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The need for social support among out-patients suffering from functional psychosis

Published online by Cambridge University Press:  09 July 2009

Raimo K. R. Salokangas ,
Timo Palo-Oja  and
Markku Ojanen
Raimo K. R. Salokangas*
Affiliation:
Department of Public Health, University of Tampere, Finland
Timo Palo-Oja
Affiliation:
Department of Public Health, University of Tampere, Finland
Markku Ojanen
Affiliation:
Department of Public Health, University of Tampere, Finland
*
1Address for correspondence: Professor Raimo Salokangas, Department of Public Health, University of Tampere, Box 607, SF-33101 Tampere, Finland.
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Synopsis

From an original sample of 177 patients in community care and suffering from functional psychosis, the psychiatric teams involved in the treatment of these patients interviewed 136 patients and 103 relatives. The interviews aimed at determining the patient's problems in socialrole behaviour, as evaluated both by the patients themselves and by their relatives, and to measure the stress caused to the relatives.

According to the patients themselves, over 60% had considerable difficulties in at least one area of social-role behaviour; the same conclusion was reached by over 50% of the relatives. The patients had a more positive view of their abilities to cope with housework, self-care, and managing money than their relatives. One-third of the relatives said they were dissatisfied with the situation, and more than 40% displayed a resigned attitude to the amount of support required by the patient.

Problems in social-role behaviour were commonest in patients who were dissatisfied with their treatment, in male patients, and in patients who lived together with their spouse, and among the relatives dissatisfaction with the situation as a whole was also highest in these cases. On the basis of these findings it is stressed that the treatment of psychotic patients should be based on a broad approach involving not only the patients themselves but also their relatives.

Type
Original Articles
Information
Psychological Medicine , Volume 21 , Issue 1 , February 1991 , pp. 209 - 217
Copyright
Copyright © Cambridge University Press 1991

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References

Affleck, J. W., Burns, J. & Forrest, A. D. (1976). Long-term followup of schizophrenic patients in Edinburgh. Acta Psychiatrica Scandinavica 53, 227–237.CrossRefGoogle ScholarPubMed
Bland, R. C. & Orn, H. (1978). 14-year outcome in early schizophrenia. Acta Psychiatrica Scandinavica 58, 327–338.CrossRefGoogle ScholarPubMed
Brown, G. W., Bone, M., Dalison, B. & Wing, J. K. (1966). Schizophrenia and Social Care. Oxford University Press: London.Google Scholar
Creer, C., Sturt, E. & Wykes, T. (1982). The role of relatives. In Long-term Community Care: Experience in a London Borough (ed. Wing, J. K.) Psychological Medicine, Monograph Supplement 2, 29–39.Google Scholar
Creer, C. & Wing, J. K. (1974). Schizophrenia at home. National Schizophrenia Fellowship 79: Surbiton, Surrey.Google Scholar
Endicott, J., Spitzer, R. L., Fleiss, J. L. & Cohen, J. (1976). The global assessment scale. A procedure for measuring overall severity of psychiatric disturbance. Archives of General Psychiatry 33, 766–771.CrossRefGoogle Scholar
Fadden, G., Bebbington, P. & Kuipers, L. (1987). The burden of care: the impact of functional psychiatric illness on the patient's family. British Journal of Psychiatry 150, 285–292.CrossRefGoogle ScholarPubMed
Grad, J. & Sainsbury, P. (1963). Mental illness and the family. Lancet i, 544–547.CrossRefGoogle Scholar
Hoenig, J. & Hamilton, M. W. (1966). The schizophrenic patient in the community and his effect on the household. International Journal of Social Psychiatry 12, 165–176.CrossRefGoogle ScholarPubMed
Kreisman, D. E. & Joy, V. D. (1974). Family response to the mental illness of a relative: a review of the literature. Schizophrenia Bulletin 10, 34–57.CrossRefGoogle Scholar
Leff, J. & Vaughn, C. (1972). Psychiatric patients in contact and out of contact with services: a clinical and social assessment. In Evaluating a Community Psychiatric Service (ed. Wing, J. K. & Haily, A. M.), pp. 259–274. Oxford University Press: London.Google Scholar
Mandelbrote, B. M. & Folkard, S. (1961). Some factors related to outcome and social adjustment in schizophrenia. Acta Psychiatrica Scandinavica 37, 223–235.CrossRefGoogle ScholarPubMed
Mills, E. (1962). Living with Mental Illness: A Study in East London. Routledge & Kegan Paul: London.Google Scholar
National Board of Health (1988). Skitsofreniaprojekti 1981–1987. (English summary: The Schizophrenia Project 1981–1987. Final report of the national programme for the study, treatment and rehabilitation of schizophrenic patients in Finland.). Lääkintöhallituksen opassarja No4. National Board of Health, Association of Mental Hospitals, League of Hospitals in Finland: Helsinki.Google Scholar
Noh, S. & Turner, R. J. (1987). Living with psychiatric patients: implications for the mental health of family members. Social Science and Medicine 25, 263–271.CrossRefGoogle ScholarPubMed
Overall, J. E. & Gorham, D. R. (1962). The Brief Psychiatric Rating Scale. Psychological Reports 10, 799–812.CrossRefGoogle Scholar
Pearman, H. E. & Gunn, R. L. (1967). Assessments of social functioning after hospitalization. Mental Hygiene 51, 265.Google Scholar
Potasznik, H. & Nelson, G. (1984). Stress and social support: the burden experienced by the family of a mentally ill person. American Journal of Community Psychology 12, 589–607.CrossRefGoogle ScholarPubMed
Salokangas, R. K. R. (1983). Prognostic implications of the sex of schizophrenic patients. British Journal of Psychiatry 142, 145–151.CrossRefGoogle ScholarPubMed
Salokangas, R. K. R., Der, G. & Wing, J. K. (1985). Community psychiatric services in England and Finland. Social Psychiatry 20, 23–29.CrossRefGoogle Scholar
Salokangas, R. K. R., Nojonen, K. & Marttila, J. (1989). Pitkäniemen Potilasinventaari. (English Summary: Pitkäniemi Patient Inventory.) Reports of Psychiatria Fennica No 87. Foundation for Psychiatric Research in Finland: Helsinki.Google Scholar
Waters, M. A. & Northover, J. (1965). Rehabilitated long-stay schizophrenics in the community. British Journal of Psychiatry 111, 285–267.CrossRefGoogle ScholarPubMed
Wing, J. K. (ed.) (1982). Long-term Community Care: Experience in a London Borough. Psychological Medicine, Monograph Supplement 2.Google Scholar
Wing, J. K., Monck, E., Brown, G. W. & Carstairs, G. M. (1964). Morbidity in the community of schizophrenic patients discharged from London mental hospitals in 1959. British Journal of Psychiatry 110, 10–21.CrossRefGoogle ScholarPubMed
Yarrow, M., Schwartz, C. G., Murphy, H. S. & Deasy, L. C. (1955). The psychological meaning of mental illness in the family. Journal of Social Issues 11, 12–24.CrossRefGoogle Scholar