The Lived Experiences of Family Members and Carers of People with Psychosis: A Bottom-Up Review Co-Written by Experts by Experience and Academics.

Journal: Psychopathology

Volume: 56

Issue: 5

Year of Publication: 2023

Affiliated Institutions:  Early Psychosis: Interventions and Clinical-detection (EPIC) Lab, Department of Psychosis Studies, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK. National Institute for Health and Care Research, Maudsley Biomedical Research Centre, London, UK. Independent scholar, Como, Italy. Asociación Madrileña de Amigos y Familiares de Personas con Esquizofrenia (AMAFE), Madrid, Spain. Young Person's Mental Health Advisory Group (YPMHAG), King's College London, London, UK. National Health System (NHS) South London and Maudsley (SLaM) Recovery College, London, UK. Global Alliance of Mental Illness Advocacy Networks-Europe (GAMIAN-Europe), Brussels, Belgium. South London and Maudsley (SLaM) NHS Foundation Trust, London, UK. Global Mental Health Peer Network (GMHPN), Johannesburg, South Africa. Department of Forensic and Neurodevelopment Sciences, King's College London, London, UK. Psychosis Research Unit, Greater Manchester Mental Health NHS Trust, Manchester, UK. Department of Psychosis Studies, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.

Abstract summary 

Informal caregivers of individuals affected by psychotic disorder can play a key role in the recovery process. However, little research has been conducted on the lived experiences of carers and family members. We conducted a bottom-up (from lived experience to theory) review of first-person accounts, co-written between academics and experts by experience, to identify key experiential themes. First-person accounts of carers, relatives, and individuals with psychosis were screened and discussed in collaborative workshops involving individuals with lived experiences of psychosis, family members, and carers, representing various organizations. The lived experiences of family members and carers were characterized by experiential themes related to dealing with the unexpected news, the search for a reason behind the disorder, living with difficult and negative emotions, dealing with loss, feeling lost in fragmented healthcare systems, feeling invisible and wanting to be active partners in care, struggling to communicate with the affected person, fighting stigma and isolation, dealing with an uncertain future, and learning from one's mistakes and building resilience and hope. Our findings bring forth the voices of relatives and informal carers of people with psychosis, by highlighting some of the common themes of their lived experiences from the time of the initial diagnosis and throughout the different clinical stages of the disorder. Informal carers are key stakeholders who can play a strategic role, and their contributions in the recovery process merit recognition and active support by mental health professionals.

Authors & Co-authors:  Estradé Andrés A Onwumere Juliana J Venables Jemma J Gilardi Lorenzo L Cabrera Ana A Rico Joseba J Hoque Arif A Otaiku Jummy J Hunter Nicholas N Kéri Péter P Kpodo Lily L Sunkel Charlene C Bao Jianan J Shiers David D Bonoldi Ilaria I Kuipers Elizabeth E Fusar-Poli Paolo P

Study Outcome 

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Statistics
Citations :  Moreno-Küstner B, Martín C, Pastor L. Prevalence of psychotic disorders and its association with methodological issues. A systematic review and meta-analyses. PLoS One. 2018;13((4)):e0195687–25.
Authors :  17
Identifiers
Doi : 10.1159/000528513
SSN : 1423-033X
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Carers;Family;Lived experiences;Psychosis;Schizophrenia
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
Switzerland