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Erschienen in: European Archives of Psychiatry and Clinical Neuroscience 7/2008

01.10.2008 | ORIGINAL PAPER

Predicting caregiver burden in first admission psychiatric patients

2-year follow-up results

verfasst von: Priv.Doz. Dr.rer.soc. Anne Maria Möller-Leimkühler, Michael Obermeier

Erschienen in: European Archives of Psychiatry and Clinical Neuroscience | Ausgabe 7/2008

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Abstract

Objective

The aim of the study was to identify the best predictors of the course of burden during a 2-year follow-up period. The study is part of the Munich 5-year follow-up study in relatives of first admitted patients with schizophrenia or depression.

Method

A cohort of 60 key relatives was assessed based on a transactional stress model concerning objective and subjective burden, well-being, self-rated symptoms and global satisfaction with life. The stressors were defined as patients’ illness variables, and the potential predictors included different dispositions and resources of the relatives. Effects were analyzed by regression models. In a first step, the main predictors of burden were identified at each assessment. In a second step, the resulting predictors were included in a Generalized Linear Modeling procedure.

Results

Caregivers’ burden improved significantly, but well-being and self-rated symptoms remained elevated. In the final regression model, expressed emotion, neuroticism, generalized negative stress response and life stressors resulted as the best predictors of burden. The effects were rather time invariant than time dependent.

Conclusion

In order to effectively work on long-standing unfavourable patterns of stress response, family interventions should be long-term and targeted to vulnerable caregivers who could be identified by virtue of their personality traits.
Literatur
1.
Zurück zum Zitat American Psychiatric Association (1987) Diagnostic and statistical manual of mental disorders (DSM-III-R). Washington DC American Psychiatric Association (1987) Diagnostic and statistical manual of mental disorders (DSM-III-R). Washington DC
2.
Zurück zum Zitat Borkenau P, Ostendorf F (1993) NEO-Fünf-Faktoren Inventar (NEO-FFI) nach Costa und McCrae. Göttingen-Bern-Toronto-Seattle, Hogrefe Borkenau P, Ostendorf F (1993) NEO-Fünf-Faktoren Inventar (NEO-FFI) nach Costa und McCrae. Göttingen-Bern-Toronto-Seattle, Hogrefe
3.
Zurück zum Zitat Boye B, Bentsen H, Ulstein I, Notland TH, Lersbryggen A, Lingjaerde O, Malt UF (2001) Relatives’ distress and patients’ symptoms and behaviours: a prospective study of patients with schizophrenia and their relatives. Acta Psychiatr Scand 104:42–50PubMedCrossRef Boye B, Bentsen H, Ulstein I, Notland TH, Lersbryggen A, Lingjaerde O, Malt UF (2001) Relatives’ distress and patients’ symptoms and behaviours: a prospective study of patients with schizophrenia and their relatives. Acta Psychiatr Scand 104:42–50PubMedCrossRef
4.
Zurück zum Zitat Boye B, Malt UF (2002) Stress response symptoms in relatives of acutely admitted psychotic patients: a pilot study. Nord J Psychiatry 56:253–260PubMedCrossRef Boye B, Malt UF (2002) Stress response symptoms in relatives of acutely admitted psychotic patients: a pilot study. Nord J Psychiatry 56:253–260PubMedCrossRef
5.
Zurück zum Zitat Brown S, Birtwistle J (1990) People with schizophrenia and their families. Fifteen-year outcome. Br J Psychiatry 173:139–144CrossRef Brown S, Birtwistle J (1990) People with schizophrenia and their families. Fifteen-year outcome. Br J Psychiatry 173:139–144CrossRef
6.
Zurück zum Zitat Connor-Smith JK, Flachsbart C (2007) Relations between personality and coping: a meta-analysis. J Pers Soc Psychol 93:1080–1107PubMedCrossRef Connor-Smith JK, Flachsbart C (2007) Relations between personality and coping: a meta-analysis. J Pers Soc Psychol 93:1080–1107PubMedCrossRef
7.
Zurück zum Zitat Derogatis LR (1977) SCL-90-R, administration, scoring and procedures. Manual for the (revised) version. John Hopkins University School of Medicine, Baltimore Derogatis LR (1977) SCL-90-R, administration, scoring and procedures. Manual for the (revised) version. John Hopkins University School of Medicine, Baltimore
8.
Zurück zum Zitat Ferring D, Filipp S-H (1989) Bewältigung kritischer Lebensereignisse: Erste Erfahrungen mit einer deutschsprachigen version der “ways of coping checklist”. Zeitschrift für Differentielle und Diagnostische Psychologie 10:189–199 Ferring D, Filipp S-H (1989) Bewältigung kritischer Lebensereignisse: Erste Erfahrungen mit einer deutschsprachigen version der “ways of coping checklist”. Zeitschrift für Differentielle und Diagnostische Psychologie 10:189–199
9.
Zurück zum Zitat Folkman S, Lazarus RS (1989) An analysis of coping in a middle-aged community sample. J Health Soc Behav 21:219–239CrossRef Folkman S, Lazarus RS (1989) An analysis of coping in a middle-aged community sample. J Health Soc Behav 21:219–239CrossRef
10.
Zurück zum Zitat Hamilton M (1960) A rating scale for depression. J Neurol Neurosurg Psychiatry 23:56–62PubMed Hamilton M (1960) A rating scale for depression. J Neurol Neurosurg Psychiatry 23:56–62PubMed
11.
Zurück zum Zitat Janke W, Erdmann G (1997) Streßverarbeitungsfragebogen. Göttingen-Bern-Toronto-Seattle: Hogrefe Janke W, Erdmann G (1997) Streßverarbeitungsfragebogen. Göttingen-Bern-Toronto-Seattle: Hogrefe
12.
Zurück zum Zitat Joyce J, Leese M, Kuipers E, Szmukler G, Harris T, Staples E (2003) Evaluating a model of caregiving for people with psychosis. Soc Psychiatry Psychiatr Epidemiol 38:189–195PubMedCrossRef Joyce J, Leese M, Kuipers E, Szmukler G, Harris T, Staples E (2003) Evaluating a model of caregiving for people with psychosis. Soc Psychiatry Psychiatr Epidemiol 38:189–195PubMedCrossRef
13.
Zurück zum Zitat Kay SR, Fiszbein A, Opler LA (1987) The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophr Bull 13:261–276PubMed Kay SR, Fiszbein A, Opler LA (1987) The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophr Bull 13:261–276PubMed
14.
Zurück zum Zitat Krampen G (1991) Fragebogen zu Kompetenz-und Kontrollüberzeugungen (FKK). Göttingen-Toronto-Zürich: Hogrefe Krampen G (1991) Fragebogen zu Kompetenz-und Kontrollüberzeugungen (FKK). Göttingen-Toronto-Zürich: Hogrefe
15.
Zurück zum Zitat Magana AB, Goldstein MJ, Karno M, et al (1986) A brief method for assessing expressed emotion in relatives of psychiatric patients. Psychiatr Res 17:203–212CrossRef Magana AB, Goldstein MJ, Karno M, et al (1986) A brief method for assessing expressed emotion in relatives of psychiatric patients. Psychiatr Res 17:203–212CrossRef
16.
Zurück zum Zitat Magliano L, Fadden G, Economou M, Held T, Xavier M, Guarneri M, Malangone C, Marasco C, Maj M (2000) Family burden and coping strategies in schizophrenia: 1-year follow-up data from the BIOMED I study. Soc Psychiatry Psychiatr Epidemiol 35:109–115PubMedCrossRef Magliano L, Fadden G, Economou M, Held T, Xavier M, Guarneri M, Malangone C, Marasco C, Maj M (2000) Family burden and coping strategies in schizophrenia: 1-year follow-up data from the BIOMED I study. Soc Psychiatry Psychiatr Epidemiol 35:109–115PubMedCrossRef
17.
Zurück zum Zitat Möller-Leimkühler AM (2005) Burden of relatives and predictors of burden. Baseline results from the Munich 5-yeat-follow up study on relatives of first hospitalized patients with schizophrenia or depression. Eur Arch Psychiatry Clin Neurosci 255:223–231PubMedCrossRef Möller-Leimkühler AM (2005) Burden of relatives and predictors of burden. Baseline results from the Munich 5-yeat-follow up study on relatives of first hospitalized patients with schizophrenia or depression. Eur Arch Psychiatry Clin Neurosci 255:223–231PubMedCrossRef
18.
Zurück zum Zitat Möller-Leimkühler AM (2006) Multivariate prediction of realtives’ stress outcome 1 year after first hospitalization of schizophrenic and depressed patients. Eur Arch Psychiatry Clin Neurosci 256:122–130PubMedCrossRef Möller-Leimkühler AM (2006) Multivariate prediction of realtives’ stress outcome 1 year after first hospitalization of schizophrenic and depressed patients. Eur Arch Psychiatry Clin Neurosci 256:122–130PubMedCrossRef
19.
Zurück zum Zitat Möller-Leimkühler AM, Wohlgemuth N (in preparation) The coping-stress response in caregivers of first admitted psychiatric patients: a qualitative analysis Möller-Leimkühler AM, Wohlgemuth N (in preparation) The coping-stress response in caregivers of first admitted psychiatric patients: a qualitative analysis
20.
Zurück zum Zitat Parabiaghi A, Lasalvia A, Bonetto C et al (2007) Predictors of changes in caregiving burden in people with schizophrenia: a 3-year follow-up study in a community mental health service. Acta Psychiatr Scand 116(suppl. 437):66–76CrossRef Parabiaghi A, Lasalvia A, Bonetto C et al (2007) Predictors of changes in caregiving burden in people with schizophrenia: a 3-year follow-up study in a community mental health service. Acta Psychiatr Scand 116(suppl. 437):66–76CrossRef
21.
Zurück zum Zitat Pai S, Kapur RL (1981) The burden on the family of a psychiatric patient: development of an interview schedule. Br J Psychiatr 138:332–335CrossRef Pai S, Kapur RL (1981) The burden on the family of a psychiatric patient: development of an interview schedule. Br J Psychiatr 138:332–335CrossRef
22.
Zurück zum Zitat Pearlin LI, Mullan JT, Semple SJ, Skaff MM (1990) Caregiving and the stress process: an overview of concepts and their measures. Gerontologist 30:583–594PubMed Pearlin LI, Mullan JT, Semple SJ, Skaff MM (1990) Caregiving and the stress process: an overview of concepts and their measures. Gerontologist 30:583–594PubMed
23.
Zurück zum Zitat Priebe S, Gruyters T, Heinze M, Hoffmann C, Jäkel A (1995) Subjektive Evaluationskriterien in der psychiatrischen Versorgung—Erhebungsmethoden für Forschung und Praxis. Psychiatr Prax 22:140–144PubMed Priebe S, Gruyters T, Heinze M, Hoffmann C, Jäkel A (1995) Subjektive Evaluationskriterien in der psychiatrischen Versorgung—Erhebungsmethoden für Forschung und Praxis. Psychiatr Prax 22:140–144PubMed
24.
Zurück zum Zitat Ray J, Kulhara P, Avasthi A (1991) Social burden of positive and negative schizophrenia. Int J Soc Psychiatr 37:242–250CrossRef Ray J, Kulhara P, Avasthi A (1991) Social burden of positive and negative schizophrenia. Int J Soc Psychiatr 37:242–250CrossRef
25.
Zurück zum Zitat Roick C, Heider D, Toumi M, Angermeyer MC (2006) The impact of caregivers’ characteristics, patients’ conditions and regional differences on family burden in schizophrenia: a longitudinal analysis. Acta Psychiatr Scand 114:363–374PubMedCrossRef Roick C, Heider D, Toumi M, Angermeyer MC (2006) The impact of caregivers’ characteristics, patients’ conditions and regional differences on family burden in schizophrenia: a longitudinal analysis. Acta Psychiatr Scand 114:363–374PubMedCrossRef
26.
Zurück zum Zitat Scazufca M, Kuipers E (1998) Stability of expressed emotion in relatives of those with schizophrenia and its relationship with burden of care and perception of patient’s social functioning. Psychol Med 28:453–461PubMedCrossRef Scazufca M, Kuipers E (1998) Stability of expressed emotion in relatives of those with schizophrenia and its relationship with burden of care and perception of patient’s social functioning. Psychol Med 28:453–461PubMedCrossRef
27.
Zurück zum Zitat Sommer G, Frydrich T (1989) Soziale Unterstützung: Diagnostik, Konzepte, F-SOZU. Dt. Ges. für Verhaltenstherapie, Tübingen Sommer G, Frydrich T (1989) Soziale Unterstützung: Diagnostik, Konzepte, F-SOZU. Dt. Ges. für Verhaltenstherapie, Tübingen
28.
Zurück zum Zitat The Scottish Schizophrenia Research Group (1992) The Scottish first episode schizophrenia study VIII. Five-year follow-up: clinical and psychosocial findings. Br J Psychiatry 161:496–500 The Scottish Schizophrenia Research Group (1992) The Scottish first episode schizophrenia study VIII. Five-year follow-up: clinical and psychosocial findings. Br J Psychiatry 161:496–500
29.
Zurück zum Zitat Wiedemann G, Rayki O, Feinstein E, Hahlweg K (2002) The family questionnaire: development and validation of a new self-report scale for assessing expressed emotion. Psychiatr Res 109:265–279CrossRef Wiedemann G, Rayki O, Feinstein E, Hahlweg K (2002) The family questionnaire: development and validation of a new self-report scale for assessing expressed emotion. Psychiatr Res 109:265–279CrossRef
30.
Zurück zum Zitat Zerssen D von (1976) Die Befindlichkeitsskala: Parallelformen Bf-S und Bf-S’. Beltz-Test, Göttingen Zerssen D von (1976) Die Befindlichkeitsskala: Parallelformen Bf-S und Bf-S’. Beltz-Test, Göttingen
Metadaten
Titel
Predicting caregiver burden in first admission psychiatric patients
2-year follow-up results
verfasst von
Priv.Doz. Dr.rer.soc. Anne Maria Möller-Leimkühler
Michael Obermeier
Publikationsdatum
01.10.2008
Verlag
D. Steinkopff-Verlag
Erschienen in
European Archives of Psychiatry and Clinical Neuroscience / Ausgabe 7/2008
Print ISSN: 0940-1334
Elektronische ISSN: 1433-8491
DOI
https://doi.org/10.1007/s00406-008-0818-7

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