Longitudinal impact of caregiver transition and family caregiving on psychiatric symptoms and psychosocial functioning among persons with schizophrenia in rural China

2021 ◽  
Author(s):  
Man‐Man Peng ◽  
Zhiying Ma ◽  
Wei Luo ◽  
Shi‐Hui Hu ◽  
Xin Yang ◽  
...  
Keyword(s):  
Psychosocial Functioning ◽  
Family Caregiving ◽  
Psychiatric Symptoms ◽  
Rural China ◽  
Longitudinal Impact ◽  
Persons With Schizophrenia

scholarly journals The social support, mental health, psychiatric symptoms, and functioning of persons with schizophrenia participating in peer co-delivered vocational rehabilitation: a pilot study in Taiwan

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kan-Yuan Cheng ◽  
Chia-Feng Yen
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Vocational Rehabilitation ◽  
Psychiatric Symptoms ◽  
Skills Training ◽  
Service Users ◽  
Pilot Program ◽  
The Social ◽  
Functional Scores ◽  
Persons With Schizophrenia

Abstract Background Vocational peer support (VPS) services are recovery-oriented interventions in modern psychiatric care for persons with schizophrenia. However, few VPS services are found in Taiwan. Hence, a pilot program of peer co-delivered vocational rehabilitation to support persons with schizophrenia in Taiwan was proposed and evaluated. Methods Six peers were trained and were willing to co-lead and assist workplace problem-solving groups and care skills training in an extended vocational rehabilitation program from August 2017 to December 2018. The social support, mental health, psychiatric symptoms, and functioning of service users were assessed before and after peer co-delivered services, and the assessments were based on the following: Social Support Scale (SSS), Chinese Health Questionnaire-12 (CHQ-12), Brief Psychiatric Rating Scale (BPRS), Global Assessment of Function (GAF), and the Chinese version of the Social Functioning Scale (C-SFS). Results The recruited 46 service users were mostly middle-aged (49.1 ± 9.8), with 27 being male (58.7%). After interventions, 42 service users who completed the program had a significantly increased SSS score (149.1 ± 31.8 vs. 161.2 ± 35.0, df = 41, t = 2.70, p = 0.01) and subscale of friend-peer dimension (44.4 ± 12.0 vs. 53.2 ± 13.2, df = 41, t = 4.72, p < 0.001). The objective (GAF: 69.8 ± 9.8 vs. 72.6 ± 8.8, df = 41, t = 3.50, p = 0.001) and subjective social functional scores (C-SFS: 75.2 ± 8.8 vs. 78.1 ± 9.5, df = 41, t = 2.59, p = 0.01) both significantly increased. The weekly wage elevated significantly (37.5 ± 35.5 vs. 43.6 ± 38.0, df = 41, t = 2.57, p = 0.01) and the BPRS-18 score decreased significantly, too (31.2 ± 6.7 vs. 29.3 ± 5.0, df = 41, t = − 2.83, p = 0.007). Conclusions Peer co-delivered vocational rehabilitation services may enhance the social support received by persons with schizophrenia and improve their occupational outcomes. The pilot program proposed can thus be a model for non-Western countries with limited resources allocated by governments to support persons with schizophrenia. Trial registration: ClinicalTrials NCT04767204, retrospectively registered on Feb 23, 2021.

scholarly journals The Psychosocial Implications of Managing Work and Family Caregiving Roles: Gender Differences Among Information Technology Professionals

2015 ◽  
Vol 38 (11) ◽  
pp. 1495-1519 ◽  
Author(s):  
Nicole DePasquale ◽  
Courtney A. Polenick ◽  
Kelly D. Davis ◽  
Phyllis Moen ◽  
Leslie B. Hammer ◽  
...  
Keyword(s):  
Gender Differences ◽  
Information Technology ◽  
Perceived Stress ◽  
Psychosocial Functioning ◽  
Family Caregiving ◽  
Process Model ◽  
White Collar ◽  
Work And Family ◽  
Child Caregiving ◽  
Caregiving Roles

An increasing number of adults, both men and women, are simultaneously managing work and family caregiving roles. Guided by the stress process model, we investigate whether 823 employees occupying diverse family caregiving roles (child caregiving only, elder caregiving only, and both child caregiving and elder caregiving, or “sandwiched” caregiving) and their noncaregiving counterparts in the information technology division of a white-collar organization differ on several indicators of psychosocial stress along with gender differences in stress exposure. Compared with noncaregivers, child caregivers reported more perceived stress and partner strain whereas elder caregivers reported greater perceived stress and psychological distress. With the exception of work-to-family conflict, sandwiched caregivers reported poorer overall psychosocial functioning. Additionally, sandwiched women reported more family-to-work conflict and less partner support than their male counterparts. Further research on the implications of combining a white-collar employment role with different family caregiving roles is warranted.

scholarly journals T218. A REAL ENVIRONMENT BASED VIRTUAL REALITY PSYCHOSOCIAL TREATMENT MAY HELP PATIENTS WITH SCHIZOPHRENIA TO INCREASE SOCIAL FUNCTIONING: A PRELIMINARY STUDY

2020 ◽  
Vol 46 (Supplement_1) ◽  
pp. S315-S316 ◽  
Author(s):  
Emine Ilgın Hoşgelen ◽  
Faik Kartelli ◽  
Markus Berger ◽  
Simay Erinç ◽  
Deniz Yerlikaya ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Social Skills ◽  
Treatment Program ◽  
Psychosocial Functioning ◽  
Psychiatric Symptoms ◽  
Psychosocial Treatment ◽  
The Real ◽  
Real Environment ◽  
Significant Difference ◽  
Preliminary Study

Abstract Background Emerging new technologies may lead to the discovery of new treatment techniques in psychiatric disorders. Virtual Reality (VR) is being one of the newly developed techniques that has also taken its place in literature very recently. VR is a new technology for treatment of psychiatric symptoms. This is a pilot study that aims to determine the behavioral and symptomatic response of patients to a real recorded VR environment. In this study, a virtual reality laboratory has been established and a psychosocial treatment program through virtual reality has been developed for patients with schizophrenia. The aim of this study is to investigate the effect of VR psychosocial treatment program on psychosocial functioning in schizophrenia. Methods Data were collected from the patients who applied to Dokuz Eylül University School of Medicine, Schizophrenia and Psychosis Outpatient Clinic. Seven schizophrenia patients who met schizophrenia according to DSM-V diagnostic criteria were included into the study. The level of psychosocial functioning was assessed using the Personal and Social Performance Scale (PSP), the positive and negative symptom severity was evaluated using the Positive and Negative Syndrome Scale (PANSS) and social skills were assessed by using the Social Skills Checklist (SSC). The VR psychosocial treatment program included 10 sessions and was carried on for five weeks as twice a week. Each session had different real virtual environment applications including social interaction components such as in a café to buy a beverage, a bazaar or market to do shopping, taking a bus, tram, and/or ferry, etc. Results PSP scores were statistically different after and before virtual reality assessment (p=0,018). SSC scores were trend to be significance after the VR application (p=0,062). After five weeks, patients’ the number of going outside home, the places they go and the activities they do have been increased compared to the numbers at the beginning but did not differ in statistically significance. None of the patients reported motion sickness due to exposure to real environment during or after immersive process of VR. There was no significant difference regarding PANSS scores after the VR psychosocial treatment. In this study real environment VR sessions did not trigger positive symptoms of schizophrenia patients. Discussion In this preliminary study, we found that the real environment VR psychosocial application is eligible for schizophrenia patients to improve their social skills and daily activities. This study helped patients to experience the real environment without being there and encouraged them to be “really” in there. Soon, cognitive remediation programs and psychosocial functioning therapies may be conducted via VR and may help the patients to cope with their symptoms and daily life difficulties.

Lifetime psychiatric symptoms in persons with schizophrenia who died by suicide compared to other means of death

2004 ◽  
Vol 38 (5) ◽  
pp. 531-536 ◽  
Author(s):  
Deanna L. Kelly ◽  
Joo-Cheol Shim ◽  
Stephanie M. Feldman ◽  
Yang Yu ◽  
Robert R. Conley
Keyword(s):  
Psychiatric Symptoms ◽  
Persons With Schizophrenia

scholarly journals Az alacsony intenzitású, bizonyítottan hatékony kognitív viselkedésterápia Crohn-betegségben

2018 ◽  
Vol 159 (9) ◽  
pp. 363-369
Author(s):  
Dóra Antal-Uram ◽  
László Harsányi ◽  
Dóra Perczel-Forintos
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Psychosocial Functioning ◽  
Psychiatric Comorbidity ◽  
Psychiatric Symptoms ◽  
Psychosocial Interventions ◽  
Well Being ◽  
Self Esteem ◽  
Cognitive Emotion Regulation ◽  
Low Intensity

Abstract: Inflammatory bowel disease (Crohn’s disease and colitis ulcerosa) is a chronic, long-term condition that causes chronic inflammation in the digestive tract, and shows an increasing incidence and prevalence worldwide. Changes in disease activity over time affect psychological distress which increases the risk of exacerbations. Beside somatic symptoms (such as abdominal pain, diarrhoea and weight loss), psychiatric comorbidity (in particular major depression, anxiety, social phobia) is common in patients with Crohn’s disease. This case study illustrates the management and stabilization of a 21-year-old adult male patient with active Crohn’s disease and with severe psychiatric comorbidity. The patient was diagnosed with avoidant personality disorder and dysruptive mood dysregulation disorder based on the results of psychodiagnostics (SCID-II structured clinical interview, MMPI personality inventory and disease-specific clinical questionnaires such as Beck Depression Inventory, Beck Hopelessness Scale, Social Cognition Questionnaire, Anger Expression Scale, Cognitive Emotion Regulation Questionnaire, Rosenberg Self-Esteem Scale). The main aim of psychotherapy is to increase the adherence to pharmacotherapy, to promote psychosocial functioning, to improve well-being and to enhance adaptive coping strategies. Low-intensity cognitive-behavioural psychotherapy was used which included psychoeducation, motivational interview, behavioural activation, patient diary, cognitive restructuring, problem-solving training, and family consulting. Twenty-five sessions were held weekly in outpatient form and 3 sessions of crisis intervention after the surgery at the hospital. The efficacy of the treatment was measured by self-reported questionnaires at baseline and at two follow-up sessions which corroborated a very significant decrease in the severity of depression, hopelessness, while emotional regulation and self-esteem became more adaptive. The remission of the above-mentioned psychiatric symptoms resulted in the improvement of the pharmacotherapy adherence and the quality of life. Low-intensity psychosocial interventions are proven to be an effective way of delivering evidence-based psychotherapy. Orv Hetil. 2018; 159(9): 363–369.

scholarly journals Computerized Cognitive Training in People with Depression: A Protocol for a Systematic Review and Meta-Analysis

2020 ◽  
Author(s):  
Amit Lampit ◽  
Nathalie H Launder ◽  
Ruth Minkov ◽  
Alice Rollini ◽  
Christopher G Davey ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cognitive Performance ◽  
Cognitive Training ◽  
Psychosocial Functioning ◽  
Psychiatric Symptoms ◽  
Meta Analysis ◽  
Risk Of Bias ◽  
Computerized Cognitive Training ◽  
Design Factors ◽  
Clinical Populations

Abstract Background People with depression often present with concurrent cognitive impairment. Computerized cognitive training (CCT) is safe and efficacious strategy to maintain or enhance cognitive performance in a range of clinical populations. However, its efficacy in people with depression and how it varies across populations and design factors is currently unclear. Methods We searched MEDLINE, EMBASE and PsycINFO from inception to 29 June 2020 for randomised controlled trials examining the efficacy of CCT vs any control condition on cognitive, mood, psychiatric symptoms, psychosocial functioning and daily function in adults with depression. Eligible samples include studies specifically targeting people with major depressive disorder as well as those with other diagnoses where at least 50% of the sample meets clinical criteria for depression, with the exception of major psychiatric disorders or dementia. The primary outcome is change in overall cognitive performance. Multivariate analyses will be used to examine effect sizes on each outcome category as well as possible effect modifiers and correlations between categories. Risk of bias will be assessed using the Cochrane risk of bias tool version 2. Discussion To the best of our knowledge, this will be the first systematic review and meta-analysis of narrowly-defined CCT across clinical populations with depression. We aim to investigate not only whether CCT is efficacious for cognition, but also how such effects vary across design factors, what other clinically relevant outcomes might respond to CCT and the extent to which they differ across populations. Systematic review registration: Submitted and pending evaluation with PROSPERO.

scholarly journals Criminal behavior among persons with schizophrenia in rural China

2010 ◽  
Vol 122 (1-3) ◽  
pp. 213-218 ◽  
Author(s):  
Mao-Sheng Ran ◽  
Peng-Yu Chen ◽  
Zhi-Gang Liao ◽  
Cecilia Lai-Wan Chan ◽  
Eric Yu-Hai Chen ◽  
...  
Keyword(s):  
Criminal Behavior ◽  
Rural China ◽  
Persons With Schizophrenia

Predictors of improvement in quality of life of long-term mentally ill individuals receiving case management

2002 ◽  
Vol 17 (1) ◽  
pp. 33-40 ◽  
Author(s):  
T. Björkman ◽  
L. Hansson
Keyword(s):  
Quality Of Life ◽  
Case Management ◽  
Mentally Ill ◽  
Psychosocial Functioning ◽  
Psychiatric Symptoms ◽  
Subjective Quality ◽  
Subjective Quality Of Life

SummaryOne hundred and thirteen long-term mentally ill clients receiving case management were investigated with regard to psychosocial and clinical predictors of changes in subjective quality of life during an 18-month follow-up. Better psychosocial functioning and fewer psychiatric symptoms at baseline predicted a greater improvement in quality of life. A larger decrease in symptom severity and a greater improvement in the social network during the follow-up were identified as the most important predictors of a greater improvement in subjective quality of life. The results of the study suggest that an emphasis should be put on effective symptom management, a reduction of needs for care and social support in order to fulfill the aims of improving subjective quality of life in patients receiving case management.

scholarly journals Predicting multi-modal symptom trajectories across 7 years in veterans with chronic posttraumatic stress

2020 ◽  
Author(s):  
Benjamin Pierce ◽  
Thomas Kirsh ◽  
Erich Kummerfeld ◽  
Adam R. Ferguson ◽  
Thomas C. Neylan ◽  
...  
Keyword(s):  
Psychosocial Functioning ◽  
Psychiatric Symptoms ◽  
Growth Mixture Modeling ◽  
Poor Health ◽  
Clustering Methods ◽  
Post Traumatic Stress ◽  
Random Forest Classification ◽  
Symptom Trajectories ◽  
Forest Classification ◽  
Socially Isolated

AbstractBackgroundVeterans are disproportionately affected by symptoms of post-traumatic stress (PTS) and associated poor health and psychosocial functioning. While most improve over time, others experience severe and persistent concerns. The ability to predict this latter group is critical for early intervention. Characterizing this subgroup has proven difficult, with most studies focusing on PTS and neglect a wider assessment of veterans’ wellbeing. Consequently, little is known about veterans who experience chronic symptoms and far-reaching impairment.MethodThe present study uses dimension reduction, growth mixture modeling, and clustering methods to identify veterans with the worst-faring trajectories of psychiatric symptoms, health, and psychosocial functioning, using data from the seven-year Mind Your Heart study (MYH) of people receiving Veterans Affairs services (n = 747). Random forest classification and feature selection were then used to examine predictors that distinguish the worst-fairing veteran group from others in the cohort.ResultsThe combined analyses revealed a subgroup of veterans with severe and diverse symptoms across psychiatric domains, impairment in multiple facets of living, and poor health with deterioration over seven years. This subgroup was distinguished by transdiagnostic symptom severity and greater social isolation, avoidance, anhedonia, cynicism, anger/hostility, and immune response and inflammation.ConclusionsVeterans whose distress spans multiple domains appear to be more broadly impaired, socially isolated, cynical or angry/hostile to others, and show elevated immunoreactivity and inflammation. Care for this population should be informed by a multidisciplinary approach that is conscious of veterans’ mental and physical health, and interpersonal needs.

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