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Community Mental Health Journal

Erschienen in:

22.05.2020 | Original Paper

Factors Associated with Distress in Caregivers of People with Personality Disorders

verfasst von: Paige Lamborn, Kenneth M. Cramer

Erschienen in: Community Mental Health Journal | Ausgabe 7/2020

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Abstract

The present study investigated how stressors experienced by caregivers of people with personality disorders relate to each other and psychological distress, using the Stress Process Model (Pearlin et al. in Gerontologist 30(5):583–594, https://doi.org/10.1093/geront/30.5.583, 1990). A community sample of caregivers (N = 106) completed an online survey. Partial Least Squares Path Modelling revealed that caregivers who were male, younger, or residing with their loved one were more likely to experience stressors. Salient primary stressors included the caregivers' worry and care-receivers' levels of instrumental demands and interpersonal problems. Important secondary stressors included strains in the caregivers' schedules, family relationships, and health, as well as reduced mastery and caregiving esteem. The model provided preliminary support for a pathway from demographic and relationship characteristics, through primary and secondary stressors, to heightened psychological distress. The present study clarifies the way caregiving stressors give rise to psychological distress; directions for future research are discussed.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders fifth edition DSM-5. Washington DC: American Psychiatric Publishing.CrossRef

Andrews, G., & Slade, T. (2001). Interpreting scores on the Kessler psychological distress scale (K10). Australian and New Zealand Journal of Public Health, 25(6), 494–497. https://doi.org/10.1111/j.1467-842X.2001.tb00310.x.CrossRefPubMed

Bailey, R. C., & Grenyer, B. F. (2013). Burden and support needs of carers of persons with borderline personality disorder: A systematic review. Harvard Review of Psychiatry, 21(5), 248–258. https://doi.org/10.1097/HRP.0b013e3182a75c2c.CrossRefPubMed

Bailey, R. C., & Grenyer, B. F. S. (2014). Supporting a person with personality disorder: A study of carer burden and well-being. Journal of Personality Disorders, 28(6), 796–809.CrossRef

Bailey, R. C., & Grenyer, B. F. S. (2015). The relationship between expressed emotion and wellbeing for families and carers of a relative with borderline personality disorder. Personality and Mental Health, 9, 21–32. https://doi.org/10.1002/pmh.1273.CrossRefPubMed

Bauer, R., Döring, A., Schmidt, T., & Spießl, H. (2012). “Mad or bad?”: Burden on caregivers of patients with personality disorders. Journal of Personality Disorders, 26(6), 956–971. https://doi.org/10.1521/pedi.2012.26.6.956.CrossRefPubMed

Bradford, D., & Palmer, A. F. (2016). In strong hands: Ehealth support for mental health carers. San Jose, CA: Poster session presented at the meeting of Computing and Mental Health.

Buteau, E., Dawkins, K., & Hoffman, P. (2008). In their own words: Improving services and hopefulness for families dealing with BPD. Social Work in Mental Health, 6(1–2), 203–214. https://doi.org/10.1300/J200v06n01_16.CrossRef

Cairney, J., Veldhuizen, S., Wade, T. J., Kurdyak, P., & Streiner, D. L. (2007). Evaluation of 2 measures of psychological distress as screeners for depression in the general population. Canadian Journal of Psychiatry, 52(2), 111–120. https://doi.org/10.1177/070674370705200209.CrossRefPubMed

Chin, W. W. (1998). The partial least squares approach to structural equation modeling. In G. A. Marcoulides (Ed.), Modern methods for business research (pp. 295–336). Mahwah, NJ: Lawrence Erlbaum Associates.

Chin, W. W. (2010). How to write up and report PLS analyses. In V. E. Vinzi, W. W. Chin, J. Hensler, & H. Wang (Eds.), Handbook of partial least squares: Concepts, methods and applications (pp. 655–690). New York, NY: Springer.CrossRef

Clement, S., Schauman, O., Graham, T., Maggioni, F., Evans-Lacko, S., Bezborodovs, N., et al. (2015). What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychological Medicine, 45(1), 11–27. https://doi.org/10.1017/S0033291714000129.CrossRefPubMed

Clifton, A., Turkheimer, E., & Oltmanns, T. F. (2005). Self-and peer perspectives on pathological personality traits and interpersonal problems. Psychological Assessment, 17(2), 123–131. https://doi.org/10.1037/1040-3590.17.2.123.CrossRefPubMedPubMedCentral

Cohen, J., Cohen, P., West, S. G., & Aiken, L. S. (2003). Applied multiple regression/correlation analysis for the behavioral sciences (3rd ed.). New York, NY: Routledge.

Deane, F. P., Wilson, C. J., & Ciarrochi, J. (2001). Suicidal ideation and help-negation: Not just hopelessness or prior help. Journal of Clinical Psychology, 57(7), 901–914. https://doi.org/10.1002/jclp.1058.CrossRefPubMed

Dunne, E., & Rogers, B. (2013). “It’s us that have to deal with it seven days a week”: Carers and borderline personality disorder. Community Mental Health Journal, 49(6), 643–648. https://doi.org/10.1007/s10597-012-9556-4.CrossRefPubMed

Ferriter, M., & Huband, N. (2003). Experiences of parents with a son or daughter suffering from schizophrenia. Journal of Psychiatric and Mental Health Nursing, 10(5), 552–560. https://doi.org/10.1046/j.1365-2850.2003.00624.x.CrossRefPubMed

Given, C. W., Given, B., Stommel, M., Collins, C., King, S., & Franklin, S. (1992). The caregiver reaction assessment (CRA) for caregivers to persons with chronic physical and mental impairment. Research in Nursing and Health, 15, 271–283. https://doi.org/10.1002/nur.4770150406.CrossRefPubMed

Goodman, M., Patil, U., Triebwasser, J., Hoffman, P., & Weinstein, Z. A. (2011). Parental burden associated with borderline personality disorder in female offspring. Journal of Personality Disorders, 25(1), 59–74. https://doi.org/10.1521/pedi.2011.25.1.59.CrossRefPubMed

Haley, W. E., LaMonde, L. A., Han, B., Burton, A. M., & Schonwetter, R. (2003). Predictors of depression and life satisfaction among spousal caregivers in hospice: Application of a stress process model. Journal of Palliative Medicine, 6(2), 215–224. https://doi.org/10.1089/109662103764978461.CrossRefPubMed

Hoffman, P. D., Fruzzetti, A. E., & Buteau, E. (2007). Understanding and engaging families: An education, skills and support program for relatives impacted by borderline personality disorder. Journal of Mental Health, 16(1), 69–82. https://doi.org/10.1080/09638230601182052.CrossRef

IBM Corp. (2011). IBM SPSS statistics for windows, version 20.0. Armonk, NY: IBM Corp.

Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D. K., Normand, S. L., et al. (2002). Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine, 32(06), 959–976. https://doi.org/10.1017/S0033291702006074.CrossRefPubMed

Lawn, S., & McMahon, J. (2015). Experiences of family carers of people diagnosed with borderline personality disorder. Journal of Psychiatric and Mental Health Nursing, 22(4), 234–243. https://doi.org/10.1111/jpm.12193.CrossRefPubMed

Lenzenweger, M. F., Lane, M. C., Loranger, A. W., & Kessler, R. C. (2007). DSM-IV personality disorders in the National Comorbidity Survey Replication. Biological Psychiatry, 62(6), 553–564. https://doi.org/10.1016/j.biopsych.2006.09.019.CrossRefPubMedPubMedCentral

MacLeod, A., Skinner, M. W., & Low, E. (2012). Supporting hospice volunteers and caregivers through community-based participatory research. Health & Social Care in the Community, 20(2), 190–198. https://doi.org/10.1111/j.1365-2524.2011.01030.x.CrossRef

McIntosh, C. N., Edwards, J. R., & Antonakis, J. (2014). Reflections on partial least squares path modeling. Organizational Research Methods, 17(2), 210–251. https://doi.org/10.1177/1094428114529165.CrossRef

Ohaeri, J. U. (2003). The burden of caregiving in families with a mental illness: a review of 2002. Current Opinion in Psychiatry, 16(4), 457–465. https://doi.org/10.1097/01.yco.0000079212.36371.c0.CrossRef

Pearlin, L. I., Mullan, J. T., Semple, S. J., & Skaff, M. M. (1990). Caregiving and the stress process: An overview of concepts and their measures. The Gerontologist, 30(5), 583–594. https://doi.org/10.1093/geront/30.5.583.CrossRefPubMed

Pearlin, L. I., & Schooler, C. (1978). The structure of coping. Journal of Health and Social Behavior, 19, 2–21. https://doi.org/10.2307/2136319.CrossRefPubMed

Pickard, J. G., Inoue, M., Chadiha, L. A., & Johnson, S. (2011). The relationship of social support to African American caregivers’ help-seeking for emotional problems. Social Service Review, 85(2), 247–266. https://doi.org/10.1086/660068.CrossRef

Pilkonis, P. A., Kim, Y., Proietti, J. M., & Barkham, M. (1996). Scales for personality disorders developed from the Inventory of Interpersonal Problems. Journal of Personality Disorders, 10(4), 355–369. https://doi.org/10.1521/pedi.1996.10.4.355.CrossRef

Provencher, H. L., Perreault, M., St. Onge, M., & Rousseau, M. (2003). Predictors of psychological distress in family caregivers of persons with psychiatric disabilities. Journal of Psychiatric and Mental Health Nursing, 10(5), 592–607. https://doi.org/10.1046/j.1365-2850.2003.00623.x.CrossRefPubMed

Roelands, M., van Oost, P., & Depoorter, A. (2008). Service use in family caregivers of persons with dementia in Belgium: Psychological and social factors. Health and Social Care in the Community, 16(1), 42–53. https://doi.org/10.1111/j.1365-2524.2007.00730.x.CrossRefPubMed

RStudio Team. (2015). RStudio: Integrated development for R. Boston, MA: RStudio Inc.

Sanchez, G., Trinchera, L., & Russolillo, G. (2015). plspm: Tools for Partial Least Squares Path Modeling (PLS-PM). R package version 0.4.7. Retrieved from: https://CRAN.R-project.org/package=plspm

Scheirs, J. G. M., & Bok, S. (2007). Psychological distress in caretakers or relatives of patients with borderline personality disorder. International Journal of Social Psychiatry, 53(3), 195–203. https://doi.org/10.1177/0020764006074554.CrossRefPubMed

Skodol, A. E., Gunderson, J. G., McGlashan, T. H., Dyck, I. R., Stout, R. L., Bender, D. S., et al. (2002). Functional impairment in patients with schizotypal, borderline, avoidant, or obsessive-compulsive personality disorder. American Journal of Psychiatry, 159, 276–283. https://doi.org/10.1176/appi.ajp.159.2.276.CrossRefPubMed

Stommel, M., Given, C. W., & Given, B. (1990). Depression as an overriding variable explaining caregiver burdens. Journal of Aging and Health, 2(1), 81–102. https://doi.org/10.1177/089826439000200106.CrossRef

Szmukler, G. I., Burgess, P., Herrman, H., Benson, A., Colusa, S., & Bloch, S. (1996). Caring for relatives with serious mental illness: The development of the Experience of Caregiving Inventory. Social Psychiatry and Psychiatric Epidemiology, 31, 137–148. https://doi.org/10.1007/BF00785760.CrossRefPubMed

Tanis, M., Das, E., & Fortgens-Sillmann, M. (2011). Finding care for the caregiver? Active participation in online health forums attenuates the negative effect of caregiver strain on wellbeing. Communications, 36(1), 51–66. https://doi.org/10.1515/comm.2011.003.CrossRef

Trull, T. J., Jahng, S., Tomko, R. L., Wood, P. K., & Sher, K. J. (2010). Revised NESARC personality disorder diagnoses: Gender, prevalence, and comorbidity with substance dependence disorders. Journal of Personality Disorders, 24(4), 412–426. https://doi.org/10.1521/pedi.2010.24.4.412.CrossRefPubMedPubMedCentral

Turnbull, A. P., Friesen, B. J., & Ramirez, C. (1998). Participatory action research as a model for conducting family research. Journal of the Association for Persons with Severe Handicaps, 23(3), 178–188. https://doi.org/10.2511/rpsd.23.3.178.CrossRef

Wilson, C. J., Deane, F. P., Ciarrochi, J., & Rickwood, D. (2005). Measuring help-seeking intentions: Properties of the general help-seeking questionnaire. Canadian Journal of Counselling, 39(1), 15–28.

Titel: Factors Associated with Distress in Caregivers of People with Personality Disorders
verfasst von: Paige Lamborn
Kenneth M. Cramer
Publikationsdatum: 22.05.2020
Verlag: Springer US
Erschienen in: Community Mental Health Journal / Ausgabe 7/2020
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-020-00640-5

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