Understanding the experience of 'burnout' in first-episode psychosis carers
| Autor: | Juliana Onwumere, Sandra Sirykaite, Raythe Harvey, Sanna Khan, Jonathan Souray, Joerg Schulz, Gareth James, David Raune, Roya Afsharzadegan, Emma Man |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Parents Psychosis Adolescent Cross-sectional study lcsh:RC435-571 media_common.quotation_subject health care facilities manpower and services Burnout Psychological Burnout Affect (psychology) Young Adult 03 medical and health sciences 0302 clinical medicine health services administration lcsh:Psychiatry Depersonalization medicine Humans Young adult Emotional exhaustion media_common Middle Aged medicine.disease 030227 psychiatry Psychiatry and Mental health Clinical Psychology Cross-Sectional Studies Caregivers Psychotic Disorders Feeling Female medicine.symptom Comprehension Psychology 030217 neurology & neurosurgery psychological phenomena and processes Clinical psychology |
| Zdroj: | Comprehensive Psychiatry, Vol 83, Iss, Pp 19-24 (2018) Onwumere, J, Sirykaite, S, Schulz, J, Man, E, James, G, Afsharzadegan, R, Khan, S, Harvey, R, Souray, J & Rauen, D 2018, ' Understanding the experience of 'burnout' in first-episode psychosis carers ', Comprehensive Psychiatry, vol. 83, pp. 19-24 . King's College London |
| Popis: | Background The first onset of psychosis can exert a significant negative impact on the functioning and positive wellbeing of family carers. Carer reports of “burnout” have recently been recorded in early psychosis carers, though the literature is scarce detailing our understanding of how burnout relates to the primary experience of caregiving. The current study investigated reports of burnout and its relationship with beliefs about caregiving and wellbeing in a large group of early psychosis carers who were routinely assessed within an early intervention team. Methods and materials Using a cross-sectional design, 169 early psychosis carers completed the Maslach Burnout Inventory alongside measures of caregiving experiences, affect and wellbeing. Results The mean illness length for patients with psychosis was 18 months. Their mean age was 24.4 years and most was male (65%). The majority of carer participants were parental caregivers and living with their relative with psychosis. Across the three key burnout dimensions, 58% of the sample reported high levels of emotional exhaustion; 31% endorsed high levels of depersonalization; and 43% reported low levels personal accomplishment. The most severe level of burnout, reflecting elevated rates across all three dimensions, was observed in 16% of the sample. Carer burnout was positively associated with negative caregiving experiences (i.e. burden), poor affect, and reduced levels of positive wellbeing and perception of being in good health. Conclusions Reports by early psychosis carers of exhaustion, feeling inadequate and expressing negativity towards the relative they care for is not uncommon and are closely associated with their overall negative appraisals of caregiving. The results underscore the importance of developing targeted interventions during the early phase, which are designed to reduce the development and entrenchment of burnout responses in carers, but to also mitigate its negative sequelae. |
| Databáze: | OpenAIRE |
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