scholarly journals Schizophrenia in a member of the family: Burden, expressed emotion and addressing the needs of the whole family

2016 ◽  
Vol 22 (1) ◽  
pp. 7 ◽  
Author(s):  
Gian Lippi
Keyword(s):  
Service Delivery ◽  
Expressed Emotion ◽  
Family Members ◽  
Chronically Ill ◽  
Family Burden ◽  
The Family

How often do we find ourselves concentrating so much on treating a patient with schizophrenia that we forget about the needs and difficulties of the family members who take care of that patient? This article highlights the global and specific difficulties that families and caregivers experience in having to care for chronically ill family members with schizophrenia with a backdrop of continuing global deinstitutionalisation of such patients. Matters such as burden and expressed emotion are explored, family-specific interventions are discussed and areas of service delivery and resource inadequacies are identified.

A study of the family burden of 150 family members of schizophrenic patients

2004 ◽  
Vol 19 (7) ◽  
pp. 395-401 ◽  
Author(s):  
B. Lowyck ◽  
M. De Hert ◽  
E. Peeters ◽  
M. Wampers ◽  
P. Gilis ◽  
...  
Keyword(s):  
Family Members ◽  
The Other ◽  
Family Burden ◽  
The Family ◽  
Schizophrenic Patients ◽  
Patients Experience ◽  
Emotional Level ◽  
Level 2 ◽  
Insight Into ◽  
At Home

AbstractPurposeInvestigation into the family burden (FB) of schizophrenic patients has recently risen sharply. Nevertheless, to date there has been little consensus as to what factors influence the FB. The purpose of this study is to acquire a greater insight into the variables that influence the FB.Subjects/MethodsThe FB was measured with the interview for the family burden (Kluiter H, Kramer JJAM, Wiersma D, et al. Interview voor de belasting van de familie 1997 [Interview for the burden on the family]. Department Sociale Psychiatrie. Groningen: Rijksuniversiteit). One hundred and fifty family members (parents/partners) of schizophrenic patients participated in the study.ResultsThe results of our study show (1) that family members experience burden both on a practical and an emotional level, (2) a highly significant correlation between the amount of symptomatic behaviour of the patient and FB, (3) that parents had taken on more tasks, had contributed more financially and had experienced a tenser atmosphere at home than partners did and (4) that family members of patients who have been treated for less than 1 year worry more about the other members of their family than family members of patients who have been receiving treatment for more than 1 year.ConclusionsFamily members of schizophrenic patients experience burden on a practical, financial and emotional level and the extent of the burden is closely linked to the amount of symptomatic behaviour of the patient.

Confirmatory Factor Analysis of the Family Emotional Involvement and Criticism Scale: Evidence of the Dimensionality of Expressed Emotion

2003 ◽  
Vol 92 (1) ◽  
pp. 119-127 ◽  
Author(s):  
Stephen M. Gavazzi ◽  
Patrick C. McKenry ◽  
Jill A. Jacobson ◽  
Teresa W. Julian ◽  
Brenda Lohman
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Expressed Emotion ◽  
Factor Model ◽  
Family Members ◽  
Married Couples ◽  
Emotional Involvement ◽  
Convenience Sample ◽  
Confirmatory Factor ◽  
The Family

Using a convenience sample of 152 married couples, the present study tested models that alternately considered family members' perceptions of Expressed Emotion to be a one-, two-, three-, or four-factor construct as measured by the Family Emotional Involvement and Criticism Scale. Results of confirmatory factor analysis procedures indicated that perceptions of Expressed Emotion were best represented by a four-factor model that consisted of involvement, criticism, upset feelings, and approval. The methodological implications of these findings are discussed.

scholarly journals Stigma and expressed emotion: a study of people with schizophrenia and their family members in China

2002 ◽  
Vol 181 (6) ◽  
pp. 488-493 ◽  
Author(s):  
Michael R. Phillips ◽  
Veronica Pearson ◽  
Feifei Li ◽  
Minjie Xu ◽  
Lawrence Yang
Keyword(s):  
Expressed Emotion ◽  
Family Members ◽  
Cognitive Responses ◽  
Highly Educated ◽  
Standard Work ◽  
Severe Effect ◽  
The Family ◽  
Family Interview ◽  
High Level ◽  
Work Up

BackgroundThe most damaging effect of stigma is the internalisation of others' negative valuations.AimsTo explore the factors that mediate patients' emotional and cognitive responses to stigma.MethodBased on responses to 10 open-ended questions about stigma appended to the Chinese version of the Camberwell Family Interview, trained coders rated the effect of stigma on both patients and family members in 1491 interviews conducted with 952 family members of 608 patients with schizophrenia at 5 sites around China from 1990 to 2000.ResultsFamily members reported that stigma had had a moderate to severe effect on the lives of patients over the previous 3 months in 60% of the interviews, and on the lives of other family members in 26% of the interviews. The effect of stigma on patients and family members was significantly greater if the respondent had a high level of expressed emotion, if the patient had more severe positive symptoms, if the respondent was highly educated and if the family lived in a highly urbanised area.ConclusionsClinicians should assess the effect of stigma as part of the standard work-up for patients with mental illness, and help patients and family members reduce the effect of stigma on their lives.

scholarly journals Family Burden of Narcotics Abusers Experiencing Relapse and Factors Exacerbating It

2018 ◽  
Vol 68 ◽  
pp. 01007
Author(s):  
Rico Januar Sitorus ◽  
Novrikasari ◽  
Imelda G. Purba
Keyword(s):  
Family Members ◽  
Recovery Process ◽  
Cross Sectional Study ◽  
Dominant Factor ◽  
Family Burden ◽  
Drinking Alcohol ◽  
Cross Sectional ◽  
Drinking Habits ◽  
The Family ◽  
First Time

Background: Narcotics addicts must undergo rehabilitation to get recovery. During the recovery process, families bear both economic and social burdens. This study aimed to find out how the burden of families with family members who experienced relapse was and what factors could exacerbate it. This study used cross-sectional study design by measuring family burden as an outcome. The samples in this study were 168 families having family members who abused narcotics and experienced relapse. Multivariate analysis with multiple linear regression showed that the factors exacerbating the family burden of narcotics abusers were the family member’s age of first use of narcotics and drinking habits (dominant factor) with R = 0.964, R Square = 0.929, Adjusted R Square = 0.928 and Durbin Watson = 0.982. Narcotics abusers who experience relapse will increase the family burden. Factors that aggravate the family burden are as follows: first time using narcotics at an early age and alcohol drinking habit. Therefore, we must prevent the use of narcotics as early as possible among the entire community and stop drinking alcohol.

scholarly journals Family Burden of Schizophrenia Patient who Check at Psychiatric Polyclinic of Psychiatric Hospital of Jambi Province

2016 ◽  
Vol 3 (1) ◽  
pp. 042-045
Author(s):  
Rusmimpong Rusmimpong ◽  
Daryanto Daryanto ◽  
Netha Damayantie
Keyword(s):  
Psychiatric Hospital ◽  
Clinical Condition ◽  
Negative Symptoms ◽  
Schizophrenia Patient ◽  
Family Members ◽  
Family Burden ◽  
Cross Sectional ◽  
The Family ◽  
Positive And Negative Symptoms ◽  
At Home

Family has a role in the caring of schizophrenia patient at home. Schizophrenia patient havea clinical condition which can be the factors to be hospitalized or at home. The family ability was alsoa burden for the patients care. The purpose of this study was to know of the correlation of the clinicalconditions of schizophrenic’s patient and the family burden who has family members with schizophreniaat Psychiatric Polyclinic of Asylum of Jambi Province. The design used cross sectional. The sample sizewas 95 families who have family members with schizophrenia and selected by purposive sampling. Thevariables were characteristic of schizophrenia patient, patient clinical condition, and the family burden.The collected data of family burden used Zarit Burden Interview (ZBI). The data were collected onJuly 23 until August 12, 2015. The data analyses used correlation. Family burden correlated withfrequent of inpatient psychiatric hospital (r = 0.30) and positive and negative symptoms of schizophreniapatients (r = 0.26), but not correlated with the sick duration of schizophrenia patient (p = 0.475).Thus, nurses were expected to provide health education which was aimed to improve the knowledge andability of the family to care the patients at home.

A Brief Exploration of the Psychological Support Available for Cancer Victims/Survivors and Relatives in Health System in Riga, Latvia

2016 ◽  
Vol 33 (S1) ◽  
pp. S498-S499
Author(s):  
S. Kumar ◽  
E. Stengrevica
Keyword(s):  
Service Delivery ◽  
Psychological Intervention ◽  
Family Members ◽  
Well Being ◽  
Psychological Needs ◽  
Psychological Support ◽  
Survey Tool ◽  
The Family ◽  
Diagnosis Of Cancer ◽  
Competing Interest

IntroductionIn Riga, Latvia, people who have been diagnosed with cancer at various stages, are not offered any group or individual psychological intervention. This applies for the immediate relatives as well.AimThe aim of the study was to collate a homogenous understanding of the resources and standards of extant practice in psychological needs of patients and their family diagnosed with cancer. Further aims include to identify any deficiencies in the service delivery and make appropriate recommendations.MethodThe collective survey tool is devised to reflect the psychological needs of the aforementioned patients were devised by the authors, one a practicing psychiatrist in UK and the other with background in group work and support in Riga. The tool extended to ask coping skills, understanding, impact on relationship, work and general well-being of patients and carers and their family members alike. The collated survey was distributed and results collated.DiscussionThe results of the survey indicate number of deficiencies in the organization and service delivery. There is also a huge lack of psychological support to family members who have been affected by a diagnosis of cancer or loss to cancer in the family. We also discuss means of improving service delivery in groups for this sample.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Involving Friends, Family, and Other Loved Ones

2019 ◽  
pp. 185-194
Author(s):  
Carolyn Black Becker ◽  
Nicholas R. Farrell ◽  
Glenn Waller
Keyword(s):  
Treatment Outcome ◽  
Eating Disorder ◽  
Expressed Emotion ◽  
Family Members ◽  
Individual Therapy ◽  
Loved One ◽  
Eating Disorder Symptoms ◽  
Successful Treatment Outcome ◽  
The Family ◽  
The Common

Although exposure-based treatments are most commonly implemented in an individual therapy format, involving families in exposure can boost the likelihood of a successful treatment outcome. Many families will need instruction and careful guidance from clinicians in sidestepping the common pitfalls of accommodating their loved one’s eating disorder symptoms and/or engaging in patterns of highly emotionally charged and critical responding toward their loved one (i.e., expressed emotion). There are several useful options that clinicians have for involving family members directly in patients’ exposure activities. Examples of those options include training family members to be supportive “exposure coaches,” as well as utilizing family as exposure stimuli when appropriate. Employing these options effectively will help to instill a collective “exposure mindset,” in which the family are all on the same page in confronting anxiety-evoking stimuli and eliminating use of safety behaviors.

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