Aggression and trauma experiences among carer-relatives of people with psychosis

Soc Psychiatry Psychiatr Epidemiol. 2009 Dec;44(12):1031-40. doi: 10.1007/s00127-009-0025-5. Epub 2009 Mar 31.

Abstract

Background: Exposure to aggression and associated psychological outcomes are poorly characterised among carer-relatives of people with psychosis.

Method: Carer-relatives (N = 106) completed questionnaires assessing socio-demographics and perceived prevalence of aggression in their caring role in the last 12 months. Carers exposed to moderate-severe levels of aggression were re-approached to assess PTSD and coping strategies.

Results: Most respondents (77.4%) reported experiencing moderate-severe levels of aggression. Increased contact with (M = 15.12 vs. M = 6.71 days per month), and significantly higher ratings of affective, antisocial, negative and psychotic symptomology in affected relatives were associated with experiences of moderate-severe aggression. Approximately half of the moderate-severe respondents reported potentially significant levels of PTSD (52%, N = 34), which was associated with greater exposure to verbal aggression and increased usage of coping strategies.

Conclusions: Comparable ratios of physical to non-physical aggression to those reported by professional carers working in acute psychiatric treatment settings were reported. Carer-relatives require greater levels of information and support to assist them in their community caring roles.

Publication types

  • Comparative Study

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Aged
  • Aged, 80 and over
  • Aggression / psychology*
  • Caregivers / psychology*
  • Domestic Violence / psychology
  • Family / psychology*
  • Female
  • Humans
  • Life Change Events*
  • Male
  • Middle Aged
  • Psychotic Disorders / psychology
  • Psychotic Disorders / therapy*
  • Registries / statistics & numerical data
  • Schizophrenia / therapy
  • Schizophrenic Psychology
  • Severity of Illness Index
  • Stress Disorders, Post-Traumatic / psychology
  • Surveys and Questionnaires
  • Verbal Behavior