Family functioning in families of patients with schizophrenia and mood disorders
DOI:
https://doi.org/10.22122/cdj.v3i1.113Keywords:
Family Functioning, Mood Disorder, SchizophreniaAbstract
BACKGROUND: Family functioning is one of the most important aspects of psychiatric treatment. The purpose of this study was the comparison of family functioning in family members of schizophrenic patients and patients with mood disorders in Shahrekord, Iran.
METHODS: This analytical descriptive study was conducted on family members of 186 patients diagnosed with schizophrenia and mood disorders. The data were collected through interviews using the family assessment device. Data were analyzed using chi-square, Student’s t-test, Pearson correlation, and multivariate analysis of variance (MANOVA).
RESULTS: The mean total score of the questionnaire in the family members of patients with mood disorders
(2.34 ± 0.26) was significantly (P < 0.001) lower than that in schizophrenic patients' family members
(2.55 ± 0.31).
CONCLUSION: The present study highlighted that family functioning among family members of patients with schizophrenia had problems in all domains.
References
Goldman HH. Mental illness and family burden: a public health perspective. Hosp Community Psychiatry 1982; 33(7): 557-60.
Canive JM, Sanz-Fuentenebro J, Vazquez C, Qualls C, Fuentenebro F, Tuason VB. Family environment predictors of outcome in schizophrenic patients in Spain: a nine-month follow-up study. Acta Psychiatr Scand 1995; 92(5): 371-7.
Keitner GI, Ryan CE, Miller IW, Kohn R, Bishop DS, Epstein NB. Role of the family in recovery and major depression. Am J Psychiatry 1995; 152(7): 1002-8.
Friedmann MS, McDermut WH, Solomon DA, Ryan CE, Keitner GI, Miller IW. Family functioning and mental illness: a comparison of psychiatric and nonclinical families. Fam Process 1997; 36(4): 357-67.
Sawant NS, Jethwani KS. Understanding family functioning and social support in unremitting schizophrenia: A study in India. Indian J Psychiatry 2010; 52(2): 145-9.
Unal S, Kaya B, Cekem B, Ozisik HI, Cakil G, Kaya M. Family functioning in patients with schizophrenia, bipolar affective disorder and epilepsy. Turk Psikiyatri Derg 2004; 15(4): 291-9.
Parker G, McCraw S, Hadzi-Pavlovic D, Fletcher K. Costs of the principal mood disorders: a study of comparative direct and indirect costs incurred by those with bipolar I, bipolar II and unipolar disorders. J Affect Disord 2013; 149(1-3): 46-55.
Belardinelli C, Hatch JP, Olvera RL, Fonseca M, Caetano SC, Nicoletti M, et al. Family environment patterns in families with bipolar children. J Affect Disord 2008; 107(1-3): 299-305.
Sullivan AE, Miklowitz DJ. Family functioning among adolescents with bipolar disorder. J Fam Psychol 2010; 24(1): 60-7.
Hasui C, Sakamoto S, Sugiura T, Miyata R, Fujii Y, Koshiishi F, et al. Burden on family members of the mentally ill: a naturalistic study in Japan. Compr Psychiatry 2002; 43(3): 219-22.
Saunders JC. Families living with severe mental illness: a literature review. Issues Ment Health Nurs 2003; 24(2): 175-98.
Bjorklund P. The certified psychiatric nurse practitioner: advanced practice psychiatric nursing reclaimed. Arch Psychiatr Nurs 2003; 17(2): 77-87.
Epstein NB, Baldwin LM, Bishop DS. The McMaster Family. Assessment Device. J Marital Fam Ther 1983; 9(2): 171-50.
Najjarian F. Effective factors in family functioning [MSc Thesis]. Roodhan, Iran: Islamic Azad University; 1995. [In Persian].
Yoosefi N. An investigation of the psychometric properties of the mcmaster clinical rating scale (MCRS). Training Measurement 2012; 3(7): 83-112.
Chakrabarti S, Raj L, Kulhara P, Avasthi A, Verma SK. Comparison of the extent and pattern of family burden in affective disorders and schizophrenia. Indian J Psychiatry 1995; 37(3): 105-12.
Provencher HL. Objective burden among primary caregivers of persons with chronic schizophrenia. J Psychiatr Ment Health Nurs 1996; 3(3): 181-7.
Koyama A, Akiyama T, Miyake Y, Kurita H. Family functioning perceived by patients and their family members in three Diagnostic and Statistical Manual-IV diagnostic groups. Psychiatry Clin Neurosci 2004; 58(5): 495-500.
Caqueo-Urizar A, Gutierrez-Maldonado J, Miranda-Castillo C. Quality of life in caregivers of patients with schizophrenia: a literature review. Health Qual Life Outcomes 2009; 7: 84.
Butzlaff RL, Hooley JM. Expressed emotion and psychiatric relapse: a meta-analysis. Arch Gen Psychiatry 1998; 55(6): 547-52.
Heru AM, Ryan CE, Vlastos K. Quality of life and family functioning in caregivers of relatives with mood disorders. Psychiatr Rehabil J 2004; 28(1): 67-71.
Keitner GI, Baldwin LM, Epstein NB, Bishop DS. Family functioning in patients with affective disorders: A review. International Journal of Family Psychiatry 1985; 6(4): 405-37.
Saunders JC, Byrne MM. A thematic analysis of families living with schizophrenia. Arch Psychiatr Nurs 2002; 16(5): 217-23.
