The Psychological Distress, Subjective Burden and Affiliate Stigma among Caregivers of People with Mental Illness in Amanuel Specialized Mental Hospital

Kahsay Weldeslasie Hailemariam

doi:doi:10.11648/j.ajap.20150402.13

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The Psychological Distress, Subjective Burden and Affiliate Stigma among Caregivers of People with Mental Illness in Amanuel Specialized Mental Hospital

Kahsay Weldeslasie Hailemariam

Published in American Journal of Applied Psychology (Volume 4, Issue 2)

Received: 20 March 2015 Accepted: 3 April 2015 Published: 14 April 2015

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Abstract

The researcher employed mixed approach with cross sectional research design in order to collect comprehensive data from caregivers of people with mental illness at a time. Most of the caregivers developed from moderate to severe psychological distress, subjective burden and stigma. Most of the participant’s variables don’t have statistically significant difference in experiencing of psychological distress and subjective burden on caregivers. But, patients’ type of disorder brings statistically significant difference in creating psychological distress and subjective burden on caregivers (t=2.28, df =173, p<0.05 and t=2.64, df, =173, p<0.05) respectively. In relation to the care giving burden, average mean score of caregivers of people with psychotic disorder were found to be 46.83 and the average mean score of participants who have been giving care for the mood patients were found to be 43.92. With regards to the psychological distress, the average mean score of participants who give care for psychotic patients and mood patients were found to be 27.58 and 25.66 respectively. There is also significant relationship between care giving burden and psychological distress (r = 0.34, p< 0.01), care giving burden and affiliate stigma (r = 0.335, p< 0.01), psychological distress and affiliate stigma (r = 0.23, p<0.01), time spent on care giving and care giving burden (r = -0.205, p<0.01). Generally, having family members with mental illness exposed caregiver to have psychological distress, subjective burden and affiliate stigma.

Published in	American Journal of Applied Psychology (Volume 4, Issue 2)
DOI	10.11648/j.ajap.20150402.13
Page(s)	35-49
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Psychological Distress, Subjective Burden, Affiliate Stigma, Caregivers

References

[1]	World Health Organization. (2003). World health ministers a call for action to mental health. Geneva.
[2]	Thomas and Robert, (2001).Abnormal psychology: University of Virginia.
[3]	Uba L. (1994) Asian Americans: Personality Patterns, Identity, and Mental Health. Guilford Press, New York.
[4]	Bloch, S., Szmukler, G., Herrman, H., Benson, A., and Colussa, S., (1995). Counseling caregivers of relatives with schizophrenia: Themes, interventions, and caveats. Family Process.
[5]	Gutie´rrez J, Caqueo A, Kavanagh D. Burden of care and general health in families of patients with schizophrenia. Social Psychiatry and Psychiatric Epidemiology (in press) 2005.
[6]	Östman, M. & Kjellin, L. (2002) Stigma by association: psychological factors in relatives of people with mental illness. British Journal of Psychiatry.
[7]	Shu B. C. & Lung R. W. (2005). The effect of support group on the mental health and quality of life for mothers with autistic children. Journal of Intellectual Disability Research.
[8]	Rush, L. L., (2010). Affective reactions to multiple social stigmas. Journal of Social Psychology.
[9]	Garretero S, Garce´s J, Ro´denas F, Sanjose´ V (2009). The informal caregivers’ burden of dependent people: theory and empirical review. Arch Gerontol Geriatr.
[10]	Mwinituo P. P. & Mill J. E. (2006) Stigma associated with Ghanaian caregivers of AIDS patients. Western Journal of Nursing Research.
[11]	Maurin, J. T., & Boyd, C. B. (1990). Burden of mental illness on the family: A critical review. Archives of Psychiatric Nursing.
[12]	Potasznik, H., & Nelson, G. (1984). Stress and social support: The burden experienced by the family of a mentally ill person. American Journal of Community Psychology.
[13]	Green S. E. (2007). ‘‘What do you mean ‘what’s wrong with her?’’: Stigma and the lives of families of children with disabilities. Social Science & Medicine.
[14]	Perring, C, Twigg, J., & Atkin, K. (1990). Families caring for people diagnosed as mentally ill: The literature re-examined. London, U.K.: HMSO.
[15]	Pickett, S.A., Cook, J.A., Cohler, F.J., & Solomon, M.L. (1997). Positive parent-adult child relationships: Impact of severe mental illness and care giving burden. American Journal of Orthopsychiatry.
[16]	Cook, J. A., Lefley, H. P., Pickett, S., & Cohler, B. J. (1994). Age and family burden among parents of offspring with severe mental illness. American Journal of Orthopsychiatry
[17]	Aronson, J. (1992). Women's sense of responsibility for the care of old people: "But who else is going to do it?" Gender & Society, 6, 8-29.
[18]	Stanley Medical Research funded Studies of Schizophrenia and Bipolar Disorders. (1997-2006). Health System Review Report. Federal Republic of Ethiopia, Ministry of Health: Amanuel Psychiatric Hospital.
[19]	Corrigan P. W. & Penn D. L. (1999). Lessons from social psychology on discrediting psychiatric stigma. American Psychologist.
[20]	Link B. G. & Phelan J. C. (2001) Conceptualizing stigma. Annual Review of Sociology.
[21]	Fadden G., Bebbington P. & Kuipers L. (1987). Caring and its burdens: a study of the spouses of depressed patients. British Journal of Psychiatry.
[22]	Greenberg J. S., Seltzer M. M. & Greenley J. R. (1993) Aging parents of adults with disabilities: the gratifications and frustrations of later-life care giving. Gerontologist.
[23]	Green S. E. (2003, 2007). ‘‘What do you mean ‘what’s wrong with her?’’: Stigma and the lives of families of children with disabilities. Social Science & Medicine.
[24]	Mak W. W. S. & Chen S. X. (2006) Face concern: its role on stress–distress relationships among Chinese Americans. Personality and Individual Differences.
[25]	Bambauer K. Z. & Prigerson H. G. (2006). The stigma receptivity scale and its association with mental health service use among bereaved older adults. The Journal of Nervous and Mental Disease.
[26]	Phelan, J. C., Bromet, E. J., & Link, B. G. (1998). Psychiatric illness and family stigma. Schizophrenia Bulletin.
[27]	Schofield H, ed: Family Caregivers: Disability, Illness and Ageing. St Leonards, NSW: Allen and Unwin; 1998.
[28]	Hochschild AR: The Managed Heart. Berkeley, CA: University of California Press; 1983.
[29]	Rush, L. L., (1998). Affective reactions to multiple social stigmas. Journal of Social Psychology.
[30]	Chafetz, L. and Barnes, L. (1989). Issues in psychiatric caregiving: Archives of Psychiatric Nursing.
[31]	Lefley, H. (1992). Expressed emotion: conceptual, clinical and social policy issues. Hospital and Community Psychiatry.
[32]	Butzlaff RL, Hooley JM (1998). Expressed emotion and psychiatric relapse: a meta analysis. Arch Gen Psychiatry.
[33]	Choi S. C. & Lee S. J. (2002) Two-component model of chemyon-oriented behaviors in Korea: constructive and defensive chemyon. Journal of Cross-Cultural Psychology.
[34]	Novak M. & Guest C. (1989) Application of a multidimensional caregiver burden inventory.
[35]	Wahl, O. F. & Harman, C. R. (1989). Family views of stigma. Schizophrenia Bulletin.
[36]	Kuipers L, Leff J, Lam D (1992) Family work for schizophrenia: a practical guide. Gastell, London.
[37]	Chung, K.F. & Wong, M.C. (2004).Experience of stigma among Chinese mental health patients in Hong Kong. Psychiatric Bulletin.
[38]	Dunst CJ, Trivette CM, and Cross AH: Mediating influences of social support: personal, family and child outcomes. Am J Ment Defic1986.
[39]	King G, King S, Rosenbaum P, goffin R: Family-centered care giving and well-being of parents of children with disabilities: Linking process with outcome. Journal of pediatric psychology 1999.
[40]	Phelan J. C. (2001) Conceptualizing stigma. Annual Review of Sociology.
[41]	Watson A. C. (2002). The paradox of self stigma and mental illness. Clinical Psychology: Science and Practice.
[42]	Jahoda A. & Markova I. (2004). Coping with social stigma: people with intellectual disability moving from institutions and family home. Journal of Intellectual Disability Research.
[43]	Dyck DG, Short R, Vitaliano PP (1999). Predictors of burden and infectious illness in schizophrenia caregivers. Psychosom Med.
[44]	Colder, B. J., Pickett, S. A., & Cook, J. A. (1991). The psychiatric patient grows older: Issues in family care. In E. Light & B. Lebowitz (Eds.). The elderly with chronic mental illness: Directions for research. New York: Springer.
[45]	Pachankis J. E. (2007). The psychological implications of concealing a stigma: a cognitive affective-behavioral model. Psychological Bulletin.
[46]	Tedla W. Giorgis. (2000). The Last Taboo: Breaking the Silence about Depression and Mental Illness. JEBDU: SELEDA Ethiopia.
[47]	Caqueo A, Kavanagh D. Burden of care and general health in families of patients with schizophrenia. Social Psychiatry and Psychiatric Epidemiology (in press) 2005.
[48]	Damrosh, S. P. & Perry, L. A. (1989). Self reported adjustment, chronic sorrow, and coping with parents of children with Down syndrome. Nursing Research.
[49]	Fink, P. J. & Tasman, A. (1992). Stigma and Mental Illness. Washington, DC: American Psychiatric Press.
[50]	Corrigan P. W. & Watson A. C. (2002). The paradox of self stigma and mental illness. Clinical Psychology: Science and Practice

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APA Style

Kahsay Weldeslasie Hailemariam. (2015). The Psychological Distress, Subjective Burden and Affiliate Stigma among Caregivers of People with Mental Illness in Amanuel Specialized Mental Hospital. American Journal of Applied Psychology, 4(2), 35-49. https://doi.org/10.11648/j.ajap.20150402.13

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ACS Style

Kahsay Weldeslasie Hailemariam. The Psychological Distress, Subjective Burden and Affiliate Stigma among Caregivers of People with Mental Illness in Amanuel Specialized Mental Hospital. Am. J. Appl. Psychol. 2015, 4(2), 35-49. doi: 10.11648/j.ajap.20150402.13

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AMA Style

Kahsay Weldeslasie Hailemariam. The Psychological Distress, Subjective Burden and Affiliate Stigma among Caregivers of People with Mental Illness in Amanuel Specialized Mental Hospital. Am J Appl Psychol. 2015;4(2):35-49. doi: 10.11648/j.ajap.20150402.13

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@article{10.11648/j.ajap.20150402.13,
  author = {Kahsay Weldeslasie Hailemariam},
  title = {The Psychological Distress, Subjective Burden and Affiliate Stigma among Caregivers of People with Mental Illness in Amanuel Specialized Mental Hospital},
  journal = {American Journal of Applied Psychology},
  volume = {4},
  number = {2},
  pages = {35-49},
  doi = {10.11648/j.ajap.20150402.13},
  url = {https://doi.org/10.11648/j.ajap.20150402.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajap.20150402.13},
  abstract = {The researcher employed mixed approach with cross sectional research design in order to collect comprehensive data from caregivers of people with mental illness at a time. Most of the caregivers developed from moderate to severe psychological distress, subjective burden and stigma. Most of the participant’s variables don’t have statistically significant difference in experiencing of psychological distress and subjective burden on caregivers. But, patients’ type of disorder brings statistically significant difference in creating psychological distress and subjective burden on caregivers (t=2.28, df =173, p<0.05 and t=2.64, df, =173, p<0.05) respectively. In relation to the care giving burden, average mean score of caregivers of people with psychotic disorder were found to be 46.83 and the average mean score of participants who have been giving care for the mood patients were found to be  43.92. With regards to the psychological distress, the average mean score of participants who give care for psychotic patients and mood patients were found to be 27.58 and 25.66 respectively. There is also significant relationship between care giving burden and psychological distress (r = 0.34, p< 0.01), care giving burden and affiliate stigma (r = 0.335, p< 0.01), psychological distress and affiliate stigma (r = 0.23, p<0.01), time spent on care giving and care giving burden (r = -0.205, p<0.01).  Generally, having family members with mental illness exposed caregiver to have psychological distress, subjective burden and affiliate stigma.},
 year = {2015}
}

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TY  - JOUR
T1  - The Psychological Distress, Subjective Burden and Affiliate Stigma among Caregivers of People with Mental Illness in Amanuel Specialized Mental Hospital
AU  - Kahsay Weldeslasie Hailemariam
Y1  - 2015/04/14
PY  - 2015
N1  - https://doi.org/10.11648/j.ajap.20150402.13
DO  - 10.11648/j.ajap.20150402.13
T2  - American Journal of Applied Psychology
JF  - American Journal of Applied Psychology
JO  - American Journal of Applied Psychology
SP  - 35
EP  - 49
PB  - Science Publishing Group
SN  - 2328-5672
UR  - https://doi.org/10.11648/j.ajap.20150402.13
AB  - The researcher employed mixed approach with cross sectional research design in order to collect comprehensive data from caregivers of people with mental illness at a time. Most of the caregivers developed from moderate to severe psychological distress, subjective burden and stigma. Most of the participant’s variables don’t have statistically significant difference in experiencing of psychological distress and subjective burden on caregivers. But, patients’ type of disorder brings statistically significant difference in creating psychological distress and subjective burden on caregivers (t=2.28, df =173, p<0.05 and t=2.64, df, =173, p<0.05) respectively. In relation to the care giving burden, average mean score of caregivers of people with psychotic disorder were found to be 46.83 and the average mean score of participants who have been giving care for the mood patients were found to be  43.92. With regards to the psychological distress, the average mean score of participants who give care for psychotic patients and mood patients were found to be 27.58 and 25.66 respectively. There is also significant relationship between care giving burden and psychological distress (r = 0.34, p< 0.01), care giving burden and affiliate stigma (r = 0.335, p< 0.01), psychological distress and affiliate stigma (r = 0.23, p<0.01), time spent on care giving and care giving burden (r = -0.205, p<0.01).  Generally, having family members with mental illness exposed caregiver to have psychological distress, subjective burden and affiliate stigma.
VL  - 4
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ER  -

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Author Information

Kahsay Weldeslasie Hailemariam

Department of Psychology, College of Social Sciences and Languages, Mekelle University, Mekelle, Ethiopia

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APA Style

Kahsay Weldeslasie Hailemariam. (2015). The Psychological Distress, Subjective Burden and Affiliate Stigma among Caregivers of People with Mental Illness in Amanuel Specialized Mental Hospital. American Journal of Applied Psychology, 4(2), 35-49. https://doi.org/10.11648/j.ajap.20150402.13

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ACS Style

Kahsay Weldeslasie Hailemariam. The Psychological Distress, Subjective Burden and Affiliate Stigma among Caregivers of People with Mental Illness in Amanuel Specialized Mental Hospital. Am. J. Appl. Psychol. 2015, 4(2), 35-49. doi: 10.11648/j.ajap.20150402.13

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AMA Style

Kahsay Weldeslasie Hailemariam. The Psychological Distress, Subjective Burden and Affiliate Stigma among Caregivers of People with Mental Illness in Amanuel Specialized Mental Hospital. Am J Appl Psychol. 2015;4(2):35-49. doi: 10.11648/j.ajap.20150402.13

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@article{10.11648/j.ajap.20150402.13,
  author = {Kahsay Weldeslasie Hailemariam},
  title = {The Psychological Distress, Subjective Burden and Affiliate Stigma among Caregivers of People with Mental Illness in Amanuel Specialized Mental Hospital},
  journal = {American Journal of Applied Psychology},
  volume = {4},
  number = {2},
  pages = {35-49},
  doi = {10.11648/j.ajap.20150402.13},
  url = {https://doi.org/10.11648/j.ajap.20150402.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajap.20150402.13},
  abstract = {The researcher employed mixed approach with cross sectional research design in order to collect comprehensive data from caregivers of people with mental illness at a time. Most of the caregivers developed from moderate to severe psychological distress, subjective burden and stigma. Most of the participant’s variables don’t have statistically significant difference in experiencing of psychological distress and subjective burden on caregivers. But, patients’ type of disorder brings statistically significant difference in creating psychological distress and subjective burden on caregivers (t=2.28, df =173, p<0.05 and t=2.64, df, =173, p<0.05) respectively. In relation to the care giving burden, average mean score of caregivers of people with psychotic disorder were found to be 46.83 and the average mean score of participants who have been giving care for the mood patients were found to be  43.92. With regards to the psychological distress, the average mean score of participants who give care for psychotic patients and mood patients were found to be 27.58 and 25.66 respectively. There is also significant relationship between care giving burden and psychological distress (r = 0.34, p< 0.01), care giving burden and affiliate stigma (r = 0.335, p< 0.01), psychological distress and affiliate stigma (r = 0.23, p<0.01), time spent on care giving and care giving burden (r = -0.205, p<0.01).  Generally, having family members with mental illness exposed caregiver to have psychological distress, subjective burden and affiliate stigma.},
 year = {2015}
}

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TY  - JOUR
T1  - The Psychological Distress, Subjective Burden and Affiliate Stigma among Caregivers of People with Mental Illness in Amanuel Specialized Mental Hospital
AU  - Kahsay Weldeslasie Hailemariam
Y1  - 2015/04/14
PY  - 2015
N1  - https://doi.org/10.11648/j.ajap.20150402.13
DO  - 10.11648/j.ajap.20150402.13
T2  - American Journal of Applied Psychology
JF  - American Journal of Applied Psychology
JO  - American Journal of Applied Psychology
SP  - 35
EP  - 49
PB  - Science Publishing Group
SN  - 2328-5672
UR  - https://doi.org/10.11648/j.ajap.20150402.13
AB  - The researcher employed mixed approach with cross sectional research design in order to collect comprehensive data from caregivers of people with mental illness at a time. Most of the caregivers developed from moderate to severe psychological distress, subjective burden and stigma. Most of the participant’s variables don’t have statistically significant difference in experiencing of psychological distress and subjective burden on caregivers. But, patients’ type of disorder brings statistically significant difference in creating psychological distress and subjective burden on caregivers (t=2.28, df =173, p<0.05 and t=2.64, df, =173, p<0.05) respectively. In relation to the care giving burden, average mean score of caregivers of people with psychotic disorder were found to be 46.83 and the average mean score of participants who have been giving care for the mood patients were found to be  43.92. With regards to the psychological distress, the average mean score of participants who give care for psychotic patients and mood patients were found to be 27.58 and 25.66 respectively. There is also significant relationship between care giving burden and psychological distress (r = 0.34, p< 0.01), care giving burden and affiliate stigma (r = 0.335, p< 0.01), psychological distress and affiliate stigma (r = 0.23, p<0.01), time spent on care giving and care giving burden (r = -0.205, p<0.01).  Generally, having family members with mental illness exposed caregiver to have psychological distress, subjective burden and affiliate stigma.
VL  - 4
IS  - 2
ER  -

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