Caregiver reports of patient-initiated violence in psychosis

Juliana Onwumere; Sarah Grice; Philippa Garety; Paul Bebbington; Graham Dunn; Daniel Freeman; David Fowler; Elizabeth Kuipers

Caregiver reports of patient-initiated violence in psychosis

Juliana Onwumere, Sarah Grice, Philippa Garety, Paul Bebbington, Graham Dunn, Daniel Freeman, David Fowler, Elizabeth Kuipers

Research output: Contribution to journal › Article › peer-review

36 Citations (Scopus)

Abstract

OBJECTIVE: Aggressive behaviour in psychosis is not uncommon. Community provision for people with psychosis has left informal caregivers to take on a greater role in their care. However, few studies have explored links between patient-initiated violence in mental health caregiving relationships and caregiver functioning. Our study investigated caregiver reports of aggressive acts committed by their relative with psychosis and their links to caregiver appraisals of the caregiving relationship and caregiver outcomes.

METHOD: Caregivers of patients with a recent relapse of psychosis, recruited to a psychological therapy trial, completed the audiotaped Camberwell Family Interview at baseline. This semi-structured interview includes questions on the quality of the relationship between caregiver and patient, and patient history of violence. Seventy-two transcripts of interviews were assessed for reports of patient-initiated violence.

RESULTS: One-half of the caregiver sample (52.9%) reported an incident of patient-initiated violence during their interview; 62.2% of these involved violence toward themselves, and 24.3% toward property. Reports of patient violence were associated with caregiver ratings of hostility expressed toward patients, lower self-esteem, and emotion-focused coping. People caring on their own were more likely to report incidents of patient violence. Younger patients, males, and inpatients were more frequently identified as having a history of this kind of violence.

CONCLUSIONS: Our findings suggested that caregiver reports of patient-initiated violence in psychosis are not uncommon. Mental health staff need to be aware of the risks of such violence for caregivers of people with psychosis, and consider appropriate procedures for minimizing it.

Original language	English
Pages (from-to)	376-384
Number of pages	9
Journal	Canadian Journal of Psychiatry
Volume	59
Issue number	7
Publication status	Published - 1 Jul 2014

Keywords

Adaptation, Psychological
Adult
Aged
Aggression
Caregivers
Cognitive Therapy
Cost of Illness
England
Expressed Emotion
Family Relations
Family Therapy
Female
Hostility
Humans
Interview, Psychological
Male
Middle Aged
Psychotic Disorders
Questionnaires
Recurrence
Risk Factors
Self Concept
Statistics as Topic
Violence

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4086313/Licence: Other

Cite this

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title = "Caregiver reports of patient-initiated violence in psychosis",

abstract = "OBJECTIVE: Aggressive behaviour in psychosis is not uncommon. Community provision for people with psychosis has left informal caregivers to take on a greater role in their care. However, few studies have explored links between patient-initiated violence in mental health caregiving relationships and caregiver functioning. Our study investigated caregiver reports of aggressive acts committed by their relative with psychosis and their links to caregiver appraisals of the caregiving relationship and caregiver outcomes.METHOD: Caregivers of patients with a recent relapse of psychosis, recruited to a psychological therapy trial, completed the audiotaped Camberwell Family Interview at baseline. This semi-structured interview includes questions on the quality of the relationship between caregiver and patient, and patient history of violence. Seventy-two transcripts of interviews were assessed for reports of patient-initiated violence.RESULTS: One-half of the caregiver sample (52.9%) reported an incident of patient-initiated violence during their interview; 62.2% of these involved violence toward themselves, and 24.3% toward property. Reports of patient violence were associated with caregiver ratings of hostility expressed toward patients, lower self-esteem, and emotion-focused coping. People caring on their own were more likely to report incidents of patient violence. Younger patients, males, and inpatients were more frequently identified as having a history of this kind of violence.CONCLUSIONS: Our findings suggested that caregiver reports of patient-initiated violence in psychosis are not uncommon. Mental health staff need to be aware of the risks of such violence for caregivers of people with psychosis, and consider appropriate procedures for minimizing it.",

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T1 - Caregiver reports of patient-initiated violence in psychosis

AU - Onwumere, Juliana

AU - Grice, Sarah

AU - Garety, Philippa

AU - Bebbington, Paul

AU - Dunn, Graham

AU - Freeman, Daniel

AU - Fowler, David

AU - Kuipers, Elizabeth

PY - 2014/7/1

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N2 - OBJECTIVE: Aggressive behaviour in psychosis is not uncommon. Community provision for people with psychosis has left informal caregivers to take on a greater role in their care. However, few studies have explored links between patient-initiated violence in mental health caregiving relationships and caregiver functioning. Our study investigated caregiver reports of aggressive acts committed by their relative with psychosis and their links to caregiver appraisals of the caregiving relationship and caregiver outcomes.METHOD: Caregivers of patients with a recent relapse of psychosis, recruited to a psychological therapy trial, completed the audiotaped Camberwell Family Interview at baseline. This semi-structured interview includes questions on the quality of the relationship between caregiver and patient, and patient history of violence. Seventy-two transcripts of interviews were assessed for reports of patient-initiated violence.RESULTS: One-half of the caregiver sample (52.9%) reported an incident of patient-initiated violence during their interview; 62.2% of these involved violence toward themselves, and 24.3% toward property. Reports of patient violence were associated with caregiver ratings of hostility expressed toward patients, lower self-esteem, and emotion-focused coping. People caring on their own were more likely to report incidents of patient violence. Younger patients, males, and inpatients were more frequently identified as having a history of this kind of violence.CONCLUSIONS: Our findings suggested that caregiver reports of patient-initiated violence in psychosis are not uncommon. Mental health staff need to be aware of the risks of such violence for caregivers of people with psychosis, and consider appropriate procedures for minimizing it.

AB - OBJECTIVE: Aggressive behaviour in psychosis is not uncommon. Community provision for people with psychosis has left informal caregivers to take on a greater role in their care. However, few studies have explored links between patient-initiated violence in mental health caregiving relationships and caregiver functioning. Our study investigated caregiver reports of aggressive acts committed by their relative with psychosis and their links to caregiver appraisals of the caregiving relationship and caregiver outcomes.METHOD: Caregivers of patients with a recent relapse of psychosis, recruited to a psychological therapy trial, completed the audiotaped Camberwell Family Interview at baseline. This semi-structured interview includes questions on the quality of the relationship between caregiver and patient, and patient history of violence. Seventy-two transcripts of interviews were assessed for reports of patient-initiated violence.RESULTS: One-half of the caregiver sample (52.9%) reported an incident of patient-initiated violence during their interview; 62.2% of these involved violence toward themselves, and 24.3% toward property. Reports of patient violence were associated with caregiver ratings of hostility expressed toward patients, lower self-esteem, and emotion-focused coping. People caring on their own were more likely to report incidents of patient violence. Younger patients, males, and inpatients were more frequently identified as having a history of this kind of violence.CONCLUSIONS: Our findings suggested that caregiver reports of patient-initiated violence in psychosis are not uncommon. Mental health staff need to be aware of the risks of such violence for caregivers of people with psychosis, and consider appropriate procedures for minimizing it.

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KW - Adult

KW - Aged

KW - Aggression

KW - Caregivers

KW - Cognitive Therapy

KW - Cost of Illness

KW - England

KW - Expressed Emotion

KW - Family Relations

KW - Family Therapy

KW - Female

KW - Hostility

KW - Humans

KW - Interview, Psychological

KW - Male

KW - Middle Aged

KW - Psychotic Disorders

KW - Questionnaires

KW - Recurrence

KW - Risk Factors

KW - Self Concept

KW - Statistics as Topic

KW - Violence

M3 - Article

C2 - 25007421

SN - 0706-7437

VL - 59

SP - 376

EP - 384

JO - Canadian Journal of Psychiatry

JF - Canadian Journal of Psychiatry

IS - 7

ER -

Caregiver reports of patient-initiated violence in psychosis

Abstract

Keywords

UN SDGs

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