Gender influence on severe mental disorders: relationship between behavior problems and family burden

• Antonio Vázquez-Reyes ^[2] ; Agustín Martín-Rodríguez ^[1] ; María Ángeles Pérez-San-Gregorio ^[1] ; Antonio J Vázquez-Morejón ^[1]
  1. [1] Universidad de Sevilla

     Universidad de Sevilla

     Sevilla, España

     
  2. [2] University Hospital Virgen del Rocío
• Localización: Clínica y salud: Investigación Empírica en Psicología, ISSN 1130-5274, Vol. 32, Nº. 2, 2021, págs. 65-70
• Idioma: inglés
• DOI: 10.5093/clysa2021a3
• Títulos paralelos:
  • Influencia del género en trastornos mentales graves: relación entre problemas de comportamiento y carga familiar
• Enlaces
  • Texto completo
• Resumen
  • español

    Se analizan las diferencias de género en problemas de conducta y su relación con la carga familiar en trastornos mentales graves. El Inventario de Problemas de Conducta (BPI) y dos ítems relativos a la carga familiar ("¿Se siente usted capaz de sobrellevar la enfermedad o trastorno y los problemas que ocasiona?" y "¿Con qué frecuencia se ve usted desbordado/a por estos problemas de comportamiento/enfermedad?") se administraron a 235 informantes clave de pacientes en tratamiento en una unidad de Salud Mental Comunitaria. Los hombres presentaban mayores problemas de conducta y carga familiar, existiendo diferencias significativas en descontrol de impulsos y en problemas de comportamiento graves. Se halla una correlación positiva entre problemas de comportamiento y carga familiar, siendo la dimensión inactividad/aislamiento social la mejor predictora de carga familiar. Respecto a la carga familiar, es la dimensión inactividad/aislamiento social la que posee mayor capacidad explicativa en hombres y mujeres.

  • English

    Gender differences in behavior problems and their relationship with family burden in severe mental disorders were analyzed. The Behavior Problems Inventory (BPI) and two items related to family burden (FB 1: "Do you feel able to endure the illness or disorder and the problems it causes?" and FB 2: "How often are you overwhelmed by these behavior/illness problems?") were administered to 235 key informants under treatment in a community mental health unit. The results show that men presented more behavior problems and family burden, with significant differences in impulse dyscontrol and severe behavior problems. A positive correlation was found between behavior problems and family burden, where the inactivity/social withdrawal dimension was the best predictor of family load for men and women. We conclude that men have more behavior problems and that the inactivity/social withdrawal dimension has the most explanatory power for family burden in both men and women.

• Referencias bibliográficas
  • Alvarez-Jimenez, M., Priede, A., Hetrick, S. E., Bendall, S., Killackey, E., Parker, A. G., McGorry, P. D., & Gleeson, J. F. (2012). Risk...
  • American Psychiatric Association (APA, 2013). Diagnostic and statistical manual of mental disorders: DSM-5. American Psychiatric Association.
  • Awad, A. G., & Voruganti, L. N. P. (2008). The burden of schizophrenia on caregivers a review. Pharmacoeconomics, 26(2), 149-162. https://doi....
  • Brewin, C. R., Wing, J. K., Mangen, S. P., Brugha, T. S., & MacCarthy, B. (1987). Principles and practice of measuring needs in the long-term...
  • Carpenter, W. T., & Strauss, J. S. (1991). The prediction of outcome in schizophrenia IV: Eleven-year follow-up of the Washington IPSS...
  • Cella, M., Stratta, P., Chahal, K., Huddy, V., Reeder, C., & Wykes, T. (2014). Measuring community functioning in schizophrenia with the...
  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Lawrence Erlbaum Associates.
  • Curson, D. A., Duke, P. J., Harvey, C. A., Pantelis, C., & Barnes, T. R. E. (1999). Four behavioural syndromes of schizophrenia: A replication...
  • Gallagher, K. E., Lisco, C. G., Parrott, D. J., & Giancola, P. R. (2014). Effects of thought suppression on provoked men’s alcohol-related...
  • Goldstein, J. M., & Tsuang, M. T. (1990). Gender and schizophrenia: An introduction and synthesis of findings. Schizophrenia Bulletin,...
  • Harvey, C. A., Curson, D. A., Pantelis, C., Taylor, J., & Barnes, T. R. E. (1996). Four behavioural syndromes of schizophrenia. The British...
  • Hosang, G. M., & Bhui, K. (2018). Gender discrimination, victimisation and women’s mental health. The British Journal of Psychiatry, 213(6),...
  • Jiménez-García-Bóveda, R., & Vázquez-Morejón, A. J. (2012). Esquizofrenia y género. Apuntes de Psicología, 30(1-3), 419-434. http://www....
  • Jiménez-García-Bóveda, R., Vázquez-Morejón, A. J., & Waisman, L. C. (2000). Género y funcionamiento social en esquizofrenia. Papeles del...
  • Jin, H., & Mosweu, I. (2017). The societal cost of schizophrenia: A systematic review. PharmacoEconomics, 35(1), 25-42. https://doi.org/10.1007/...
  • Koster, A., Lajer, M., Lindhardt, A., & Rosenbaum, B. (2008). Gender differences in first episode psychosis. Social Psychiatry and Psychiatric...
  • Koutra, K., Triliva, S., Roumeliotaki, T., Basta, M., Lionis, C., & Vgontzas, A. N. (2016). Family functioning in first-episode and chronic...
  • Mahalik, J. R., Loche, B. D., Ludlow, L. H., Diemer, M. A., Scott, R. P., Gottfried, M., & Freitas, G. (2003). Development of the conformity...
  • Möller-Leimkühler, A. M., & Wiesheu, A. (2012). Caregiver burden in chronic mental illness: the role of patient and caregiver characteristics....
  • Morgan, V. A., Castle, D. J., & Jablensky, A. V. (2008). Do women express and experience psychosis differently from men? Epidemiological...
  • Mors, O., Sorensen, L. V., & Therkilden, M. L. (1992). Distress in the relatives of psychiatric patients admitted for the first time....
  • Nordstroem, A. L., Talbot, D., Bernasconi, C., Berardo, C. G., & Lalonde, J. (2017). Burden of illness of people with persistent symptoms...
  • Ordóñez, A. E., Loeb, F. F., Zhou, X., Shora, L., Berman, R. A., & Broadnax, D. D. (2016). Lack of gender-related differences in childhood-onset...
  • Othman, Z., & Salleh, M. R. (2008). Burden of care and social behaviour problem of patients with schizophrenia. Internal Medicine Journal,...
  • Panno, A., Lauriola, M., & Figner, B. (2013). Emotion regulation and risk taking: Predicting risky choice in deliberative decision making....
  • Sabbag, S., Twamley, E. M., Vella, L., Heaton, R. K., Patterson, T. L., & Harvey, P. D. (2011). Assessing everyday functioning in schizophrenia:...
  • Schene, A. H., & van Wijngaarden, B. (1992). The Involvement Evaluation Questionnaire. Departament of psychiatry, University of Amsterdam.
  • Tager, D., Good, G. E., & Brammer, S. (2010). Walking over “em”: An exploration of relations between emotion dysregulation, masculine...
  • Thorup, A., Petersen, L., Jeppesen, P., Ohlenschloeger, J., Christensen, T., Krarup, G., Jorgensen, P., & Nordentoft, M. (2007). Gender...
  • Vázquez-Morejón, A. J., Segura-Chaves, I., & Bellido-Zanin, G. (2013). Problemas de conducta en personas con trastorno bipolar. Datos...
  • Vázquez-Morejón, A. J., Vázquez-Morejón, R., & Bellido-Zanin, G. (2018). Behavior Problems Inventory (BPI): Psychometric characteristics...
  • Wykes, T. (1982). A hostel ward for new long-stay patients: An evaluative study of a “ward in a house” in a long-term community care experience...
  • Wykes, T., & Sturt, E. (1986). The measurement of social behaviour in psychiatric patients: An assessment of the reliability and validity...
  • Zahn-Waxler, C., Shirtcliff, E. A., & Marceau, K. (2008). Disorders of childhood and adolescence: Gender and psychopathology. Annual Review...
  • Zarit, S. H., Reever, K. E., & Bach-Peterson, J. (1980). Relatives of the impaired elderly: Correlates of feelings of burden. The Gerontologist,...