5. Conclusion
In conclusion, this review has considered how psychological factors within caregivers of persons with early psychosis have been investigat- ed empirically to explain variations in caregiver distress. We organised the psychological variables found through the search into the three non-mutually exclusive groups of coping, appraisal/attribution and in- terpersonal response. A number of methodological issues were noted in the studies included and caution must be taken when generalising to clinical practice. Within the limitations of the studies, the reviewed evidence shows there is considerable data supporting the continued focus on psychological factors such as avoidant coping, negative apprais- al and EOI when working with caregivers early in the course of illness. Future studies should aim at: 1) replicating findings with larger, pro- spective samples which controls for confounders such as time of assess- ment and duration of illness; 2) expanding the intervention repertoire within family work for psychosis, beyond EE-based interventions; and finally 3) testing these psychological factors in controlled clinical trials.
Role of funding sources
Region Zealand Health Scientific Foundation provided funding for this research.
Contributors
Analysed the data: JE JG. Wrote the first draft of the manuscript: JE. Contributed to the writing of the manuscript: JE JG SC. ICMJE criteria for authorship read and met: JE JG SC. Agree with manuscript results and conclusions: JE JG SG.
Conflict of interest statement None.
5. ConclusionIn conclusion, this review has considered how psychological factors within caregivers of persons with early psychosis have been investigat- ed empirically to explain variations in caregiver distress. We organised the psychological variables found through the search into the three non-mutually exclusive groups of coping, appraisal/attribution and in- terpersonal response. A number of methodological issues were noted in the studies included and caution must be taken when generalising to clinical practice. Within the limitations of the studies, the reviewed evidence shows there is considerable data supporting the continued focus on psychological factors such as avoidant coping, negative apprais- al and EOI when working with caregivers early in the course of illness. Future studies should aim at: 1) replicating findings with larger, pro- spective samples which controls for confounders such as time of assess- ment and duration of illness; 2) expanding the intervention repertoire within family work for psychosis, beyond EE-based interventions; and finally 3) testing these psychological factors in controlled clinical trials.Role of funding sourcesRegion Zealand Health Scientific Foundation provided funding for this research.ContributorsAnalysed the data: JE JG. Wrote the first draft of the manuscript: JE. Contributed to the writing of the manuscript: JE JG SC. ICMJE criteria for authorship read and met: JE JG SC. Agree with manuscript results and conclusions: JE JG SG.แย้งคำสั่งไม่
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