Factors Affecting Disruption in Families of Adults With Mental Illness
a Psychiatric and Mental Health Nursing, Frances Payne Bolton School of Nursing, Case Western Reserve UniversityCleveland, OH, United States
b Community Health Nursing, Frances Payne Bolton School of Nursing, Case Western Reserve UniversityCleveland, OH, United States
c College of Nursing, Marquette UniversityMilwaukee, WI, United States
Purpose: This study examined relationships between vulnerability/risk and protective factors, and family functioning in women family members of adults with serious mental illness. Design and Methods: Using a descriptive, correlational design, this secondary analysis examined characteristics of the family member with mental illness (e.g., diagnosis, level of care) and measures of caregiver stigma and strain, client dependence, family disruption, sense of coherence, and resourcefulness. Findings: Family disruption was greatest in women who provided direct care and whose family member had major depression, followed by bipolar disorder, schizophrenia, and panic disorder. Sense of coherence and resourcefulness were associated with lower family disruption, but did not mediate the effects of caregiver strain.
Practice Implications: Interventions restricted to one family member may be insufficient for improving the family functioning.