Hostname: page-component-6d856f89d9-jrqft Total loading time: 0 Render date: 2024-07-16T05:45:54.859Z Has data issue: false hasContentIssue false
  • English
  • Français

Coping with information style and family burden: Possible roles of self-stigma and hope among parents of children in a psychiatric inpatient unit

Published online by Cambridge University Press:  23 March 2020

I. Hasson-Ohayon ,
G.H.M. Pijnenborg ,
A. Ben-Pazi ,
S. Taitel  and
G. Goldzweig
I. Hasson-Ohayon*
Affiliation:
Department of Psychology, Bar-Ilan University, Ramat-Gan, Israel
G.H.M. Pijnenborg
Affiliation:
Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, Groningen, The Netherlands Department of Psychotic Disorders, GGZ Drenthe, Assen, The Netherlands
A. Ben-Pazi
Affiliation:
Department of Psychology, Bar-Ilan University, Ramat-Gan, Israel
S. Taitel
Affiliation:
Department of Psychology, Bar-Ilan University, Ramat-Gan, Israel
G. Goldzweig
Affiliation:
School of Behavioral Sciences, The Academic College of Tel-Aviv Yaffo, Tel-Aviv Yaffo, Israel
*
*Corresponding author. E-mail address:hasoni@mail.biu.ac.il (I. Hasson-Ohayon).
Get access

Abstract

Objective

Parents of children who are hospitalized in inpatient psychiatric units must cope with significant challenges. One of these challenges relates to the way in which they cope with illness-related information. The current study examined the relationship between two such coping styles – monitoring and blunting – and family burden among parents of children in a psychiatric inpatient unit. Moreover, the possible moderating roles played by hope and self-stigma in these associations were also examined.

Methods

Questionnaires regarding coping with information style, self-stigma, hope and family burden were administered to 70 parents.

Results

A main positive effect of hope and a main negative effect of self-stigma were uncovered. An interaction between self-stigma and monitoring was also revealed, suggesting that for parents with high self-stigma, compared to those with low self-stigma, more monitoring was related to more burden.

Conclusions

Tailoring family interventions according to coping style and self-stigma is highly recommended as a mean to reduce the family burden of parents whose child is hospitalized in a psychiatric inpatient unit.

Type
Original article
Information
European Psychiatry , Volume 42 , May 2017 , pp. 8 - 13
Copyright
Copyright © European Psychiatric Association 2017

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Brannan, A.M., Heflinger, C.A.Caregiver, child, family, and service system contributors to caregiver strain in two child mental health service systems. J Behav Health Serv Res 2006;33(4):408–422.CrossRefGoogle ScholarPubMed
Mendenhall, A., Mount, K.Parents of children with mental illness: exploring the caregiver experience and caregiver-focused interventions. Fam Soc 2011;92(2):183–190.CrossRefGoogle Scholar
Hoenig, J., Hamilton, M.W.The schizophrenic patient in the community and his effect on the household. Int J Soc Psychiatry 1966;12(3):165–176.CrossRefGoogle ScholarPubMed
Awad, A.G., Voruganti, L.N.The burden of schizophrenia on caregivers. Pharmacoeconomics 2008;26(2):149–162.CrossRefGoogle ScholarPubMed
Hastings, R.P.Parental stress and behaviour problems of children with developmental disability. J Intellect Dev Disabil 2002;27:149–160.CrossRefGoogle Scholar
Dyck, D.G., Short, R., Vitaliano, P.P.Predictors of burden and infectious illness in schizophrenia caregivers. Psychosom Med 1999;61(4):411–419.CrossRefGoogle ScholarPubMed
Hasson-Ohayon, I., Levy, I., Kravetz, S., Vollanski-Narkis, A., Roe, D.Insight into mental illness, self-stigma, and the family burden of parents of persons with a severe mental illness. Compr Psychiatry 2011;52(1):75–80.CrossRefGoogle ScholarPubMed
Hasson-Ohayon, I., Tuval-Mashiach, R., Morag-Yaffe, M., Gaziel, M., Schapir, L., Zalsman, G.et al.Parents of adolescents with psychiatric disorders: insight into the disorder, self-stigma and parental stress. Compr Psychiatry 2014;55(5):1106–1110.CrossRefGoogle ScholarPubMed
Miller, S.M.When is a little information a dangerous thing? Coping with stressful life-events by monitoring vs. blunting. Coping Health 1980;145–169.CrossRefGoogle Scholar
Skinner, E.A., Edge, K., Altman, J., Sherwood, H.Searching for the structure of coping: a review and critique of category systems for classifying ways of coping. Psychol Bull 2003;129:216–269.CrossRefGoogle ScholarPubMed
Williams-Piehota, P., Pizarro, J., Schneider, T.R., Mowad, L., Salovey, P.Matching health messages to monitor-blunter coping styles to motivate screening mammography. Health Psychol 2005;24:58–67.CrossRefGoogle ScholarPubMed
Timmermans, L.M., van Zuuren, F.J., van der Maazen, R.W., Leer, J.W.H., Kraaimaat, F.W.Monitoring and blunting in palliative and curative radiotherapy consultations. Psycho-Oncology 2007;16:1111–1120.CrossRefGoogle ScholarPubMed
Solomon, Z., Arad, R., Mikulincer, M.Monitoring and blunting: implications for combat-related post-traumatic stress disorder. J Traumatic Stress 1991;4(2):209–221.CrossRefGoogle Scholar
Petersson, L.M., Nordin, K., Glimelius, B., Brekkan, E., Sjödén, P.O., Berglund, G.Differential effects of cancer rehabilitation depending on diagnosis and patients’ cognitive coping style. Psychosom Med 2002;64(6):971–980.Google ScholarPubMed
Voss, U., Kolling, T., Heidenreich, T.Role of monitoring and blunting coping styles in primary insomnia. Psychosom Med 2006;68(1):110–115.CrossRefGoogle ScholarPubMed
Shiloh, S., Koehly, L., Jenkins, J., Martin, J., Hadley, D.Monitoring coping style moderates emotional reactions to genetic testing for hereditary nonpolyposis colorectal cancer: a longitudinal study. Psycho-Oncology 2008;17(8):746–755.CrossRefGoogle ScholarPubMed
Bedi, G., Brown, S.L.Optimism, coping style and emotional well-being in cardiac patients. Br J Health Psychol 2005;10(1):57–70.CrossRefGoogle ScholarPubMed
Snyder, C.R., Irving, L., Anderson, J.Hope and health: measuring the will and the ways. In: Snyder, C.R., Forsyth, D.R. editors. Handbook of social and clinical psychology. Pergamon: Elmsford, NY; 1991. 285–305.Google Scholar
Snyder, C.R.Hope theory: rainbows in the mind. Psychol Inquiry 2002;13:249–275.CrossRefGoogle Scholar
Duggleby, W., Holtslander, L., Kylma, J., Duncan, V., Hammond, C., Williams, A.Metasynthesis of the hope experience of family caregivers of persons with chronic illness. Qual Health Res 2010;20:148–158.CrossRefGoogle ScholarPubMed
Elliott, T.R., Uswatte, G., Lewis, L., Palmatier, A.Goal instability and adjustment to physical disability. J Counsel Psychol 2000;47:251.CrossRefGoogle Scholar
Poster, E.A shot at the brass ring. J Child Adolesc Psychiatr Nurs 2001;13:5–6.CrossRefGoogle Scholar
Wong, M.G., Heriot, S.A.Parents of children with cystic fibrosis: how they hope, cope and despair. Child 2008;34:344–354.Google ScholarPubMed
Bland, R., Darlington, Y.The nature and sources of hope: perspectives of family caregivers of people with serious mental illness. Perspect Psychiatric Care 2002;38:61–68.CrossRefGoogle ScholarPubMed
Yanos, P.T., Lysaker, P.H., Roe, D.Internalized stigma as a barrier to improvement in vocational functioning among people with schizophrenia-spectrum disorders. Psychiatry Res 2010;178(1):211–213.CrossRefGoogle ScholarPubMed
Corrigan, P.W., Watson, A.C.The paradox of self-stigma and mental illness. Clin Psychol 2002;9(1):35–53.Google Scholar
Ritsher, J.B., Phelan, J.C.Internalized stigma predicts erosion of morale among psychiatric outpatients. Psychiatry Res 2004;129(3):257–265.CrossRefGoogle ScholarPubMed
Zisman-Ilani, Y., Levy-Frank, I., Hasson-Ohayon, I., Kravetz, S., Mashiach-Eizenberg, M., Roe, D.Measuring the internalized stigma of parents of persons with a serious mental illness: the factor structure of the parents’ internalized stigma of mental illness scale. J Nerv Ment Dis 2013;201(3):183–187.CrossRefGoogle ScholarPubMed
Lefley, H.P.Expressed emotion: conceptual, clinical, and social policy issues. Psychiatric Serv 1992;43(6):591–598.CrossRefGoogle ScholarPubMed
Nitsche, I., Kallert, T.W.Do relatives of patients with different mental disorders also differ in their attitudes towards these disorders?. Der Nervenarzt 2006;77(7):791–799.CrossRefGoogle ScholarPubMed
Moses, T.Adolescent mental health consumers’ self-stigma: associations with parents’ and adolescents’ illness perceptions and parental stigma. J Commun Psychol 2010;38(6):781–798.CrossRefGoogle Scholar
Ritsher, J.B., Otilingam, P.G., Grajales, M.Internalized stigma of mental illness: psychometric properties of a new measure. Psychiatry Res 2003;121(1):31–49.CrossRefGoogle ScholarPubMed
Snyder, C.R., Harris, C., Anderson, J.R., Holleran, S.A., Irving, L.M., Sigmon, S.T.et al.The will and the ways: development and validation of an individual-differences measure of hope. J Pers Soc Psychol 1991;60:570–585.CrossRefGoogle Scholar
Anar, I.The sense of burden of a caregiver to an elderly person after a stroke. Cognitive state and ADL ability of the elderly and coping styles of the caregiver. (Dissertation for MA) Ramat Gan: Department of Psychology, Bar-Ilan University, 2003.Google Scholar
Zarit, S.H., Reever, K.E., Bach-Peterson, J.Relatives of the impaired elderly: correlates of feelings of burden. Gerontologist 1980;20:649–655.CrossRefGoogle ScholarPubMed
Levy-Frank, I., Hasson-Ohayon, I., Kravetz, S., Roe, D.Family psychoeducation and therapeutic alliance focused interventions for parents of a daughter or son with a severe mental illness. Psychiatry Res 2011;189(2):173–179.CrossRefGoogle ScholarPubMed
Miller, S.M.Monitoring and blunting: validation of a questionnaire to assess styles of information seeking under threat. J Pers Soc Psychol 1987;52:345–353.CrossRefGoogle ScholarPubMed
Shiloh, S., Ben-Sinai, R., Keinan, G.Effects of controllability, predictability, and information-seeking style on interest in predictive genetic testing. Pers Soc Psychol Bull 1999;25:1187–1195.CrossRefGoogle Scholar
Muris, P., Schouten, E.Notes and shorter communications: monitoring and blunting: a factor analysis of the Miller behavioural style scale. Pers Individ Diff 1994;17:285–287.CrossRefGoogle Scholar
Van Zuuren, F.J., Wolfs, H.M.Styles of information seeking under threat: personal and situational aspects of monitoring and blunting. Pers Individ Diff 1991;12(2):141–149.CrossRefGoogle Scholar
Hayes, A.F.Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. New York, NY: Guilford; 2013.Google Scholar
Hayes, A.F. PROCESS: a versatile computational tool for observed variable mediation, moderation, and conditional process modeling. 2012.Google Scholar
Yanos, P.T., Roe, D., West, M.L., Smith, S.M., Lysaker, P.H.Group-based treatment for internalized stigma among persons with severe mental illness: findings from a randomized controlled trial. Psychol Serv 2012;9(3):248–258.CrossRefGoogle ScholarPubMed
Petrie, K.J., Cameron, L.D., Ellis, C.J., Buick, D., Weinman, J.Changing illness perceptions after myocardial infarction: an early intervention randomized controlled trial. Psychosom Med 2002;64(4):580–586.CrossRefGoogle ScholarPubMed
Kashdan, T.B., Pelham, W.E., Lang, A.R., Hoza, B., Jacob, R.G., Jennings, J.R.et al.Hope and optimism as human strengths in parents of children with externalizing disorders: stress is in the eye of the beholder. J Soc Clin Psychol 2002;21(4):441–468.CrossRefGoogle Scholar
Ha, J.H., Hong, J., Seltzer, M.M., Greenberg, J.S.Age and gender differences in the well-being of midlife and aging parents with children with mental health or developmental problems: report of a national study. J Health Soc Behav 2008;49(3):301–316.CrossRefGoogle ScholarPubMed
Drake, R.E.The principles of evidence-based mental health treatment. In: Drake, R., Merrens, M., Lynde, D. editors. Evidence-based mental health practice: a textbook. New York: WW Norton; 2005. 45–66.Google Scholar
Nasr, T., Kausar, R.Psychoeducation and the family burden in schizophrenia: a randomized controlled trial. Ann Gen Psychiatry 2009;8(1):1.CrossRefGoogle ScholarPubMed
Jewell, T.C., Downing, D., McFarlane, W.R.Partnering with families: multiple family group psychoeducation for schizophrenia. J Clin Psychol 2009;65(8):868–878.CrossRefGoogle Scholar
Levy-Frank, I., Hasson-Ohayon, I., Kravetz, S., Roe, D.A narrative evaluation of a psychoeducation and a therapeutic alliance intervention for parents of persons with a severe mental illness. Fam Proc 2012;51:265–280.CrossRefGoogle Scholar
Submit a response

Comments

No Comments have been published for this article.