill” to describe severely deviant behavior.

Noise exposure and its impact on psychological health of agricultural tractor operators

2021 ◽  
Vol 69 (6) ◽  
pp. 500-506
Author(s):  
Muhammad Yamin ◽  
Zohaib Yousaf ◽  
Khalid Mahmood Bhatt ◽  
Muhammad Ibrahim
Keyword(s):  
Psychological Health ◽  
Noise Exposure ◽  
Noise Pollution ◽  
Psychological Problems ◽  
Noise Levels ◽  
High Noise ◽  
Adverse Health Effects ◽  
Negative Effect ◽  
Positive Correlations ◽  
Agricultural Tractor

Constant exposure of noise to the auditory system of the agricultural tractor opera- tor can cause physical and psychological problems. A field study was conducted in the Faisalabad and Narowal districts of Pakistan to examine the spread of tractor noise and its psychological effects on the safety of tractor operators driving tractors without cabins and other noise reduction measures. Four of the most common imple- ments used in Pakistan, including land scraper, cultivator, disk harrow and seed drill, were used to detect the changes in tractor noise at two speeds of 5.3 km/h and 10.6 km/h in all four directions. Lowest noise was produced during the field operation of the seed drill at a mean noise value of 81.9 dB(A) among all four implements. Disk harrow and cultivator were found to be the most noisy implement, and during oper- ation, the tractor operator was directly exposed to high noise levels of 86.9 dB(A) and 84.9 dB(A), respectively. This noise pollution caused psychological problems in agri- cultural tractor operators, as demonstrated by the highly positive correlations of de- pression, aggression, anxiety and stress. This trend had a negative effect on their social interactions relative to the comparable population of office employees. In or- der to mitigate the adverse health effects, tractor operators must be equipped with sound proof cabins or at least ear plugs because of direct exposure to high noise levels. Furthermore, a safe distance of 48 m or at least a warning distance of 26 m from the tractor must be maintained by farm workers.

scholarly journals GAMBARAN STIGMA MASYARAKAT TERHADAP KLIEN GANGGUAN JIWA DI RW 09 DESA CILELES SUMEDANG

2016 ◽  
Vol 2 (1) ◽  
pp. 29
Author(s):  
Gilang Purnama ◽  
Desy Indra Yani ◽  
Titin Sutini
Keyword(s):  
Mental Illness ◽  
Mental Disorders ◽  
Mentally Ill ◽  
Random Sampling ◽  
Descriptive Analysis ◽  
The Body ◽  
Stratified Random Sampling ◽  
Community Attitudes ◽  
Health Community ◽  
Heads Of Household

ABSTRAKStigma merupakan label negatif yang melekat pada tubuh seseorang yang diberikan oleh masyarakat dan dipengaruhi oleh lingkungan. Stigma salah satu faktor penghambat dalam penyembuhan klien gangguan jiwa.Cileles adalah suatu Desa dengan jumlah klien gangguan jiwa yang meningkat setiap tahunnya.Tujuan dari penelitian ini untuk mengetahui gambaran stigma masyarakat terhadap klien gangguan jiwa di RW 09 Desa Cileles.Desain penelitian menggunakan deskriptif kuantitatif. Populasi penelitian 253 Kepala Keluarga dan Sampel 155 responden dengan menggunakan teknik stratified random sampling. Instrumen penelitian menggunakan kuisoner Community Attitudes toward the Mentally Ill dan instrumentnya valid dan reliabel.Analisis data yang digunakan adalah distribusi frekuensi dan skor median.Stigma terdiri dari 4 domain, masing-masing domain skornya 10 – 50. Hasil penelitian menunjukan domain otoriterisme mediannya 34 dengan IQR2, selanjutnya adalah komponen berdasarkan domain kebajikan dengan nilai skor 33 dengan IQR 2, kemudian domain ideologi komunitas kesehatan mental dengan skor 33 dengan IQR 4 dan yang paling rendah domain pembatasan sosial dengan nilai 27 dengan IQR 7. Hal tersebut dapat berarti bahwa lebih banyak responden yang menganggap bahwa klien gangguan jiwa harus diperlakukan dengan kasar.Penelitian ini bisa disimpulkan bahwa domain otoriterisme adalah domain stigma yang paling tinggi dan pembatasan sosial adalah domain yang paling rendah. Hasil penelitian ini perlu di tindak lanjuti dengan memberikan intervensi yang tepat sesuai dengan domain-domain yang ada Kata kunci : Gangguan Jiwa, Masyarakat, Stigma.  ABSTRACTStigma is a negative label attached to the body of someone who is paid by the public and influenced by the environment. Stigma one of the inhibiting factor in the healing of clients with mental disorders. Cileles is a village with a number of clients with mental disorders is increasing every year.  This research aims to describe the stigma against mental illness clients in RW 09 Cileles.This research used descriptive quantitative design. Population consisted of 253 heads of household and involved 155 respondents were taken with stratified random sampling. This research used Community Attitudes toward the Mentally Ill Questionnaire and the instrument was valid and reliable. Data Analyzed with descriptive analysis and used median score.Stigma is composed of four domains, each domain likelihood score is 10-50. Research results from obtained that the median score on the domain of authoritarianism is 34 with IQR 2, next is a component based on the domain of virtue with a score of 33 with IQR 2, then based on the ideological aspect mental health community with a score of 33 with IQR 4 and the lowest is based on aspects of social restrictions with value 27 with IQR 7. This result indicated that majority of respondent considered that patient with mental ill should be treated rudely.To concluded, authoritarianism domain is the highest domain stigma and social restrictions are the domain of the lowest. The results of this study need to be followed up with appropriate interventions in accordance with existing domains. Keyword : Mental Illness, Society, Stigma 

Insight and Satisfaction with Life Among Adolescents with Mental Disorders: Assessing Associations with Self-Stigma and Parental Insight

2015 ◽  
Vol 30 (2) ◽  
pp. 329-333 ◽  
Author(s):  
M. Gaziel ◽  
I. Hasson-Ohayon ◽  
M. Morag-Yaffe ◽  
L. Schapir ◽  
G. Zalsman ◽  
...  
Keyword(s):  
Mental Illness ◽  
Mental Disorders ◽  
Satisfaction With Life ◽  
Illness Perception ◽  
Negative Effects ◽  
Satisfaction Scale ◽  
Stigma Of Mental Illness ◽  
Positive Correlations ◽  
Insight Into

AbstractObjective:The purpose of the current study was to assess the associations of illness perception-related variables with satisfaction with life (SwL) among adolescents with mental disorders.Methods:Insight into mental disorder (SAI-E), Internalized stigma of mental illness (ISMI) and Multidimensional Students’ Life Satisfaction Scale (MSLSS) were administrated to 30 adolescent patients. Adapted version for parents of the SAI-E was also administrated to 37 of their parents.Results:Significant positive correlations were found between insight into the illness, self-stigma and parental insight. Insight and self-stigma were significantly negatively related to the total score of SwL and few of its dimensions while parental insight was significantly associated only with the SwL dimensions of school and self. Regression models revealed main negative effects of insight and self-stigma on SwL and no interaction effect.Conclusions:The possible independent contribution of insight and self-stigma to SwL should be addressed in interventions designed for family and adolescents coping with mental illness. Special attention should be given to the possible negative implications that insight possesses. In lack of support of the moderation role of self-stigma, reported in studies among adults with mental illness, future studies should trace other variables in order to further understand the insight paradox among adolescents.

Living With a Mentally Ill Parent

2011 ◽  
Vol 22 (2) ◽  
pp. 174-188 ◽  
Author(s):  
Marianne V. Trondsen
Keyword(s):  
Mental Illness ◽  
Children And Adolescents ◽  
Mentally Ill ◽  
Participant Observation ◽  
Active Management ◽  
Parental Mental Illness ◽  
Lack Of Information ◽  
The Family ◽  
Considerable Body ◽  
Improve Health

Although a considerable body of research has described the implications of parental mental illness, the perspectives of children and adolescents have rarely been addressed. In this article, I explore adolescents’ experiences in everyday life, based on an action-oriented study of a Norwegian online self-help group for adolescents (aged 15 to 18) with mentally ill parents. The analysis was conducted through participant observation of the group for 2 years. The adolescents experienced a variety of difficult challenges related to their parent’s mental illness: lack of information and openness; unpredictability and instability; fear; loneliness; and loss and sorrow. However, they also discussed strategies for active management of the challenges arising from the family situation. I argue that these adolescents can be understood as vulnerable as well as active participants in managing their everyday lives. I emphasize the importance of including perspectives of children and adolescents in further research so as to improve health care for families with parental mental illness.

A Baseline Study on Mental Disorders in Guiné-Bissau

1986 ◽  
Vol 148 (1) ◽  
pp. 27-32 ◽  
Author(s):  
Joop T. V. M. de Jong ◽  
Guus A. J. de Klein ◽  
Sineke G. H. M. M. ten Horn
Keyword(s):  
Mental Illness ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Health Worker ◽  
Mentally Ill ◽  
General Health ◽  
Psychiatric Illness ◽  
Health Workers ◽  
Baseline Study ◽  
Minimum Estimate

Adults attending general health facilities in Guiné-Bissau were screened for the presence of mental disorder; minimum estimate of definite mentally ill cases was found to be 12%. The proportion correctly identified by general health workers was low: only one of every three patients with a mental disorder was recognised and of every 100 non-cases 12 patients were wrongly diagnosed by the health worker as suffering from psychiatric illness. On the basis of these results health workers are now being taught how to detect mental illness.

scholarly journals Family Functioning in Families Affected by Parental Mental Illness: Parent, Child and Clinician Ratings

2021 ◽  
Vol 18 (15) ◽  
pp. 7985
Author(s):  
Marlit Sell ◽  
Anne Daubmann ◽  
Holger Zapf ◽  
Bonnie Adema ◽  
Mareike Busmann ◽  
...  
Keyword(s):  
Mental Illness ◽  
Family Functioning ◽  
Family Members ◽  
Family Assessment ◽  
Parental Mental Illness ◽  
Cross Sectional ◽  
Relational Functioning ◽  
Assessment Measure ◽  
The Family ◽  
Family Based

Family functioning is often impaired in families with a parent with mental illness and is linked to child mental health. This study aims to gain a better understanding of family functioning in affected families by comparing ratings among family members and by analyzing associations with clinician-rated family functioning. The cross-sectional sample comprised 210 families with ratings of 207 patients, 139 partners, and 100 children. Parents with a mental illness as well as their partners and children completed the German version of the Family Assessment Measure (FAM). Clinician ratings were obtained by the Global Assessment of Relational Functioning Scale (GARF). We conducted several mixed models to compare ratings of family functioning while accounting for family cluster. Family dysfunction was consistently elevated compared to a normative sample. On several domains, parents with a mental illness perceived family functioning to be worse compared to their partners and children. Partners and children did not differ in their perceptions of family functioning. Ratings of family members were moderately associated with clinician ratings. We discuss the importance of multi-informant assessment of family functioning and the implementation of family-based interventions for families with a parent with mental illness.

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