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Development of a Family Support System for Families of the Relatives with Mental Illness

Research Project

Project/Area Number 11672363
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Clinical nursing
Research InstitutionChiba University

Principal Investigator

IWASAKI Yayoi  Chiba University, School of Nursing, Professor, 看護学部, 教授 (60232667)

Co-Investigator(Kenkyū-buntansha) MIYAZAKI Sumiko  Chiba University, School of Nursing, Instructor, 看護学部, 助手 (30302574)
SHIMIZU Kuniko  Chiba University, School of Nursing, Instructor, 看護学部, 助手 (40302575)
ISHIKAWA Kaori  Chiba University, School of Nursing, Instructor, 看護学部, 助手 (50282463)
SAITO Kazuko  Gifu Prefecture College of Nursing, Nursing Department, Professor, 教授 (70106219)
KATAYAMA Satoko  Chiba University, School of Nursing, Instructor, 看護学部, 助手 (50334181)
田中 道子  千葉大学, 看護学部, 助手 (70344976)
荻野 雅  千葉大学, 看護学部, 講師 (60257269)
Project Period (FY) 1999 – 2002
Project Status Completed (Fiscal Year 2002)
Budget Amount *help
¥3,300,000 (Direct Cost: ¥3,300,000)
Fiscal Year 2002: ¥700,000 (Direct Cost: ¥700,000)
Fiscal Year 2001: ¥900,000 (Direct Cost: ¥900,000)
Fiscal Year 2000: ¥700,000 (Direct Cost: ¥700,000)
Fiscal Year 1999: ¥1,000,000 (Direct Cost: ¥1,000,000)
Keywordsfamily / mental illness / caregiving / caregiving burden / coping / caregiving burden-coping model / family support system / 家族支援 / 精神障害 / 精神障害者 / 負担 / 尺度開発 / 家族ケア提供者 / モデル構築
Research Abstract

Mental illness affects both the ill relative and his/her family. It has been well documented that families of relatives with mental illness experience various aspects of caregiving burden. However, research investigating how families cope with the burden is scarce.
The purpose of this study was to identify caregiving burden and coping and to develop a community family support system for families of the mentally ill. This study consists of four phases.
During the first phase, caregiving burden and coping were identified and a caregiving burden-coping model was constructed. Four family coping styles were also identified : co-prosperous, fused, self-protective, and demoralized styles. Those coping styles were explained by "family's responsiveness" to the welfare of the ill relative and "family's self-nurturance" of their own well-being.
During the second and third phases, a questionnaire was developed to measure caregiving burden and coping. From the constructed caregiving burden-coping model, we hypothesized caregiving burden would be predicted by a combination of ill relative's difficult behavior, family's caregiving resources, family's social support, and family's coping. Though family's social support and family's coping were related to caregiving burden, a multiple regression analysis indicated a combination of lack of caregiving resources, ill relative's difficult behavior, and hiding of the illness contributed to caregiving burden.
During the final phase, a family support system was developed. The system was designed to, a) improve both the ill relative's and family's quality of life, b) develop family's caregiving resources and support, c) decrease stigma, and d) facilitate family's recovery while strengthening family's coping skills.

Report

(5 results)
  • 2002 Annual Research Report   Final Research Report Summary
  • 2001 Annual Research Report
  • 2000 Annual Research Report
  • 1999 Annual Research Report
  • Research Products

    (24 results)

All Other

All Publications (24 results)

  • [Publications] 宮崎澄子 他: "精神障害者を家族にもつ男性家族員のケアの内容及びケア提供に伴う情緒的体験と対処"千葉大学看護学部紀要. 23. 7-14 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] 岩崎弥生: "家族の変化に寄り添う援助を"看護. 54・7. 28-32 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] 岩崎弥生 他: "精神障害者の家族のケア提供上の対処-家族の応答性と自己配慮-"看護科学会雑誌. 22・4. 21-32 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] 岩崎弥生 他: "精神病患者の家族のケア提供を支える要因〜聞き取り調査の定性分析〜"日本病院・地域精神医学会誌. 45・4(掲載予定). (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] 石川かおり 他: "家族のケア提供上の困難と対処の実態"精神科看護. 30・5(掲載予定). (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Ishikawa K, Iwasaki Y, Shimizu K, & Miyazaki S.: "Caregiving stress and coping among families of the mentally ill"Psychiatric Nursing. 30(5). (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Iwasaki Y, Ishikawa K, Shimizu K, & Miyazaki S.: "Supportive factors in family caregiving for the mentally ill : A qualitative analysis of family interviews"Journal of Japan Hospital and Community Psychiatry. 45(4), In press. (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Iwasaki Y, Ishikawa K, Shimizu K, & Miyazaki S.: "Coping in family caregiving for relatives with mental illness : Family responsiveness and self-nurturing"Journal of Japan Academy of Nursing Science. 22(4). 21-32 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Shimizu K, Iwasaki Y, & Ishikawa K.: "Coping of Japanese families : Caring for patients with mental illness"7th European Mental Health Nursing Conference. 27. (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Miyazaki S, Iwasaki Y, Ishikawa K, Shimizu K, & Saito K.: "Caregiving, subjective experience and coping of male family caregivers of relatives with mental illness"Chiba University School of Nursing Bulletin. 2. 7-14 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Iwasaki Y, Ishikawa K, Shimizu K, & Miyazaki S.: "Supportive factors in family caregiving for the mentally ill : A qualitative analysis of family interviews"Journal of Japan Hospital and Community Psychiatry. 44(2). 194-195 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Ishikawa K, Iwasaki Y, Shimizu K, & Miyazaki S.: "Stress and coping of family caregivers of the mentally ill"Japan Family Nursing Study. 7(1). 79 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Ishikawa K, Iwasaki Y, Shimizu K, & Miyazaki S.: "Influential factors in family caregiving : A qualitative analysis of family interviews"43rd Japan Hospital and Community I Psychiatry Conference. 109 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Iwasaki Y, Miyazaki S, Shimizu K, & Ishikawa K.: "Coping of elderly family caregivers of the mentally ill. Conference"10th Japan Academy of Psychiatric and Mental Health Nursing Conference. 42-43 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] 岩崎弥生: "家族の変化に寄り添う援助を"看護. 54・7. 28-32 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] 岩崎弥生 他: "精神障害者の家族のケア提供上の対処-家族の応答性と自己配慮-"看護科学会雑誌. 22・4. 21-32 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] 岩崎弥生 他: "精神病患者の家族のケア提供を支える要因〜聞き取り調査の定性分析〜"日本病院・地域精神医学会誌. 45・4(掲載予定). (2003)

    • Related Report
      2002 Annual Research Report
  • [Publications] 石川かおり 他: "家族のケア提供上の困難と対処の実態"精神科看護. 30・5(掲載予定). (2003)

    • Related Report
      2002 Annual Research Report
  • [Publications] 岩崎弥生, 石川かおり, 清水邦子, 宮崎澄子: "精神障害者の家族の対処-高齢者の場合"病院・地域精神医学. 44・1. 194-195 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] 石川かおり, 岩崎弥生, 清水邦子, 宮崎澄子: "精神障害者の家族のケア提供上の困難と対処"家族看護学研究. 7・1. 79 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Kuniko Shimizu, Yayoi Iwasaki, Kaori Ishikawa: "Coping of Japanese Families Caring for the Parients with Mentally Ill"7th European Mental Health Nursing Conference. 7・1. 27 (2002)

    • Related Report
      2001 Annual Research Report
  • [Publications] 岩崎弥生,宮崎澄子,清水邦子,石川かおり: "精神障害者の家族の対処-高齢者の場合"日本精神保健看護学会第1回総会・学術集会プラグラム・抄録集. 42-43 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 岩崎弥生,石川かおり,清水邦子,宮崎澄子: "精神障害者の家族のケアを支える要因-聞き取り調査の定性分析"第43回日本病院・地域精神医学会総会プログラム・抄録集. 109 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 宮崎澄子,岩崎弥生,石川かおり,清水邦子: "精神障害者を家族にもつ男性家族員のケアの内容およびケア提供に伴う情緒的体験と対処"千葉大看護学部紀要. 23. 7-14 (2001)

    • Related Report
      2000 Annual Research Report

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Published: 1999-04-01   Modified: 2016-04-21  

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