Caregiver distress in first-episode psychosis: the role of subjective appraisal, over-involvement and symptomatology.

Abstract:

BACKGROUND:Caregivers of persons with first-episode psychosis (FEP) often report high levels of distress. Preventing long-term or chronic distress within the whole family is an important focus of early intervention for psychosis. However, a more comprehensive understanding of the psychological factors involved is needed. AIMS:To examine the impact of subjective appraisals and expressed emotion on caregiver distress in FEP. METHOD:Within a cross-sectional design, 154 caregivers of 99 persons with FEP in a clinical epidemiological sample completed a series of questionnaires to examine potential predictors of caregiver distress. RESULTS:Thirty-seven percent of caregivers were suffering from clinically significant distress. A linear mixed model analysis found that, after controlling for caregiver socio-demographic factors, service-user symptoms and global functioning, emotional over-involvement and subjective appraisal of caregiving were significant predictors of caregiver distress. CONCLUSION:Caregiver distress is significant in the early phase of illness, and this seems to be more related to their subjective appraisal and over-involvement, than to variations in symptoms and global functioning of the person diagnosed with FEP. This lends further support to the stress-appraisal coping model and the cognitive model of caregiving in FEP, and highlights supportive interventions aimed at handling unhelpful cognitions and behaviors.

authors

Jansen JE,Haahr UH,Harder S,Trauelsen AM,Lyse HG,Buch Pedersen M,Simonsen E

doi

10.1007/s00127-014-0935-8

subject

Has Abstract

pub_date

2015-03-01 00:00:00

pages

371-8

issue

3

eissn

0933-7954

issn

1433-9285

journal_volume

50

pub_type

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