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Expressed Emotions among Caregivers of Patients with Mental Illness: A Descriptive Study
| Content Provider | Semantic Scholar |
|---|---|
| Author | Batra, Bharati S. Ghildiyal, Dr. Rakesh Saoji, Anand Milind |
| Copyright Year | 2016 |
| Abstract | Aim & Objectives: The present study attempts to assess the level of expressed emotions prevailing among the caregivers of inpatients with mental illness in a general hospital psychiatric set up at Government Medical College and Hospital Nagpur by quantification. Background: Expressed Emotion (EE) refers to caregivers' attitude towards a person with a mental disorder as reflected by comments about the patient made to an interviewer. Expressed Emotion is a significant characteristic of the family milieu that has been found to predict symptom relapse in a wide range of mental disorders. Design and method: This study followed a quantitative approach with descriptive survey research design and recruited 100 caregivers of patients with mental illness admitted in psychiatric inpatient department of Government Medical College and Hospital Nagpur by purposive sampling technique with inclusion and exclusion criteria. The criteria for inclusion of caregivers were caregivers of patients with diagnosis of schizophrenia and bipolar disorder by ICD10 or DSM IV –TR criteria with history of relapse and readmission and dependent on caregivers for their Activities of daily living (ADL) and medication compliance. Total duration of illness with patient 1 Year -10 years. Age of caregivers being 18 to 65 years. Can be a parent, spouse, sibling, child or other relative, having maximum hours of contact with the patient. Caregivers with chronic medical or psychiatric illness and those taking care of any other patient with disability and having language incompatibility were excluded from the study. Ethical approval and permission for the study was obtained from the competent authority of the institute. Permission taken from Institutional review board. An informed consent from the caregivers of the patients was taken. Assurance of confidentiality and freedom to dropout from the study as and when they wish to do so was ascertained. Instruments : The instruments used were Sociodemographic data sheet & clinical data sheet of patients for inclusion in study. Sociodemographic data sheet of caregivers. (FEICS) Family Emotional Involvement and Criticism Scale (Shield et .al. 1992) was selected to quantify the (PC) Perceived Criticism and (EI) Emotional Involvement in the family. Scoring the FEICS: The PC is assessed by even numbered items and EI is measured by odd number items on 5 point Likert type scale which includes response options of almost never, once in a while, sometimes, often, almost always. On this scale high scores indicate greater levels of PC & EI.The subscale scores were also categorized as mild, moderate and severe level of EE. Observations and results: Mean age of the patients was 33.29 years where as the caregiver's mean age was 42.07years.Majority of the patients (51%) and caregivers (65%) were female. Most of the patients (56%) and caregivers (81%) were married. Many of the patients (60%) and caregivers (60%) belong to nuclear family. Majority of the patients and caregivers (52%) were from urban area. Majority of the patients and caregivers (82%) were Hindus. Most of the patients and caregivers were from lower middle income group. All the patients (100%) had social support and daily contact with caregivers. Majority of the patients (70%) were diagnosed as schizophrenia. The maximum duration of illness was 10 years and minimum duration of illness was 1 year. FEICS Score: The mean Perceived Criticism (PC) score of the caregivers on FEICS was 29 out of 35 and Mean Emotional Involvement (EI) score was 28.98 out of 35.The total mean score of the caregivers of patients with mental illness was 58.12 which shows high Expressed Emotions (EE) among caregivers. There was no significant association found between the selected demographic variable of caregivers and Expressed Emotions (EE). Conclusion: The overall findings of this study shows that the simple measures of Expressed Emotions (EE), Perceived Criticism (PC) and Emotional Involvement (EI) score is high among the caregivers of patients with mental illness. There is complex circular relationship between Expressed Emotions (EE) and relapse, with the patient's behavior leading to changes in the relative's Expressed Emotions (EE) and the relatives' EE in turn affecting the course of the patient's illness like many other environmental stressors. Expressed Emotions may Expressed Emotions Among Caregivers Of Patients With Mental Illness: A Descriptive Study DOI: 10.9790/0853-1507125968 www.iosrjournals.org 60 | Page represent the circumstances of the relationship between patient and caregiver. The increased score on EE score suggests that psycho social interventions are needed for caregivers of patients with mental illness with high – EE. |
| Starting Page | 59 |
| Ending Page | 68 |
| Page Count | 10 |
| File Format | PDF HTM / HTML |
| DOI | 10.9790/0853-1507125968 |
| Volume Number | 15 |
| Alternate Webpage(s) | http://www.iosrjournals.org/iosr-jdms/papers/Vol15-Issue%207/Version-12/K1507125968.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
