الفهرس 
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Abstract
SUMMARY
The deinstitualization movement of mentally ill patient has shifted the primary locus of care from psychiatric hospitals to the family. This shifting toward families led to profound psychosocial, physical and financial burdens on patients’ families. Family caregivers play multiple roles in care of persons with mental illness, including taking day-to-day care, taking the patient to the hospital and looking after the financial needs. Caregivers develop different kinds of coping strategies to deal with the burden which include finding a reasonable solution, looking for support from friends or other near ones, or trying to avoid the situation by smoking or substance abuse.
Aims of the study:
To measure burden and coping strategies of family caregivers of psychotic patients.
To design and distribute guidelines of adaptive coping strategies for family caregivers of psychotic patients to help them tackle burden.
Research Design:-
A descriptive correlational design was utilized to conduct this study.
Setting:-
This study was carried out in the outpatient clinic and inpatient unit of psychiatry and Neurology Hospital at Assuit University.
Sample:-
A convenient sample of family caregivers of 100 psychotic patients were selected based on the following criteria:-
A family caregiver defined as person who provides any type of physical, economic and/or emotional care for psychotic patients and is living permanently with the patient at home.
Caregivers of patients with psychotic disorders as (schizophrenia, mood disorders with psychotic features, schizoaffective disorder, delusional disorder, brief psychotic disorder).
Tools of study:-
Tool (I): Socio- demographic and Clinical data tool: This tool was developed by the researcher. It includes personal data of family caregivers, personal data of patient, and clinical data of patients.
Tool (II): ”Burden Assessment Scale (BAS)”:- It was developed by Rienhard et al in 1995 to assess family burden related to individuals with mental disorders.
Tool (III): ”Coping Strategies Inventory Short – Form (CSI-SF)”: It was developed by Addison et al, (2007) to assess coping strategies.
The main findings of the current study were:
The studied sample consisted of 141 family caregivers of psychotic patients. More than one third (41.9%) of the studied family caregivers were in the age group, ranging from 45 to less than 60 years old and more than two thirds of them were females(66.7%) . Nearly two thirds of them were illiterate (65.2%), two thirds were married (66%), and the majority of them had no work (73.8%) and 85.9% were living in rural areas .
More than half of psychotic patients (55%) were in the age group 15-<30, about two thirds of patients were females (65%) and the majority of them had no work (89%). More than half of them were single (54%) and illiterate (51%). The majority of them were living in rural area (86%) and had no income (78%).
Slightly less than half of patients had less than five years of illness and 68% admitted hospital less than five times and 58% of them were out of hospital.
Family caregivers had the highest mean score of time perspective burden (7.3±2.7) followed by financial problems (2.2±1.2). Also, Family caregivers used emotion focused engagement more than others ways of coping and the mean score ± SD was (10.0±4.4).