Perception, Process, and Perspectives of Caring for Family Members with Mental Illness: A Meta-Synthesis (original) (raw)
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The Phenomenon of Family Empowerment in Caring for People with Mental Disorders
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BACKGROUND: Families, especially parents, are the closest people expected to care for people with mental disorders and this means family-focused care mental disorders is the main concept for the management of the illness due to the close relationship. AIM: The study was, therefore, conducted to explore the phenomenon of applying family empowerment in people with mental disorders as a means of developing instruments. METHODS: The research was qualitative with a phenomenological approach and data were collected through in-depth interviews and analyzed with the Colaizzi method. The participants include 14 families having someone with mental disorders and selected using the purposive sampling technique. RESULTS: The results, however, produced seven themes which are the perception of mental disorders, motivation to care, family participation, withdrawal from drugs, spirituality, costs, and alternative treatments. CONCLUSIONS: This task was found to be the main effort by a family to provi...
Systematic Review: Coping and Supports of Family Caregivers for Adults with Serious Mental Illness
Caring for a loved one with serious mental illness is a challenging role to be in. The purpose of this systematic literature review is to integrate the current literature which values the viewpoint of the caregiver regarding their own strength perspective of discovering what coping skills and support systems they have found to be beneficial. The studies included in the review were peer reviewed empirical, qualitative and quantitative studies, representing several countries and age groups. Inclusionary terms for this study included: “chronic mental illness” or “mental illness”, some version of the word caregiver, family, related, adapt, cope and long-term. Exclusionary terms included race and dementia. Common themes of strength found in the research included: educating the caregiver about the illness, the behaviors and prognosis, creating partnerships with the loved one and treatment team, finding acceptance of the illness and life situation, living situation effects, the importance of the caregiver caring for and finding support for themselves, finding a new life purpose and planning for the future. Future research would benefit from further evaluating disseminating educational materials, guidelines for development of support groups, training for peer mentoring and future planning into areas of the world that are more rural or limited in availability of services.
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Introduction: The main caregivers of people with mental disorders are their family members. Families as the caregivers of people with mental disorders is associated with a significant burden. This systematic review aims to identify and summarize the main focus based on the scientific evidence about family burden as the caregivers of people with mental disorders. Methods: The databases used were Scopus, Science Direct and Sage Journal with the keywords 'burden', 'family', 'caregiver', 'mental', 'health', 'illness', 'disorder' and they were limited to 2014-2018 from within nursing and health science journals. One hundred and four full text articles were reviewed. The 14 articles that fulfilled the inclusion criteria were analyzed using narrative synthesis followed the Joanna Briggs Methodology model for the Qualitative Systematic Review to find the main themes of each article. Results: Seven main themes were found to be related to family burden as the caregivers of a family member with mental disorders. The 7 themes were knowledge, emotional burden, physical burden, medication, financial burden, social burden, health services and government support. Conclusion: The findings suggest that the family burden on the caregivers was diverse and that this has an effect on the ability of the family to care for patients with mental disorders. Family burden has become an important indicator for the provision of mental health services.
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A large number of multidisciplinary, qualitative and quantitative research suggests that providing care for family members with mental health illnesses can have both positive and negative effects on the carers' wellbeing. However, to date a comprehensive overview and synthesis of literature that compares and contrasts positive and negative effects of family-caregiving on the carer is missing. To address this gap, this scoping review examines the effects of family-caregiving on carers' wellbeing. A Boolean search generated a total of 92 relevant articles that were included in the analysis. The results suggest that, to understand the effects of family-caregiving on the carer's mental and physical wellbeing, it is necessary to take a combination of situational and sociodemographic characteristics into consideration. Elderly, female, spousal-carers and primary-carers may be a group that is at risk of suffering from a lack of positive mental and physical wellbeing as a result of caring. However, the negative effects of caregiving can be balanced by extraversion, social support and religious or spiritual beliefs. Therefore, future interventions that aim to promote family caregivers' wellbeing may need to take personality, particular circumstances as well as cultural and personal beliefs into consideration.