understanding the experiences of family caregivers for younger and older adults with serious mental...
TRANSCRIPT
Understanding the Experiences of Family Caregivers for
Younger and Older Adults with Serious Mental Illness (SMI)
Elizabeth Corsentino
Victor Molinari, Ph.D., ABPP, AdvisorLori Roscoe, Ph.D., Committee MemberAmber Gum, Ph.D., Committee Member
Funded by: The USF Office of Undergraduate Research
Terms
Caregiver- a person who provides informal, unpaid care and has regular contact with a person with SMI
Serious Mental Illness (SMI)- longstanding psychiatric problems that significantly interfere with day-to-day functioning, including schizophrenia, bipolar disorder, and major affective disorder
Purpose
The purpose of the present study was to examine the experiences of
informal caregivers of persons with SMI, focusing on the general
challenges impacting caregivers as relatives with SMI age.
Participants
Recruited through The Advocate, a newsletter sent to members of the National Alliance on Mental Illness (NAMI)
Survey Instrument
Survey instrument was available online at www.surveymonkey.com or by mail.
Survey consisted of 23 questions:
DemographicInformation
CurrentExperience/
Level of Planning
Over 55 yearsold
Under 55 yearsold
How caregivinghas changed
How theyenvision it will
change
Results: Caregiver Profile
GENDER Frequency %
Female 60 82%
Male 13 18%
Mean Range
Age 62 27-88
Years of Caregiving Experience
19 4-50
RELATIONSHIP STATUS
Frequency %
Parent 55 74
Spouse 10 14
Child 4 5
Sibling 3 4
Other 2 3
Results: Care-recipient Profile
Mean Range
Age 40 11-75
Age at diagnosis
24 6-62
GENDER Frequency %
Female 25 34%
Male 48 66%
DIAGNOSIS Frequency %
Schizophrenia 41 56%
Bipolar Disorder 15 20%
Major Affective Disorder
2 3%
Other 10 14%
More than one diagnosis
6 8%
Quantitative Results: Caregiver Stress
Nearly 70% of caregivers reported that caregiving was somewhat to very stressful during the past 3 months.
The three top reasons for stress were: Communication difficulties Behavior problems Planning for the future
Quantitative Results: Plans for the Future
60% of caregivers had made no plans for the future in the event they were no longer able to provide care in the future for loved ones with SMI
Quantitative Results:Caregiving Over Time
Expectations of Caregivers of Persons
Under 55:
39% say more difficult 39% say the same 22% say easier
Perceptions of Caregivers of Persons 55 and
Older:
75% say more difficult 19% say the same 6% say easier
Qualitative Results: Caregivers of Persons Under 55
“What do you envision will become easier as your loved one ages?”
Frequent responses: “Nothing” Care-recipients becoming more accustomed
to routine Improvements in medication or a cure
Qualitative Results: Caregivers of Persons Under 55
“What do you envision will become more difficult as your loved one ages?”
Frequent responses: Caregivers ability to provide care will become
more difficult due to physical incapacity Care-recipients physical health needs will
increase Financial stability will decrease
Qualitative Results: Caregivers of Persons 55+
“What aspects of caregiving have improved as your loved one has aged?”
Frequent responses: Nothing Care-recipient slowing down with age
Qualitative Results: Caregivers of Persons 55+
“What aspects of caregiving have become more difficult as your loved one has aged?”
Frequent responses: Care-recipient’s physical health Caregivers’ physical health Financial stability
Discussion
The overwhelming majority of respondents were aging parents
Caregivers prefer loved ones to live with family if they could no longer provide care, but rarely communicate these intentions.
Discrepancy between caregiver perceptions of the future and reality
Strengths and Limitations
Strengths Survey available to those with and without
internet access Quantitative and qualitative information
Limitations Response rate low, but cannot be exactly
determined Limits to generalizability
Implications
Future directions
Larger scale, mixed method approach Possibly a longitudinal design Consider reasons why some caregivers are able
to sustain care in the community & others are not Need more advocacy for caregivers How can we help relieve their burden & assist
with planning – it is a societal responsibility as well as a family responsibility
Acknowledgments
Thesis Advisor:
Dr. Victor Molinari
Committee Members:
Dr. Amber Gum
Dr. Lori Roscoe
National Alliance on Mental Illness (NAMI)
USF Office of Undergraduate Research
“It is very easy for the caregiver to burn out, experience depression, and ‘lose’ their life.”
“It is an on going caregiving experience that I expect to
have for the rest of my life. I do not feel bad about that. I wish for him that it was not
so.”
Acknowledgments
Participating Caregivers
“How much can I write? This whole process has been the most difficult time of my life. While mental illness [sic] effects the individual, it is a family issue, it is intertwined.”