Psychological impact on caregivers traumatized by the violent behavior of a family member with schizophrenia

Setsuko Hanzawa, Jeong Kyu Bae, Yong Jun Bae, Moon hyeon Chae, Hideki Tanaka, Hideyuki Nakane, Yasuyuki Ohta, Xianghua Zhao, Hideki Iizuka, Yoshibumi Nakane

    Research output: Contribution to journalArticle

    26 Citations (Scopus)

    Abstract

    Background: A combination of factors such as substance abuse problems, medication noncompliance, and insufficient insight are generally known to increase the risk of violent behavior. However, little is known regarding the psychological impact on caregivers who are traumatized by the violent behavior of a family member with schizophrenia. Therefore, we carried out an investigation to measure this impact. Method: A questionnaire was given to 116 caregivers of individuals with schizophrenia in family support groups in Seoul and Daegu, Korea. Their responses were then evaluated using the 22-item version of the Impact of Event Scale-Revised (IES-R), the 8-item short version of the Zarit Caregiver Burden Interview (ZBI-8), and the 15-item version of the Mental Illness and Disorder Understanding Scale (MIDUS). Results: The mean (SD) IES-R score was 26.69 (17.83) (range, 1-84). Multiple regression analysis showed that the psychological impact of traumatic experiences was significantly associated with the following factors: medical non-adherence (P<0.01), living without the patient (P<0.01), and caregiver burden (P<0.05). Conclusion: Our results from the present study suggest that even when family caregivers live apart from the patient, they still experience the harmful psychological impact of trauma from the patient's violent behavior. The psychological impact continued as a result of the huge caregiver burden and the medication non-adherence of the family member with schizophrenia in spite of receiving long-term treatment and multiple hospitalizations. The present findings suggest the need for improved community-based service for preventive long-term care, including medication adherence, for outpatients with schizophrenia instead of multiple hospitalizations.

    Original languageEnglish
    Pages (from-to)46-51
    Number of pages6
    JournalAsian Journal of Psychiatry
    Volume6
    Issue number1
    DOIs
    Publication statusPublished - 2013 Feb

    Fingerprint

    Caregivers
    Schizophrenia
    Psychology
    Medication Adherence
    Hospitalization
    Social Welfare
    Self-Help Groups
    Long-Term Care
    Korea
    Risk-Taking
    Mental Disorders
    Substance-Related Disorders
    Outpatients
    Regression Analysis
    Interviews

    Keywords

    • Caregiver
    • Confucianism
    • Korea
    • Schizophrenia
    • Traumatic stress

    ASJC Scopus subject areas

    • Psychiatry and Mental health
    • Psychology(all)

    Cite this

    Psychological impact on caregivers traumatized by the violent behavior of a family member with schizophrenia. / Hanzawa, Setsuko; Bae, Jeong Kyu; Bae, Yong Jun; Chae, Moon hyeon; Tanaka, Hideki; Nakane, Hideyuki; Ohta, Yasuyuki; Zhao, Xianghua; Iizuka, Hideki; Nakane, Yoshibumi.

    In: Asian Journal of Psychiatry, Vol. 6, No. 1, 02.2013, p. 46-51.

    Research output: Contribution to journalArticle

    Hanzawa, S, Bae, JK, Bae, YJ, Chae, MH, Tanaka, H, Nakane, H, Ohta, Y, Zhao, X, Iizuka, H & Nakane, Y 2013, 'Psychological impact on caregivers traumatized by the violent behavior of a family member with schizophrenia', Asian Journal of Psychiatry, vol. 6, no. 1, pp. 46-51. https://doi.org/10.1016/j.ajp.2012.08.009
    Hanzawa, Setsuko ; Bae, Jeong Kyu ; Bae, Yong Jun ; Chae, Moon hyeon ; Tanaka, Hideki ; Nakane, Hideyuki ; Ohta, Yasuyuki ; Zhao, Xianghua ; Iizuka, Hideki ; Nakane, Yoshibumi. / Psychological impact on caregivers traumatized by the violent behavior of a family member with schizophrenia. In: Asian Journal of Psychiatry. 2013 ; Vol. 6, No. 1. pp. 46-51.
    @article{2cdd7b76f2554ba3926aa1856d8008d1,
    title = "Psychological impact on caregivers traumatized by the violent behavior of a family member with schizophrenia",
    abstract = "Background: A combination of factors such as substance abuse problems, medication noncompliance, and insufficient insight are generally known to increase the risk of violent behavior. However, little is known regarding the psychological impact on caregivers who are traumatized by the violent behavior of a family member with schizophrenia. Therefore, we carried out an investigation to measure this impact. Method: A questionnaire was given to 116 caregivers of individuals with schizophrenia in family support groups in Seoul and Daegu, Korea. Their responses were then evaluated using the 22-item version of the Impact of Event Scale-Revised (IES-R), the 8-item short version of the Zarit Caregiver Burden Interview (ZBI-8), and the 15-item version of the Mental Illness and Disorder Understanding Scale (MIDUS). Results: The mean (SD) IES-R score was 26.69 (17.83) (range, 1-84). Multiple regression analysis showed that the psychological impact of traumatic experiences was significantly associated with the following factors: medical non-adherence (P<0.01), living without the patient (P<0.01), and caregiver burden (P<0.05). Conclusion: Our results from the present study suggest that even when family caregivers live apart from the patient, they still experience the harmful psychological impact of trauma from the patient's violent behavior. The psychological impact continued as a result of the huge caregiver burden and the medication non-adherence of the family member with schizophrenia in spite of receiving long-term treatment and multiple hospitalizations. The present findings suggest the need for improved community-based service for preventive long-term care, including medication adherence, for outpatients with schizophrenia instead of multiple hospitalizations.",
    keywords = "Caregiver, Confucianism, Korea, Schizophrenia, Traumatic stress",
    author = "Setsuko Hanzawa and Bae, {Jeong Kyu} and Bae, {Yong Jun} and Chae, {Moon hyeon} and Hideki Tanaka and Hideyuki Nakane and Yasuyuki Ohta and Xianghua Zhao and Hideki Iizuka and Yoshibumi Nakane",
    year = "2013",
    month = "2",
    doi = "10.1016/j.ajp.2012.08.009",
    language = "English",
    volume = "6",
    pages = "46--51",
    journal = "Asian Journal of Psychiatry",
    issn = "1876-2018",
    publisher = "Elsevier",
    number = "1",

    }

    TY - JOUR

    T1 - Psychological impact on caregivers traumatized by the violent behavior of a family member with schizophrenia

    AU - Hanzawa, Setsuko

    AU - Bae, Jeong Kyu

    AU - Bae, Yong Jun

    AU - Chae, Moon hyeon

    AU - Tanaka, Hideki

    AU - Nakane, Hideyuki

    AU - Ohta, Yasuyuki

    AU - Zhao, Xianghua

    AU - Iizuka, Hideki

    AU - Nakane, Yoshibumi

    PY - 2013/2

    Y1 - 2013/2

    N2 - Background: A combination of factors such as substance abuse problems, medication noncompliance, and insufficient insight are generally known to increase the risk of violent behavior. However, little is known regarding the psychological impact on caregivers who are traumatized by the violent behavior of a family member with schizophrenia. Therefore, we carried out an investigation to measure this impact. Method: A questionnaire was given to 116 caregivers of individuals with schizophrenia in family support groups in Seoul and Daegu, Korea. Their responses were then evaluated using the 22-item version of the Impact of Event Scale-Revised (IES-R), the 8-item short version of the Zarit Caregiver Burden Interview (ZBI-8), and the 15-item version of the Mental Illness and Disorder Understanding Scale (MIDUS). Results: The mean (SD) IES-R score was 26.69 (17.83) (range, 1-84). Multiple regression analysis showed that the psychological impact of traumatic experiences was significantly associated with the following factors: medical non-adherence (P<0.01), living without the patient (P<0.01), and caregiver burden (P<0.05). Conclusion: Our results from the present study suggest that even when family caregivers live apart from the patient, they still experience the harmful psychological impact of trauma from the patient's violent behavior. The psychological impact continued as a result of the huge caregiver burden and the medication non-adherence of the family member with schizophrenia in spite of receiving long-term treatment and multiple hospitalizations. The present findings suggest the need for improved community-based service for preventive long-term care, including medication adherence, for outpatients with schizophrenia instead of multiple hospitalizations.

    AB - Background: A combination of factors such as substance abuse problems, medication noncompliance, and insufficient insight are generally known to increase the risk of violent behavior. However, little is known regarding the psychological impact on caregivers who are traumatized by the violent behavior of a family member with schizophrenia. Therefore, we carried out an investigation to measure this impact. Method: A questionnaire was given to 116 caregivers of individuals with schizophrenia in family support groups in Seoul and Daegu, Korea. Their responses were then evaluated using the 22-item version of the Impact of Event Scale-Revised (IES-R), the 8-item short version of the Zarit Caregiver Burden Interview (ZBI-8), and the 15-item version of the Mental Illness and Disorder Understanding Scale (MIDUS). Results: The mean (SD) IES-R score was 26.69 (17.83) (range, 1-84). Multiple regression analysis showed that the psychological impact of traumatic experiences was significantly associated with the following factors: medical non-adherence (P<0.01), living without the patient (P<0.01), and caregiver burden (P<0.05). Conclusion: Our results from the present study suggest that even when family caregivers live apart from the patient, they still experience the harmful psychological impact of trauma from the patient's violent behavior. The psychological impact continued as a result of the huge caregiver burden and the medication non-adherence of the family member with schizophrenia in spite of receiving long-term treatment and multiple hospitalizations. The present findings suggest the need for improved community-based service for preventive long-term care, including medication adherence, for outpatients with schizophrenia instead of multiple hospitalizations.

    KW - Caregiver

    KW - Confucianism

    KW - Korea

    KW - Schizophrenia

    KW - Traumatic stress

    UR - http://www.scopus.com/inward/record.url?scp=84873145330&partnerID=8YFLogxK

    UR - http://www.scopus.com/inward/citedby.url?scp=84873145330&partnerID=8YFLogxK

    U2 - 10.1016/j.ajp.2012.08.009

    DO - 10.1016/j.ajp.2012.08.009

    M3 - Article

    C2 - 23380317

    AN - SCOPUS:84873145330

    VL - 6

    SP - 46

    EP - 51

    JO - Asian Journal of Psychiatry

    JF - Asian Journal of Psychiatry

    SN - 1876-2018

    IS - 1

    ER -