論文

査読有り 国際誌
2019年3月

Positive and negative impacts of schizophrenia on family caregivers: a systematic review and qualitative meta-summary.

Social psychiatry and psychiatric epidemiology
  • Nao Shiraishi
  • ,
  • Jacqueline Reilly

54
3
開始ページ
277
終了ページ
290
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1007/s00127-018-1617-8

PURPOSE: Schizophrenia places a heavy burden on the individual with the disorder, as well as on his or her family; this burden continues over the long course of the disease. This study aimed to provide an overview of the positive and negative impacts of schizophrenia on family caregivers. METHODS: From April to June 2017, two investigators conducted a systematic review and meta-summary of studies obtained from five electronic databases and the footnotes and citations of eligible studies. Qualitative studies that explored the experiences of family caregivers of individuals with schizophrenia were included. Study findings published between 1993 and 2017 were extracted and synthesised using narrative and summative approaches. RESULTS: After the removal of duplicates, independent reviewers screened 864 records. Subsequently, 46 full-text articles were assessed for eligibility and 23 papers were included in the synthesis. Negative impacts identified were traumatic experiences, loss of expectation of life and health, lack of personal and social resources, uncertainty and unpredictability, family disruption, conflict in interpersonal relationships, difficulty in understanding, and stigma and heredity. Meanwhile, the positive impacts identified were family solidarity, admiration, affirmation, affection, compassion, learning knowledge and skills, self-confidence, personal growth, and appreciation. CONCLUSIONS: Analysis of the studies suggested that family members of individuals with schizophrenia face a series of traumatic situations during the course of the illness. Their subsequent experiences can be conceptualised as a continuous circle of caregiving, in which the positive impacts can be centrally positioned within the negative impacts.

リンク情報
DOI
https://doi.org/10.1007/s00127-018-1617-8
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/30349961

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