Walden University Patients with Mental Disorders in Iran Bibliography

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Walden University

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Research 12-15 articles each on Family Givers and Burnout and Family Caregivers and Depression.

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Hello, this is the draft,, and Im gonna change some articles; I’m still paraphrasing some articles; usually when I annotate although I saw what you send me: yes objectives, participants, study findings, limitations, importance. I include that in one paragraph or so. I have a separate document where it is compiled, with indention, and spacings; I’ll send the final in 3 to 5 hours. actually this likely be around 48 pages eh; relatively longer than the intended price :)), but yeah I’ll just send it later. Thanks

Akbari, M., Alavi, M., Irajpour, A., Maghsoudi, J. (2018).Challenges of Family Caregivers of
Patients with Mental Disorders in Iran: A Narrative Review. Iran Journal of Nursing and
Midwifery Research; 23(5):329-337. DOI: 10.4103/ijnmr.IJNMR_122_17

The authors conducted this study to determine the challenges of caregivers of patients with
mental disorders in Iran.Not meeting the needs of caregivers, burnout and high burden of care,
high social stigma, low social support for caregivers, and low quality of life of caregivers were
among the most important challenges faced by caregivers.Therefore, the need for all-inclusive
support of family caregivers of patients with mental health problems seems necessary.A
literature review in Iran and this study have some limitations, especially in using standard search
terms in national databases that provide the majority of citations in national prevalence studies.
To overcome this problem, we used all synonyms of search terms separately in both Persian and
English languages. Another major limitation was the lack of good coverage in searching
universities research projects and student's thesis.
Lilly, M., Robinson, C., Holtzman, S., Bottorff, J. (2011). Can we move beyond burden and
burnout to support the health and wellness of family caregivers to persons with dementia?
Evidence from British Columbia, Canada. Health and Social Care In the Community. Vol 20(1),
103-112. DOI: 10.1111/j.1365-2524.2011.01025.x

The authors aimed to investigate the health and wellness, and support needs of family
caregivers to persons with dementia in the Canadian policy environment. Subjects, which include
caregivers and health professionals, underwent individual interviews. Study findings revealed
two overarching themes, firstly, forgotten: abandoned to care alone and indefinitely, and
unrealistic expectations for caregiver self-care. The authors stated that given the likely increase
in the proportion of individuals diagnosed with Alzheimer's in the coming decades, it is critical
to developing appropriate support policies and programs for caregivers. This study can create a
space for providing caregivers with preventive supports instead of resorting to costly patient care
for caregivers who have reached the point of burnout and care recipients who have been
institutionalized.

Gerain, P., Zech, E. (2019). Informal Caregiver Burnout? Development of a Theoretical
Framework to Understand the Impact of Caregiving. Frontiers in Psychology. 10:1748.
doi.org/10.3389/fpsyg.2019.01748
The authors aimed to use the Informal Caregiving Integrative Model(ICIM) to emphasize the
importance of every category of determinants of informal caregiver burnout (i.e., relating to the
caregiver, the caregiving setting, and the socio-cultural context), with a key mediating role for
the caregivers' appraisal of their situation and their relationship with the care-recipient. This
article is a first integrative step in consideration of a form of burnout specific to informal

caregivers and supports the design of empirical and interventional studies based on the
theoretical foundation that the ICIM proposes.

Truzzi, A., Valente, L., Ulstein, I., Engelhardt, E., Laks, J., Engedal, K. (2012). Burnout in
familial caregivers of patients with dementia. Brazilian Journal of Psychiatry. Vol 34. No.
4. doi.org/10.1016/j.rbp.2012.02.006
Truzzi et al. aimed to investigate the associations between burnout dimensions and the
caregivers' and patients' sociodemographic and clinical characteristics. This cross-sectional study
assessed and measured the subject's emotional exhaustion (EE), depersonalization(DP), and
reduced personal accomplishment(RPA). Study findings revealed high levels of EE(42.1%),
DP(22.8%), and RPA(38.6%)among the caregivers. The caregivers' depression and the patients'
delusions remained the significant predictors of EE. The authors emphasized, the sample derived
from the psychogeriatric reference center with patients who have more mental health morbidity
and underrepresentation of male caregivers to be the limitation of this study. The study helps in
determining the importance of early identification of caregivers who are more prone to develop
burnout and to improve their engagement in dementia care and the quality of life of both
caregivers and the patient.

Taniguchi, K., Becker, C., Kinoshita, A. (2017).What Behavioral and Psychological Symptoms
of Dementia Affect Caregiver Burnout? Clinical Gerontologist. Vol 41 Issue 3.
doi.org/10.1080/07317115.2017.1398797

This authors aimed to examine the connection between behavioral and psychological symptoms
of dementia (BPSD) and the burnout of caregivers caring for home-dwelling elders with
dementia symptoms in Japan.80 Japanese rural and urban family caregivers completed detailed
questionnaires about their experiences in caring for demented family members. We statistically
analyzed the results for correlations between types of dementia, Pines Burnout, and Caregiver
Distress.
BPSD symptom severity significantly correlated with caregiver distress. The dementia symptoms
most strongly correlated with caregiver burnout were: aggression, irritability, abnormal motor
behavior, and hallucinations.Among the commonest symptoms, apathy, anxiety, and depression
did not seriously aggravate caregiver burnout. Caregivers displayed higher burnout facing
agitation/aggression, irritability, aberrant motor behavior, and hallucinations. Caregivers ’
reported distress was surprisingly dissimilar to their burnout scores; patients ’delusions and
anxiety led to higher distress reporting but not to burnout.Advance diagnosis of BPSD symptoms
should be helpful to support nurses and caregivers of dementia patients. Particular support should
be considered for caregivers and nurses of patients expressing aggression, irritability, abnormal
motor behavior, and hallucination.

Rodriguez, L. (2016). Burnout Syndrome in Family Caregivers of Dependents. International
Journal of Asian Social Science, 6(1):12-20
The authors aimed to determine the factors associated with burnout syndrome among family
caregivers of dependents. Studies show that care in the family caregiver is susceptible to suffer to
burnout due to factors: (i) personal, (ii) educational and (iii) organizational with associated
repercussions level: physical, mental and emotional An investigation of empirical descriptive
instrumental type arises through sample survey using as instruments: a socio-demographic
questionnaire, a rating scale for the assessment of general health and Zarit (Zarit et al., 1985).
The results reveal medium-low values.Be higher if: (i) dependent possess a higher degree of
dependence, (ii) declare that they pay more care to more familiar, (iii) indicate a greater number
of years providing care to dependent and (iv) have younger. That is why the need to promote
preventive measures from the municipal social services is concluded.

Navab, E. 2016. The Effect of Participation in Support Groups on Depression, Anxiety and
Stress in Family Caregivers of People with Alzheimer’s: Randomized clinical trail
This study sought to determine the effect of participation in support groups on the depression,
anxiety and stress level of caregivers of patients with Alzheimer. This study was a single blind
randomized clinical controlled trial (RCT) with 80 family caregivers of people with Alzheimer’s
(per group=40). The intervention group participated in eight sessions 1.5- 2 hours in support
groups. The tool used in this study was the DASS-21 questionnaire for measuring depression,
anxiety and stress level of the caregivers, analysis of parametric data, using SPSS version 21.
Findings showed, participation in support groups showed no significant difference on depression,
anxiety and stress in family caregivers of Alzheimer patients in the control group and the
intervention group. Given that caring for these patients by their family members are very
sensitive and costly issues for policy makers and health service providers, community and
families of these patients.

Here it is ;)

Annotated Bibliography
Akbari, M., Alavi, M., Irajpour, A., Maghsoudi, J. (2018).Challenges of Family Caregivers of
Patients with Mental Disorders in Iran: A Narrative Review. Iran Journal of Nursing and
Midwifery Research; 23(5):329-337. DOI: 10.4103/ijnmr.IJNMR_122_17
The authors conducted this study to determine the challenges of caregivers of patients with
mental disorders in Iran. Study findings have shown that caregivers' most important
challenges are not meeting caregivers' needs, burnout and high burden of care, high social
limited standard search items in national databases that provide the majority of citations in
national prevalence studies, and the limited goof coverage in searching universities' research
projects and theses. Therefore, the need for all-inclusive support of family caregivers of
patients with mental health problems seems necessary. This study is significant in
determining the challenges encountered by Iranian caregivers of patients with mental
disorders, and how it should be handled accordingly through policies and laws.
Gerain, P., Zech, E. (2019). Informal Caregiver Burnout? Development of a Theoretical
Framework to Understand the Impact of Caregiving. Frontiers in Psychology. 10:1748.
doi.org/10.3389/fpsyg.2019.01748
The authors aimed to use the Informal Caregiving Integrative Model(ICIM) to emphasize the
importance of every category of determinants of informal caregiver burnout (i.e., relating to

the caregiver, the caregiving setting, and the socio-cultural context), with a key mediating role
for the caregivers' appraisal of their situation and their relationship with the care-recipient.
This literature study emphasizes that in adapting the burnout concept a...


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