The Effectiveness of Intervention based on Strengthening Family Coping Resources Approach on Resilience in Family Caregivers of Patients with Schizophrenia

Document Type : Original Article

Authors

Department of Counseling, Faculty of Psychology and Educational Sciences, Allameh Tabataba’i University, Tehran, Iran

Abstract

Introduction: Due to the importance of family caregivers in the home caring of patients with schizophrenia and the imposition of their care responsibility, it seems that in order to strengthen their mental health and improve taking care of patients with schizophrenia, measures should be taken to improve the resilience of family caregivers. The aim of the present research was to determine the effects of interventions based on the strengthening family coping resources approach on the resilience of family caregivers of patients with schizophrenia.
Method: This experimental study was carried out on 60 family caregivers of patients with schizophrenia admitted to Ibn-e-Sina Psychiatric Hospital of Mashhad, Iran in 2018 - 2019.  They were randomly divided into two groups of intervention (n=29) and control group (n=31). In the intervention group, according to the guideline of the strengthening family coping resources developed by Kaiser et al., interventions based on this approach were implemented during 15 sessions of 120-150 minutes twice a week, and the control group received routine care. Data were collected by the Connor and Davidson Resilience Scale (2003) in two stages before and after intervention. Data were analyzed by SPSS-22 software, independent t-test and paired t-test.
Results: Among the participants, 40 were female (66.3%) and 20 (33.3%) number of the patients were mothers. In the pre-intervention stage, there was no significant difference between the mean of total resiliency score in both intervention and control groups (p = 0.45). This is while there was a significant difference between the mean changes in the total resiliency score in the intervention and control groups (p <0.001).
Conclusion: Interventions based on the strengthening family coping resources approach can be effective in enhancing resilience in family caregivers of patients with schizophrenia.

Keywords

References

  1. References

    1. Amagai M, Takahashi M, Amagai F. Qualitative study of resilience of family caregivers for patients with schizophrenia in Japan. Mental Health in Family Medicine. 2016;63(4.9):55-74.
    2. Chen L, Zhao Y, Tang J, Jin G, Liu Y, Zhao X, et al. The burden, support and needs of primary family caregivers of people experiencing schizophrenia in Beijing communities: a qualitative study. BMC psychiatry. 2019;19(1):75.
    3. Fitryasari R, Yusuf A, Nursalam, Tristiana RD, Nihayati HE. Family members' perspective of family Resilience's risk factors in taking care of schizophrenia patients. International Journal of Nursing Sciences. 2018;5(3):255-61.
    4. Caqueo-Urizar A, Rus-Calafell M, Craig TK, Irarrazaval M, Urzua A, Boyer L, et al. Schizophrenia: Impact on Family Dynamics. Current psychiatry reports. 2017;19(1):2.
    5. Shiraishi N, Reilly J. Positive and negative impacts of schizophrenia on family caregivers: a systematic review and qualitative meta-summary. Social psychiatry and psychiatric epidemiology. 2019;54(3):277-90.
    6. Zauszniewski JA, Bekhet AK, Suresky MJ. Effects on resilience of women family caregivers of adults with serious mental illness: the role of positive cognitions. Archives of psychiatric nursing. 2009;23(6):412-22.
    7. Subandi M. The role of family empowerment and family resilience on recovery from psychosis. Gadjah Mada University. 2013.
    8. Figley CR, Burnette CE. Building bridges: Connecting systemic trauma and family resilience in the study and treatment of diverse traumatized families. Traumatology. 2017;23(1):95.
    9. Foster K, O'brien L, Korhonen T. Developing resilient children and families when parents have mental illness: A family‐focused approach. International journal of mental health nursing. 2012;21(1):3-11.
    10. Chen X, Mao Y, Kong L, Li G, Xin M, Lou F, et al. Resilience moderates the association between stigma and psychological distress among family caregivers of patients with schizophrenia. Personality and Individual Differences. 2016;96(1):78-82.
    11. Zauszniewski JA, Bekhet AK, Suresky MJ. Resilience in family members of persons with serious mental illness. The Nursing clinics of North America. 2010;45(4):613-26.
    12. Karimirad MR, Seyedfatemi N, Noghani F, Dehkordi AH, Barasteh S. The Relationship between Resilience and Quality of Life in Family Caregivers of Patients with Mental Disorders. J Clin Diagn Res. 2018;12(11):CC05-CC8.
    13. Zauszniewski JA, Bekhet AK, Suresky MJ. Indicators of resilience in family members of adults with serious mental illness. Psychiatric Clinics. 2015;38(1):131-46.
    14. Steinhardt M, Dolbier C. Evaluation of a resilience intervention to enhance coping strategies and protective factors and decrease symptomatology. Journal of American College Health. 2008;56(4):445-53.
    15. Gloria CT, Steinhardt MA. Relationships among positive emotions, coping, resilience and mental health. Stress and Health. 2016;32(2):145-56.
    16. Souri H, Hejazi E, Ejei J. The correlation of resiliency and optimism with psychological well-being. International Journal of Behavioral Sciences. 2013;7(3):271-7.
    17. Saria MG, Courchesne N, Evangelista L, Carter J, MacManus DA, Gorman MK, et al. Cognitive dysfunction in patients with brain metastases: influences on caregiver resilience and coping. Supportive Care in Cancer. 2017;25(4):1247-56.
    18. Kiser L. Strengthening Family Coping Resources: Intervention for Families Impacted by Trauma. Newyork and London: Routledge; 2015.
    19. Kiser LJ, Donohue A, Hodgkinson S, Medoff D, Black MM. Strengthening family coping resources: The feasibility of a multifamily group intervention for families exposed to trauma. Journal of traumatic stress. 2010;23(6):802-6.
    20. Kiser LJ, Backer PM, Winkles J, Medoff D. Strengthening Family Coping Resources (SFCR): Practice-based evidence for a promising trauma intervention. Couple and Family Psychology: Research and Practice. 2015;4(1):49.
    21. Connor KM, Davidson JR. Development of a new resilience scale: The Connor‐Davidson resilience scale (CD‐RISC). Depression and anxiety. 2003;18(2):76-82.
    22. Khoshouei MS. Psychometric evaluation of the Connor-Davidson resilience scale (CD-RISC) using Iranian students. International Journal of Testing. 2009;9(1):60-6.
    23. McCann TV, Songprakun W, Stephenson J. Efficacy of a self‐help manual in increasing resilience in carers of adults with depression in Thailand. International journal of mental health nursing. 2016;25(1):62-70.
    24. Bang M, Kim O. Effect of the family resilience reinforcement program for family caregivers of the elderly with dementia. Korean Journal of Adult Nursing. 2016;28(1):71-82.
    25. Chen F-p, Greenberg JS. A positive aspect of caregiving: The influence of social support on caregiving gains for family members of relatives with schizophrenia. Community mental health journal. 2004;40(5):423-35.
    26. Saema EI, Ei-Nabi AAA, Fathalla HE-D. Resilience, burden, and quality of life in Egyptian family caregivers of patients with schizophrenia. Egyptian Nursing Journal. 2018;15(2):196.
    27. Batra B, Ghildiyal R, Mathews MM. Coping strategies among caregivers of patients with schizophrenia: a descriptive study. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS). 2014;1(14):20-9.
    28. Knight BG, Sayegh P. Cultural values and caregiving: the updated sociocultural stress and coping model. The journals of gerontology Series B, Psychological sciences and social sciences. 2010;65b(1):5-13.
    29. Vaghee S, Salarhaji A, Vaghei N. Comparing the effect of in our own voice-family with psychoeducation on stigma in families of schizophrenia patients. Nursing Practice Today. 2015;2 (4):139-51

    Hejazi E, Solimani H. The quality of friendship, friendship reciprocity and resilience. Journal of Behavioral Sciences. 2011;4(4):319-25

International Journal of Behavioral Sciences
Volume 13, Issue 1
April 2019
Pages 26-32

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