Juliana Onwumere1, Gursharan Lotey2, Joerg Schulz3, Gareth James4, Roya Afsharzadegan5, Raythe Harvey6, Lai Chu Man6, Elizabeth Kuipers1,7, David Raune6. 1. Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK. 2. Department of Psychology, Faculty of Arts and Human Sciences, University of Surrey, Surrey, UK. 3. Department of Psychology, University of Hertfordshire, Hertfordshire, UK. 4. Department of Clinical, Educational and Health Psychology, University College London, London, UK. 5. Department of Clinical Psychology, School of Psychology, University of East London, London, UK. 6. Harrow & Hillingdon Early Intervention in Psychosis Service, The Pembroke Centre, Central and North West London NHS Foundation Trust, London, UK. 7. Biomedical Research Centre, South London and Maudsley NHS Foundation Trust, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Abstract
AIMS: In occupational settings, burnout is a common response to chronic exposure stressors and has been frequently documented in formal caregivers (i.e. paid psychiatric staff). However, the literature is limited on reports of burnout among informal caregivers and particularly within early psychosis groups. The current study sought to investigate reports of burnout in carers of young adults treated within a specialist early psychosis service and links with key appraisals reported about the illness and coping. METHODS: Seventy-two carers completed the Maslach Burnout Inventory along with self-report measures of coping styles and illness beliefs. RESULTS: Seventy-eight per cent of carers reported high burnout in at least one of the three key burnout markers (i.e. emotional exhaustion, depersonalization or low personal accomplishment). Seven per cent of carers met full criteria for high burnout across all the three domains. A carer's belief about the negative consequences of the illness for themselves was a significant predictor of emotional exhaustion and depersonalization. Low personal accomplishment was linked to a carer's less optimistic beliefs about the illness timeline and fewer reports of adaptive coping. CONCLUSIONS: The results provide preliminary support for the importance of asking carers in the early illness phase about their experiences of caregiving. Targeted assessment may serve as a helpful tool to identify and intervene with carers in need of additional support with stress management, use of adaptive coping strategies, and balanced recovery focused information about psychosis.
AIMS: In occupational settings, burnout is a common response to chronic exposure stressors and has been frequently documented in formal caregivers (i.e. paid psychiatric staff). However, the literature is limited on reports of burnout among informal caregivers and particularly within early psychosis groups. The current study sought to investigate reports of burnout in carers of young adults treated within a specialist early psychosis service and links with key appraisals reported about the illness and coping. METHODS: Seventy-two carers completed the Maslach Burnout Inventory along with self-report measures of coping styles and illness beliefs. RESULTS: Seventy-eight per cent of carers reported high burnout in at least one of the three key burnout markers (i.e. emotional exhaustion, depersonalization or low personal accomplishment). Seven per cent of carers met full criteria for high burnout across all the three domains. A carer's belief about the negative consequences of the illness for themselves was a significant predictor of emotional exhaustion and depersonalization. Low personal accomplishment was linked to a carer's less optimistic beliefs about the illness timeline and fewer reports of adaptive coping. CONCLUSIONS: The results provide preliminary support for the importance of asking carers in the early illness phase about their experiences of caregiving. Targeted assessment may serve as a helpful tool to identify and intervene with carers in need of additional support with stress management, use of adaptive coping strategies, and balanced recovery focused information about psychosis.
Authors: Fiona Lobban; Nadia Akers; Duncan Appelbe; Rossella Iraci Capuccinello; Lesley Chapman; Lizzi Collinge; Susanna Dodd; Sue Flowers; Bruce Hollingsworth; Mahsa Honary; Sonia Johnson; Steven H Jones; Ceu Mateus; Barbara Mezes; Elizabeth Murray; Katerina Panagaki; Naomi Rainford; Heather Robinson; Anna Rosala-Hallas; William Sellwood; Andrew Walker; Paula R Williamson Journal: Health Technol Assess Date: 2020-06 Impact factor: 4.014
Authors: Maria Moudatsou; Sofia Koukouli; Eleutheria Palioka; Garyfalia Pattakou; Panagiota Teleme; Georgia Fasoi; Evridiki Kaba; Areti Stavropoulou Journal: Int J Environ Res Public Health Date: 2021-03-14 Impact factor: 3.390
Authors: J Onwumere; C Bonetto; A Lasalvia; E Miglietta; A Veronese; F Bellini; M Imbesi; P Bebbington; E Kuipers; M Ruggeri Journal: Epidemiol Psychiatr Sci Date: 2019-04-10 Impact factor: 6.892
Authors: Fiona Lobban; Nadia Akers; Duncan Appelbe; Lesley Chapman; Lizzi Collinge; Susanna Dodd; Sue Flowers; Bruce Hollingsworth; Sonia Johnson; Steven H Jones; Ceu Mateus; Barbara Mezes; Elizabeth Murray; Katerina Panagaki; Naomi Rainford; Heather Robinson; Anna Rosala-Hallas; William Sellwood; Andrew Walker; Paula Williamson Journal: BMC Psychiatry Date: 2020-04-14 Impact factor: 3.630