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A Study to assess the Psychosocial problems and coping strategies of significant family members of mentally ill patients admitted at MHI (COE), SCBMCH, Cuttack


Affiliations
1 Sr. Tutor, Department of Psychiatric Nursing, Mental Health Institute (COE), SCBMCH, Cuttack. Mangalabag, Cuttack, Odisha., India
2 Asst. Professor and HOD, Department of Psychiatric Nursing, Mental Health Institute (COE), SCBMCH, Cuttack. Mangalabag, Cuttack, Odisha., India
     

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A descriptive study with quantitative approach was under taken on 50 significant family members of mentally ill patients selected by non probability convenient sampling technique at Mental Health Institute (COE), SCBMCH, Cuttack to assess the psychosocial problems and coping strategies of significant family members of mentally ill patients. Data was collected from 10.02.2020 to 10.03.2020 through questionnaire on psychosocial problems formulated in the form of 4-point likert scale. and COPE Inventory by Carver et al. rated on a 4-point scale format. Collected data were analyzed by using descriptive and inferential statistics. Findings revealed that Highest Percentage (40%) of the family members were in the age group of 48–60 years. A majority (66%) of them were male and (92%) of them were Hindus and (8%) of them were Muslim. Majority (60%) of them were married (36%) of them were farmer. Highest percentage (30%) of them were illiterate and majority (50%) of them were having income ≤ Rs.5000 and (56%) of them from nuclear family. Highest percentage (58%) of them were from rural area and (44%) of them were mother. Majority (38%) of them had >5 years of illness and (76%) of them were having no family history. Most of the significant family members of mentally ill patients (84%) under this study had moderate problem whereas (8%) of them had mild and also (8%) severe problems. The coping strategy most often used by the significant family members of mentally ill patients was restraint coping mean score (15.64±0.66) and instrumental social support mean score (15.64±0.52) and the least used was Humor mean score (4.04±0.28) and Alcohol disengagement mean score (4.38±0.28). The internal consistency of COPE Inventory exhibited Cronbach’s alpha (α) coefficients ranging from 0.93 (Emotional social support) and Instrumental social support (0.90) to 0.41 (Restraint coping). However, the (Restraint coping) shows lower alfa (α). Mostly Problem focused coping strategies (14.12±1.37) was used by the significant family members of the mentally ill patients.

Keywords

Psychosocial problems, Coping strategies, Significant family members, Mentally ill patients.
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  • Heitzman J, Worden RL. Washington: GPO for the Library of Congress; 1995.India: A Country Study.

  • Bhushan V, Sachdev DR. 26th Edition. Allahabad: Kitabmahal Publishers; 2006.The Family. In: Introduction to Sociology; pp. 291–322.

  • Denise.F. Polit and Cheryl Tatano Beck, (2004) “Nursing Research” Lippincott Willans and Wilkins, Philadelphia, 7th edition, P. No.587, 661

  • Kaplan HI and Sedock BJ, (2000), “Comprehensive text book of Psychiatry”, Lippincott Willians and Wilkins, Philadelphia, 7th edition, P. No.2587-2613.

  • Jugbauer.J (2006) “Stress of family care givers of psychiatric patients” Abstract retrived from pub med database on 17.12,10 PMID:11407252.

  • Gururaj G, Grish N, Issac MK. Mental, neurological and substance abuse disorders: Strategies towards a systems approach. Available from http/www.whoindia. org/ accessed on 8/08/09.

  • Fazal S, Vivek K, Dollen, Geddes J. The prevalence of mental disorders among the homeless in the western country: Systematic review and meta-regression analysis. Journal of PLoS Medicine 2008 Dec; 12(5):1670–81.

  • Statistics Mental Disorders in America A supportive resource and Compassionate voice for lives touched by mental illness [Internet]. 2006 [cited 2013 Feb 2]. Available from http://www.thekimfoundation.org/htm/about _mental_ill/ statistics.html

  • WHO. The World Health Report, Mental Health: New Understanding, New Hope. Geneva: WHO; 2001.

  • Mathers CD, Loncar D. Updated Projection of Global Mortality and Burden of Disease, 2002–2030: Data source, Methods and Results. WHO; 2006.

  • Ssebunnya J, Kigozi F, Lund C, Kizza D, Okello E. BMC International Health and Stakeholder perceptions of mental health stigma and poverty in.BMC Int Health Hum Rights. 2009;9:1–9. doi: 10.1186/1472-698X-9-5. [PMC free article] [PubMed] [Cross Ref]

  • Shankar J, Muthuswamy SS. Support Needs of Family Caregivers of People Who Experience Mental Ilnnes and the Role of Mental Health services. Fam Soc J Contemp Soc Serv. 2007;88(2):302–310.

  • Hasui C, Sakamoto S, Sugiura T, Miyata R, Fujii Y. Burden on Family Members of the Mentally Ill: A Naturalistic Study in Japan. Compr Psychiatry.2002;43(3) :219–222. doi: 10. 1053/COMP.2002.32360. [PubMed]

  • Larson JE, Corrigan P. The Stigma of Families with Mental Illness. Acad Psychiatry 2008;32:87–91. doi: 10.1176/appi.ap.32.2.87. [PubMed] [Cross Ref]

  • Bøen H, Dalgard OS et al. The importance of social support in the association between psychological distress and somatic health problems and socio-economic factors among older adults living at home: a cross sectional study. BMC Geriatr. 2012; 12(1):1. doi:10.1186/1471-2318-12-1.[PMC free article] [PubMed] [Cross Ref]

  • Perlick AHA, Miklowitz DJ, Link BG, Struening E, Kaczynski R, Gonzalez J, et al. Perceived stigma and depression among caregivers of patients with bipolar disorder. Br J Psychiatry. 2007;190:535–536. doi: 10.1192/bjp.bp.105. 020826. [PubMed] [Cross Ref]

  • Wintersteen RT, Wintersteen LB, Mupedziswa R. Zimbabwean Families of the Mentally 111: Experiences and Support Needs. J Soc Dev Afr. 1995;10(1):89–106.

  • Doornbos MM. The Strengths of Families Coping with Serious Mental Illness.Arch Psychiatr Nurs. 1996;X(4):214–220. doi: 10.1016/S0883-9417(96)80026-4. [PubMed] [Cross Ref]

  • Doherty YK, Doherty DT. Coping strategies and styles of family carers of persons with enduring mental illness : a mixed methods analysis. Scand J Caring Sci.2008; 22: 19–28. doi: 10.1111/j.1471-6712.2007.00583.x. [PMC free article] [PubMed] [Cross Ref]

  • Perlick D, Rosenheck R, Miklowitz D, Kaczynski R, Link B, Ketter T, et al. Caregiver Burden and Health in Bipolar Disorder A Cluster Analytic Approach. J Nerv Ment Dis. 2008;196(6):484–491. doi: 10.1097/NMD.0b013e3181773927. [PMC free article] [PubMed]

  • Oldridge M, Huches TCI. Psychological well-being in families with a member Suffering from schizophrenia. An investigation into long-standing problems British Journal of Psychiatry 1992;161:249-51.

  • Worried, Tired and Alone. A Report of Mental Health Carers’ Issues in WA, 2003.


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  • A Study to assess the Psychosocial problems and coping strategies of significant family members of mentally ill patients admitted at MHI (COE), SCBMCH, Cuttack

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Authors

Sandhyarani Behera
Sr. Tutor, Department of Psychiatric Nursing, Mental Health Institute (COE), SCBMCH, Cuttack. Mangalabag, Cuttack, Odisha., India
Sikandar Kumar
Asst. Professor and HOD, Department of Psychiatric Nursing, Mental Health Institute (COE), SCBMCH, Cuttack. Mangalabag, Cuttack, Odisha., India

Abstract


A descriptive study with quantitative approach was under taken on 50 significant family members of mentally ill patients selected by non probability convenient sampling technique at Mental Health Institute (COE), SCBMCH, Cuttack to assess the psychosocial problems and coping strategies of significant family members of mentally ill patients. Data was collected from 10.02.2020 to 10.03.2020 through questionnaire on psychosocial problems formulated in the form of 4-point likert scale. and COPE Inventory by Carver et al. rated on a 4-point scale format. Collected data were analyzed by using descriptive and inferential statistics. Findings revealed that Highest Percentage (40%) of the family members were in the age group of 48–60 years. A majority (66%) of them were male and (92%) of them were Hindus and (8%) of them were Muslim. Majority (60%) of them were married (36%) of them were farmer. Highest percentage (30%) of them were illiterate and majority (50%) of them were having income ≤ Rs.5000 and (56%) of them from nuclear family. Highest percentage (58%) of them were from rural area and (44%) of them were mother. Majority (38%) of them had >5 years of illness and (76%) of them were having no family history. Most of the significant family members of mentally ill patients (84%) under this study had moderate problem whereas (8%) of them had mild and also (8%) severe problems. The coping strategy most often used by the significant family members of mentally ill patients was restraint coping mean score (15.64±0.66) and instrumental social support mean score (15.64±0.52) and the least used was Humor mean score (4.04±0.28) and Alcohol disengagement mean score (4.38±0.28). The internal consistency of COPE Inventory exhibited Cronbach’s alpha (α) coefficients ranging from 0.93 (Emotional social support) and Instrumental social support (0.90) to 0.41 (Restraint coping). However, the (Restraint coping) shows lower alfa (α). Mostly Problem focused coping strategies (14.12±1.37) was used by the significant family members of the mentally ill patients.

Keywords


Psychosocial problems, Coping strategies, Significant family members, Mentally ill patients.

References