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Kassem M, Rahme C, Hallit S, Obeid S. Is the presence of a psychiatric patient at home associated with higher addictions (alcohol, cigarette, and waterpipe dependence) in caregivers? The role of work fatigue, mental illness, spirituality, and religiosity. Perspect Psychiatr Care 2022; 58:383-394. [PMID: 33908628 DOI: 10.1111/ppc.12804] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/05/2020] [Revised: 03/07/2021] [Accepted: 04/03/2021] [Indexed: 02/03/2023] Open
Abstract
PURPOSE To assess if living with a psychiatric patient, depression, anxiety, stress, fatigue, insomnia, spirituality, and religiosity would be associated with more problematic alcohol use, cigarette, and waterpipe dependence in Lebanese caregivers. METHODS A case-control study was performed in Lebanon that recruited 587 caregivers (July-September 2019). RESULTS Higher religiosity was associated with lower problematic alcohol use. Having low versus no income was significantly associated with more cigarette dependence. Being Christian and high anxiety were significantly associated with more waterpipe dependence, whereas higher insomnia was significantly associated with lower waterpipe dependence. PRACTICAL IMPLICATIONS: Family caregivers go through a lot of stress and burden and need help coping with it in a healthy way for better outcomes for them and the care recipient.
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Affiliation(s)
- Maha Kassem
- Department of Research, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon
| | - Clara Rahme
- Department of Research, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon
| | - Souheil Hallit
- Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon.,INSPECT-LB, Institut National de Sante Publique, Epidemiologie Clinique et Toxicologie-Liban, Beirut, Lebanon
| | - Sahar Obeid
- Department of Research, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon.,INSPECT-LB, Institut National de Sante Publique, Epidemiologie Clinique et Toxicologie-Liban, Beirut, Lebanon.,Faculty of Arts and Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon
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Amaral-Prado HM, Borghi F, Mello TMVF, Grassi-Kassisse DM. The impact of confinement in the psychosocial behaviour due COVID-19 among members of a Brazilian university. Int J Soc Psychiatry 2021; 67:720-727. [PMID: 33161815 PMCID: PMC7653368 DOI: 10.1177/0020764020971318] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
BACKGROUND The current situation due COVID-19 may cause an eminent impact on mental health because the confinement restrictions. AIMS The aim of this study was to analyze and compare perceived stress, resilience, depression symptoms and coping strategies on the members of University of Campinas, in Brazil, before and during the outbreak of the COVID-19. METHODS Volunteers over 18 years of both sexes, members of the University of Campinas (Unicamp) in Brazil answered instruments related to perceived stress, depression, resilience and coping strategies during final exams at the end of semester during 2018 to 2020. RESULTS We obtained 1,135 responses (893 before COVID-19 and 242 during COVID-19). The volunteers did not show significant differences for perceived stress, depressive signs and resilience before and during the pandemic. In both periods, men exhibited lower scores for perceived stress and depression and higher scores for resilience when compared to women. Undergraduate and graduate students exhibited higher perceived stress scores, more pronounced depressive signs and lower resilience, and employees and professors presented lower scores for perceived stress, depressive signs and greater resilience. CONCLUSIONS These first months of confinement did not directly affect the scores of perceived stress, depression and resilience, however, each subgroup adapted to the new routine by changing the coping strategy used. This study suggests the importance of monitoring the mental health of member in the university, especially in times of epidemic, in the search for policies that aim to improve the resilience of the population and seek positive and effective coping strategies within the university environment.
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Affiliation(s)
- Heloísa Monteiro Amaral-Prado
- LABEEST - Laboratory of Stress Study, Department of Structural and Functional Biology, Institute of Biology, University of Campinas - UNICAMP, Campinas, São Paulo, Brazil
| | - Filipy Borghi
- LABEEST - Laboratory of Stress Study, Department of Structural and Functional Biology, Institute of Biology, University of Campinas - UNICAMP, Campinas, São Paulo, Brazil
| | - Tânia Maron Vichi Freire Mello
- Department of Medical Psychology and Psychiatry, School of Medical Sciences, University of Campinas - UNICAMP, Campinas, São Paulo, Brazil
| | - Dora Maria Grassi-Kassisse
- LABEEST - Laboratory of Stress Study, Department of Structural and Functional Biology, Institute of Biology, University of Campinas - UNICAMP, Campinas, São Paulo, Brazil
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Ruiz BO, Zerbetto SR, Galera SAF, Barcellos Fontanella BJ, Gonçalves AMDS, Protti-Zanatta ST. Family resilience: perception of family members of psychoactive substance dependents. Rev Lat Am Enfermagem 2021; 29:e3449. [PMID: 34190940 PMCID: PMC8253349 DOI: 10.1590/1518-8345.3816.3449] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2019] [Accepted: 11/02/2020] [Indexed: 12/02/2022] Open
Abstract
Objective: to understand the perception of family members of psychoactive substance
dependents on the elements of the functioning of their family in family
resilience. Method: a qualitative approach study, based on the theoretical interpretive framework
of family resilience from a systemic perspective. The participants were
eleven family members of psychoactive substance dependents from a
Psychosocial Care Center - Alcohol and Drugs, from a city in the state of
São Paulo. For data collection, semi-structured interview, genogram and
ecomap were used. Data analysis was based on the Content Analysis technique,
thematic category. Results: from the interviews, three thematic categories were formulated: mobilization
in search of support and social support; positive perspectives that would
strengthen the family, and assertive communication. These categories point
to references to the mobilization and unity of the family in search of
social support in the intra-family, extended family and extra-family
contexts and positive perspectives, such as persistence, perseverance, hope,
faith and religiousness. Conclusion: the situation of having a psychoactive substance dependent in the family
seemed to mobilize coping devices and attempts to overcome them through the
resilience forces. The results may favor the daily clinical reasoning of the
health professionals, helping them to recognize and value the identified
resilience attributes.
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Affiliation(s)
| | | | - Sueli Aparecida Frari Galera
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil
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Janah M, Hargiana G. Levels of stress and coping strategies in family caregivers who treat schizophrenic patients with risk of violent behavior. J Public Health Res 2021; 10. [PMID: 34060756 PMCID: PMC9309628 DOI: 10.4081/jphr.2021.2404] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2021] [Accepted: 05/13/2021] [Indexed: 11/25/2022] Open
Abstract
Background Violent behavior is one of the most common symptoms of people who have
schizophrenia. Caring for family members who have schizophrenia can be a
stressor for other family members. The stressors can be stressful for the
caregiver. Family caregivers require coping strategies to overcome the
stressors. This study aims to determine the relationship between stress
levels and coping strategies of family caregivers who treat schizophrenic
patients with a risk of violent behavior. Design and Methods The research design engaged crosssectional with the purposive sampling
technique by involving 87 caregiver families who who treat schizophrenic
patients. The data was collected by using the Perceived Stress Scale (PSS)
and Ways of Coping (WOC) questionnaires. This study was analyzed by
employing the Chi-Square test to determine the relationship between stress
levels and coping strategies in the caregiver family. Results This study shows that stress levels are not significantly associated with
coping strategies in family caregivers. Conclusion Good supports from health and social service professionals are required to
help family caregivers cope with their stressors well.
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Affiliation(s)
- Miftahul Janah
- Faculty of Nursing, Universitas Indonesia, Depok, West Java.
| | - Giur Hargiana
- Department of Mental Health Nursing, Faculty of Nursing, Universitas Indonesia, Depok, West Java.
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Siqueira FD, Girardon-Perlini NMO, Andolhe R, Zanini RR, Santos EBD, Dapper SN. Caring ability of urban and rural family caregivers: association with overburden, stress and coping. Rev Esc Enferm USP 2021; 55:e03672. [PMID: 33886903 DOI: 10.1590/s1980-220x2019019103672] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2019] [Accepted: 05/27/2020] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE To correlate caring ability with overburden, stress and coping of urban and rural family caregivers of patients undergoing cancer treatment. METHOD Cross-sectional study, carried out in a referral hospital for cancer treatment, with urban and rural caregivers who responded the following instruments: questionnaire of sociodemographic characterization of the caregiver and the care provided, Perceived Stress scale, Burden Interview scale and Brief COPE. Pearson's correlation test was used for statistical analysis, with a significance level ≤5%. RESULTS A total of 163 urban caregivers and 59 rural caregivers participated in the study. Between the caring ability and stress, a negative and moderate correlation was found in rural caregivers. In the relationship between the caring ability and the overburden, there was a statistically significant correlation in urban caregivers in the interpersonal relationship and perception of self-efficacy factor. Between coping and the caring ability, a positive and moderate correlation was identified in coping focused on the problem in the knowledge dimension in urban caregivers. CONCLUSION Urban caregivers had greater intensity of overburden and coping focused on the problem in relation to the caring ability.
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Affiliation(s)
- Fernanda Duarte Siqueira
- Universidade Federal de Santa Maria, Programa de Pós-Graduação em Enfermagem, Santa Maria, RS, Brazil
| | | | - Rafaela Andolhe
- Universidade Federal de Santa Maria, Programa de Pós-Graduação em Enfermagem, Santa Maria, RS, Brazil
| | - Roselaine Ruviaro Zanini
- Universidade Federal de Santa Maria, Programa de Pós-Graduação em Engenharia de Produção, Santa Maria, RS, Brazil
| | - Evelyn Boeck Dos Santos
- Universidade Federal de Santa Maria, Programa de Pós-Graduação em Enfermagem, Santa Maria, RS, Brazil
| | - Steffani Nikoli Dapper
- Universidade Federal de Santa Maria, Programa de Pós-Graduação em Administração, Santa Maria, RS, Brazil
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Coping strategies of family members of intensive care unit patients. Intensive Crit Care Nurs 2020; 63:102980. [PMID: 33342650 DOI: 10.1016/j.iccn.2020.102980] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2020] [Revised: 10/13/2020] [Accepted: 11/15/2020] [Indexed: 11/23/2022]
Abstract
OBJECTIVE To analyse the coping strategies of family members of patients admitted to intensive care units. DESIGN A cross-sectional study developed with 70 relatives of patients admitted to the intensive care unit. SETTING An adult intensive care unit at a university hospital in Brazil. MAIN OUTCOME MEASURES Coping strategies were identified by the Folkman and Lazarus Inventory of Coping Strategies and statistically compared to the sociodemographic data of family members and patients' clinical data. RESULTS Coping strategies focused on emotion were the most used, especially those attributed to the escape-avoidance factor. There was a significant association (p < 0.05) between women and the use of adaptive strategies focused on the problem; less education and lower income with maladaptive strategies focused on emotion; second-degree relatives and the positive reassessment factor; participants involved in religious activities and the social support factor. Regarding the clinical variables, patients admitted to the intensive care unit for more than seven days showed an association (p < 0.05) with the social support factor. CONCLUSION Family members used adaptive coping strategies more focused on emotion. Additionally, the lower the educational and economic levels, the greater the use of maladaptive strategies focused on emotion.
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Rahmani F, Ranjbar F, Hosseinzadeh M, Razavi SS, Dickens GL, Vahidi M. Coping strategies of family caregivers of patients with schizophrenia in Iran: A cross-sectional survey. Int J Nurs Sci 2019; 6:148-153. [PMID: 31406884 PMCID: PMC6608655 DOI: 10.1016/j.ijnss.2019.03.006] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2017] [Revised: 02/22/2019] [Accepted: 03/05/2019] [Indexed: 02/07/2023] Open
Abstract
Objectives This study aimed to identify coping strategies used by family caregivers of patients with schizophrenia and their determinants. Methods This was a descriptive correlational study. Participants were 225 family caregivers of patients with schizophrenia who were referred to the psychiatric clinic at one large teaching referral hospital in Iran. They were selected through purposive sampling method. Data collection tools were demographic and clinical data form, the Zarit Burden Interview (ZBI) and the Family Coping Questionnaire (FCQ). Results The score of caregiver burden was 65.14 ± 9.17. Of 225 family caregivers, 23.11% used an avoiding coping strategy. There was a significant relationship between caregiver burden and coping strategies (P < 0.001). The regression model showed that adaptive coping strategies were significantly associated with some demographic characteristics including age, education level, gender, employment status, losing the job because of caregiving responsibilities, perceived income adequacy, duration of illness, duration of caregiving and caregiver burden (P < 0.05). Conclusion Family caregivers of patients with schizophrenia experience a high level of burden, which can put them at risk of using maladaptive coping strategies. Mental health professionals should plan programs that support both family caregivers and patients in clinical and community settings.
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Affiliation(s)
- Farnaz Rahmani
- Research Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
- Corresponding author.
| | - Fatemeh Ranjbar
- Research Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mina Hosseinzadeh
- Department of Health Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Seyed Sajjad Razavi
- Department of Orthopedic Surgery, Shohada Educational Hospital, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Geoffrey L. Dickens
- Centre for Applied Nursing Research, Western Sydney University and South Western Sydney Local Health District, Ingham Institute for Medical Research, Sydney, Australia
| | - Maryam Vahidi
- Department of Psychiatric Nursing, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran
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Romanzini AE, Pereira MDG, Guilherme C, Cologna AJ, de Carvalho EC. Predictors of well-being and quality of life in men who underwent radical prostatectomy: longitudinal study1. Rev Lat Am Enfermagem 2018; 26:e3031. [PMID: 30183870 PMCID: PMC6136529 DOI: 10.1590/1518-8345.2601.3031] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2018] [Accepted: 05/06/2018] [Indexed: 01/06/2023] Open
Abstract
OBJECTIVE to identify socio-demographic, clinical and psychological predictors of well-being and quality of life in men who underwent radical prostatectomy, in a 360-day follow-up. METHOD longitudinal study with 120 men who underwent radical prostatectomy. Questionnaires were used for characterization and clinical evaluation of the participant, as well as the instruments Visual Analog Scale for Pain, The Ways of Coping Questionnaire, Hospital Depression and Anxiety Scale, Satisfaction with Social Support Scale, Marital Satisfaction Scale, Subjective Well-Being Scale and Expanded Prostate Cancer Index. For data analysis, the linear mixed-effects model was used. RESULTS the socio-demographic factors age and race were not predictors of the dependent variables; time of surgery, problem-focused coping, and anxiety were predictors of subjective well-being; pain, anxiety and depression were negative predictors of quality of life; emotion-focused coping was a positive predictor. Marital dissatisfaction was a predictor of both variables. CONCLUSION predictor variables found were different from the literature: desire for changes in marital relationship presented a positive association with quality of life and well-being; emotion-focused coping was a predictor of quality of life; and anxiety was a predictor of subjective well-being.
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Affiliation(s)
| | | | - Caroline Guilherme
- PhD, Adjunct Professor, Curso de Enfermagem e Obstetrícia,
Universidade Federal do Rio de Janeiro, Macaé, RJ, Brazil
| | - Adauto José Cologna
- PhD, Senior Professor, Faculdade de Medicina de Ribeirão Preto,
Universidade de São Paulo, Ribeirão Preto, SP, Brazil
| | - Emilia Campos de Carvalho
- PhD, Senior Professor, Escola de Enfermagem de Ribeirão Preto,
Universidade de São Paulo, PAHO/WHO Collaborating Centre for Nursing Research
Development, Ribeirão Preto, SP, Brazil
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Attepe Özden S, Tuncay T. The experiences of Turkish families caring for individuals with Schizophrenia: A qualitative inquiry. Int J Soc Psychiatry 2018; 64:497-505. [PMID: 29862853 DOI: 10.1177/0020764018779090] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND In Turkey, individuals with schizophrenia usually live with their families. Therefore, families are main caregivers and face psychological, financial and social problems. AIM The aim of this study is to understand the personal burdens and coping strategies, and social support affecting the families that provide care to the individuals with schizophrenia. METHODS In-depth interviews were conducted with 31 members of 12 families. RESULTS Four themes were formed: learning and accepting the disorder, caregiving, social dimensions and service dimensions. Families have a problem with accepting this order and caregiving affects their quality of life both financially and socially. As schizophrenia is one of the reasons for being isolated from community, families prefer hiding it. Although families are satisfied with community-based systems, they need long-term solution, training and financial aid. CONCLUSIONS To reduce the burden, family therapies, education and psychological support should be provided for families, and job opportunities, long-term caregiving services and psychological support should be provided for individuals with schizophrenia.
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Affiliation(s)
- Seda Attepe Özden
- 1 Department of Social Work, Faculty of Health Sciences, Baskent University, Ankara, Turkey
| | - Tarık Tuncay
- 2 Department of Social Work, Hacettepe University, Ankara, Turkey
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