Which factors influence the psychological distress among relatives of patients with chronic functional psychoses? An exploratory study in a community mental health care setting.
This research aimed to assess the contribution of the five core areas of the transactional stress model to the relatives’ psychological distress (PD) when informally taking care of patients with functional psychoses treated in community mental health care. Cross-sectional data from 163 relatives wer...
| Publicado en: | Journal of Public Health: From Theory to Practice (2198-1833) Vol. 18; no. 2; pp. 105 - 118 |
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| Autores principales: | , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
Apr2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=48464192&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 48464192 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 21981833 NENI jtl: Journal of Public Health: From Theory to Practice (2198-1833) issn: 21981833 maglogo: N pubinfo: dt: Apr2010 vid: 18 iid: 2 pid: 237 pub: Springer Nature artinfo: ui: 48464192 10.1007/s10389-009-0292-3 ppf: 105 ppct: 13 formats: tig: atl: Which factors influence the psychological distress among relatives of patients with chronic functional psychoses? An exploratory study in a community mental health care setting. aug: au: Nitsche, Ines Koch, Rainer Kallert, Thomas affil: Department of Psychiatry and Psychotherapy, University Hospital Carl Gustav Carus, Dresden University of Technology, Fetscherstraße 74 01307 Dresden Germany Institute of Medical Information Technology and Biometrics, Dresden University of Technology, Löscherstraße 26 01307 Dresden Germany su: Psychological distress Psychoses Community mental health services Community psychiatry Relatives Patients Graphic methods Regression analysis sug: subj: Psychological distress Psychoses Community mental health services Community psychiatry Relatives Patients Other Individual and Family Services Outpatient Mental Health and Substance Abuse Centers Residential Mental Health and Substance Abuse Facilities Graphic methods Regression analysis keyword: Appraisal processes Schizophrenic and affective disorders Stress model Appraisal processes Schizophrenic and affective disorders Stress model ab: This research aimed to assess the contribution of the five core areas of the transactional stress model to the relatives’ psychological distress (PD) when informally taking care of patients with functional psychoses treated in community mental health care. Cross-sectional data from 163 relatives were collected in interviews, while data on 158 patients were collected by analyzing clinical charts. The following areas were assessed: socio-demographic and illness-related features of the patients, socio-demographic features of the relatives ( environmental variables); sense of coherence, mastery, causal attributions and opinions of relatives about mental disorders ( person variables); interpersonal problems with the patients as well as the assessment of their symptoms by the relatives themselves ( primary appraisal); support received, critical life events and burden of relatives caused by their own illnesses ( secondary appraisal); control behavior and efforts of relatives to engage the patients in activities ( coping). PD was assessed with the 12-item version of the General Health Questionnaire. Bi-variate correlation analysis and a multiple linear regression model were the main test statistical approaches. Correlation analysis showed that differences between diagnostic groups referred to primary and secondary appraisal processes, in particular. Results of the statistical model provided evidence for the importance of primary appraisal and person variables for influencing PD, and for the lack of importance of coping and environmental variables. The study enhanced the validity of the transactional stress model to demonstrate the influence of salutogenetic concepts such as sense of coherence. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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