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The Caregiver's Perception of Behavioral Disturbance in Relatives with Schizophrenia: A Stress-Coping Approach

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Abstract

This article suggests some theoretical orientations in studying behavioral disturbance from a stress-coping perspective. First, an overview of Lazarus and Folkman's cognitive theory of stress is presented. Secondly, some linkages are proposed between the rating scales used to measure behavioral disturbance and the concepts of this theory. Future research directions are then suggested to further explore the affective, cognitive and behavioral responses related to the management of disturbing behaviors.

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REFERENCES

  • Bandura, A. (1977). Social learning theory. Englewood Cliffs, NJ: Prentice-Hall.

    Google Scholar 

  • Barrowclough, C. Johnston, M., & Tarrier, N. (1994). Attributions, expressed emotion, and patient relapse: An attributional model of relatives' response to schizophrenic illness. Behavior Therapy, 25, 67-88.

    Google Scholar 

  • Barrowclough, C., & Tarrier, N. (1987). A behavioral family intervention with schizophrenia patient: A case study. Behavioural Psychotherapy, 15, 252-71.

    Google Scholar 

  • Biegel, D.E., Milligan, S.E., Putnam, P.L., & Song, L.Y (1994a). Predictors of burden among lower socioeconomic status caregivers of persons with chronic mental illness. Community Mental Health Journal, 30, 473-494.

    Google Scholar 

  • Biegel, D.E., Song, L.Y., & Chakravarthy, V. (1994b). Predictors of caregiver burden among support group members of persons with chronic mental illness. In E. Kahana, D.E. Biegel, & M.L. Wykle (Eds.), Family Caregiving Across the Lifespan (pp. 178-215). Thousand Oaks, CA: Sage.

    Google Scholar 

  • Bradbury, T.N., & Fincham, F.D. (1990). Attributions inmarriage: Review and critique. Psychological Bulletin, 107, 3-33.

    Google Scholar 

  • Brewin, C.R. MacCarthy, B. Duda, K., & Vaughn, C.E. (1991). Attribution and expressed emotion in the relatives of patients with schizophrenia. Journal of Abnormal Psychology, 100, 546-554.

    Google Scholar 

  • Chesla, C.A. (1991). Parents' caring practices with schizophrenic offspring. Qualitative Health Research, 1, 446-468.

    Google Scholar 

  • Cook, J.A., Cohler, B.J., Pickett, S.A., & Beeler, J.A. (1997). Life-course and severe mental illness: Implications for caregiving within the family of later life. Family Relations, 46, 427-436.

    Google Scholar 

  • Creer, C., & Wing, J.K. (1975). Living with a schizophrenic patient. British Journal of Hospital Medicine, 7, 73-82.

    Google Scholar 

  • Estroff, S.E., Zimmer, C., Lachicotte, W.S., & Benoit, J. (1994). The influence of social networks and social support on violence by persons with serious mental illness. Hospital and Community Psychiatry, 45, 669-679.

    Google Scholar 

  • Folkman, S. (1997). Positive psychological states and coping with severe stress. Social Science Medicine, 45, 1207-1221.

    Google Scholar 

  • Folkman, S., Chesney, M.A., Cooke, M., Boccelari, A., & Colette, L. (1994). Caregiver burden in HIV-positive and HIV-negative partners of men with aids. Journal of Consulting and Clinical Psychology, 62, 746-756.

    Google Scholar 

  • Folkman, S., Chesney, M., McKusick, L., Ironson, G., Johnson, D.S., & Coates, T.J. (1991). Translating coping theory into an intervention. In J. Eckenrode, The social context of coping (pp. 239-260). New York: Plenum.

    Google Scholar 

  • Folkman, S., & Lazarus, R.S. (1985). If it changes it must be a process: study of emotion and coping during three stages of a college examination. Journal of Personality and Social Psychology, 48, 150-170.

    Google Scholar 

  • Folkman, S., & Lazarus, R.S. (1988). The relationship between coping and emotion: Implications for theory and research. Social Science and Medicine, 26, 309-317.

    Google Scholar 

  • Gopinath, P.S., & Chaturvedi, S.K. (1992). Distressing behaviour of schizophrenics at home. Acta Psychiatrica Scandinavica, 86, 185-188.

    Google Scholar 

  • Greenberg, J.S., Seltzer, M.M., & Greenley, J. (1993). Aging parents of adults with disabilities: The gratifications and frustrations of later-life caregiving. The Gerontologist, 33, 542-550.

    Google Scholar 

  • Greenley, J. (1986). Social control and expressed emotion. Journal of Nervous and Mental Diseases, 174, 24-30.

    Google Scholar 

  • Harrison, C.A., & Dadds, M.R. (1992). Attributions of symptomatology: An exploration of family factors associated with expressed emotion. Australian and New Zealand Journal of Psychiatry, 26, 408-416.

    Google Scholar 

  • Hatfield, A.B. (1978). Psychological costs of schizophrenia to the family. Social Work, 23, 355-359.

    Google Scholar 

  • Hewitt, K.E. (1983). The behaviour of schizophrenic day-patients at home: An assessment by relatives. Psychological Medicine, 13, 885-889.

    Google Scholar 

  • Hooley, J. M. (1987). The nature and origins of expressed emotion. In Hahwlweg, K. & M.J. Goldstein (Eds.), Understanding major mental disorder: The contribution of family interaction research (pp. 176-194). New York: Family Process Press.

    Google Scholar 

  • Hoult, J., Reynolds, I., Charbonneau-Powis, M., Coles, P., & Briggs, J. (1981). A controlled study of psychiatric hospital versus community treatment-The effect on relatives. Australian and New Zealand Journal of Psychiatry, 15, 323-328.

    Google Scholar 

  • Jones, S.L. (1997). Caregiver burden: the experience of parents, children, siblings, and spouses of people with mental illness. Psychiatric Rehabilitation Journal, 20, 84-87.

    Google Scholar 

  • Kanter, J.S. (1984). Consulting with families of the chronic mentally ill. In J.S. Kanter (Ed.), Clinical issues in treating the mentally ill (pp. 21-32) New directions for mental health research (no. 27). San Francisco: Jossey-Bass.

    Google Scholar 

  • Lazarus, R.S. (1993). Coping theory and research: Past, present, and future. Psychomatic Medicine, 55, 234-247.

    Google Scholar 

  • Lazarus, R.S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.

    Google Scholar 

  • Lefley, H.P. (1987). Impact of mental illness in families of mental health professionals. Journal of Nervous and Mental Disease, 175, 613-619.

    Google Scholar 

  • Lefley, H.P. (1996). Family caregiving in mental illness. Thousand Oaks, CA: Sage.

    Google Scholar 

  • Levene, J.E., Lancee, W.J., & Seeman, M.V. (1996). The perceived family burden scale: Measurement and validation. Schizophrenia Research, 22, 151-157.

    Google Scholar 

  • Mannion, E. (1996). Resilience and burden in spouses of people with mental illness. Psychiatric Rehabilitation Journal, 20, 13-23.

    Google Scholar 

  • Marsh, D., Lefley, H.P., Evans-Rhodes, D., Ansell, V., Doerzbacher, B., LaBarbera, L., & Paluzzi, J. (1996). The family experience of mental illness: Evidence for resilience. Psychiatric Rehabilitation Journal, 20, 3-12.

    Google Scholar 

  • McCubbin, M.A., & McCubbin, H.I. (1996). Resiliency in families: A conceptual model of family adjustment and adaptation in response to stress and crises. In H.I. McCubbin, A.I. Thompson & M.A. McCubbin, (Eds.), Family Assessment: Resiliency, coping and adaptation: Inventories for research and practice (pp. 1-64). Madison: University of Wisconsin System.

    Google Scholar 

  • Mueser, K.T., Webb, C., Pfeiffer, M., Gladis, M., & Levinson, D.L. (1996). Family burden of schizophrenia and bipolar disorder: Perceptions of relatives and professionals. Psychiatric Services, 47, 507-511.

    Google Scholar 

  • Pearlin, L.I., Mullan, J.T., Semple, S.J., & Skaff, M.M. (1991). Caregiving and the stress process: An overview of conpets and their measures. The Gerontologist, 30, 583-594.

    Google Scholar 

  • Platt, S.D., Weyman, A., & Hirsch, S. (1983). Social Behaviour Assessment Schedule (SBAS): The schedule (3rd ed.). NFER-Nelson: Windsor, Berks.

    Google Scholar 

  • Provencher, H.L., Perreault, M., Fournier, J.P., & Vezina, J. (2000). Instruments measuring behavioral disturbance in relatives with schizophrenia. Community Mental Health Journal.

  • Reinhard, S.C. (1994). Living with mental illness: Effects of professional support and personal control on caregiver burden. Research in Nursing and Health, 17, 79-88.

    Google Scholar 

  • Reinhard, S.C., & Horwitz, A.V. (1995). Caregiver burden: differentiating the content and consequences of family caregiving. Journal of Marriage and the Family, 57, 741-750.

    Google Scholar 

  • Runions, J., & Prudo, R. (1983). Problem behaviors encountered by families living with a schizophrenic member. Canadian Journal of Psychiatry, 28, 382-386.

    Google Scholar 

  • Shaver, K.G. (1985). The attribution of blame: Causality, responsibility, and blameworthiness. New York: Springer-Verlag.

    Google Scholar 

  • Seltzer, M.M., Greenberg, J.S., Krauss, M.W., & Hong, J. (1997). Predictors and outcomes of the end of co-resident caregiving in aging families of adults with mental retardation or mental illness. Family Relations, 46, 13-22.

    Google Scholar 

  • Stueve, A., Vine., P., & Struening, E.L. (1997). Perceived burden among caregivers of adults with serious mental illness: Comparison of Black, Hispanic and White families. American Journal of Orthopsychiatry, 67, 199-209.

    Google Scholar 

  • 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 Experience. Social Psychiatry and Psychiatric Epidemiology, 31, 137-148.

    Google Scholar 

  • Tessler, R.C. (1989). Continuity of Care Residence and Family Burden. NIMH Grant No. MH 44683. Amherst: University of Massachusetts.

    Google Scholar 

  • Weisman, A., Lopez, S.R., Karno, M., & Jenkins, J. (1993). An attributional analysis of expressed emotion in Mexican-American families with schizophrenia. Journal of Abnormal Psychology, 102, 601-606.

    Google Scholar 

  • Wiedl, K.H., & Schöttner, B. (1991). Copingwith symptoms related to schizophrenia. Schizophrenia Bulletin, 17, 525-538

    Google Scholar 

  • Wykes, T., & Sturt, E. (1986). The measurement of social behaviour in psychiatric patients: An assessment of the reliability and validity of the SBS schedule. British Journal of Psychiatry, 148, 1-11.

    Google Scholar 

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Provencher, H.L., Fournier, JP., Perreault, M. et al. The Caregiver's Perception of Behavioral Disturbance in Relatives with Schizophrenia: A Stress-Coping Approach. Community Ment Health J 36, 293–306 (2000). https://doi.org/10.1023/A:1001961331890

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