Informal Caregiving Relationships in Psychosis: Reviewing the Impact of Patient Violence on Caregivers

Frontiers in Psychology

Juliana Onwumere¹  Zheng Zhou²  Elizabeth Kuipers³ 

[1] Neuroscience, London, United Kingdom;Bethlem Royal Hospital, South London and Maudsley NHS Foundation Trust, Beckenham, United Kingdom;;Department of Psychology, King's College London, Institute of Psychiatry, Psychology &

关键词: psychosis;    violence;    aggression;    carers;    families;   

DOI  :  10.3389/fpsyg.2018.01530

来源: DOAJ

【 摘 要 】

A modest association can be found between people with a schizophrenia spectrum diagnosis (psychosis) and perpetrating acts of violence. When a person with psychosis does engage in violence, it is their informal carers, when compared to those from the general population, who are more likely to be the targets, and violence will often occur within the family home. Despite the importance of carer support for improving patient outcomes, our understanding of how carers are impacted by patient initiated violence in psychosis remains limited. This paper reviews literature documenting the effects of patient-initiated violence in psychosis on carer functioning. The review comprised searches of Medline, PsychInfo, Embase, and Web of Science databases and the hand searches of reference lists from relevant published papers. The review was limited to English language publications from inception to 11th September 2017, and where carer experiences following reports of violence from patients with psychosis were specifically recorded. Data from 20 papers using mixed methodologies were reviewed. Patient violence in psychosis was linked to poorer carer outcomes, including carer reports of burden, trauma, fear, and helplessness. There is, however, a significant need for further studies to systematically quantify the impact and correlates of patient initiated violence on psychosis caregivers, and improve prevention.

【 授权许可】

Unknown