Abstract
Patients with schizophrenia are mostly given care by their parents in Turkey. This brings the burden of caring for the parents and increases the risks of being exposed to violence within the surrounding environment for the patients with schizophrenia. This research aims at determining the violence facing patients with schizophrenia from their surrounding environment. The research sample consists of 36 patients diagnosed with schizophrenia according to the criteria of DSM-IV receiving outpatient care. The data was collected through semi-structured in-depth interviews and analysed by thematic content analysis method. The research findings reveal both the violence victimization of patients and their expectations from their families as well as their surrounding environment. The findings demonstrate that almost all the research participants have been prone to verbal violence while the majority of them faced physical violence in their family life as well as social life. The patients mostly anticipate respect, recognition, and a decent living just as other members of society. The research shows that patients with schizophrenia expect their family and their surrounding environment to treat them just as the other members of society. For a decent living for those patients in the society, it is of vital importance to challenge existing prejudice against them while also supporting services for awareness-raising. Moreover, a set of services to strengthen the relations and to provide support to both the patient and the family within the society should be developed and generalized.
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References
Anderson CM, Reiss D, Hogarty GE. Schizophrenia and the family. New York: Guilford; 1986.
Arslantaş H, Adana F. The burden of schizophrenia on caregivers. Curr Approaches Psychiatry. 2011;3(2):251–77.
Atagün Mİ, Balaban ÖD, Atagün Z, Elagöz M, Yılmaz Özpolat A. Caregiver burden in chronic diseases. Curr Approaches Psychiatry. 2011;3(3):513–52. https://doi.org/10.5455/cap.20110323.
Atar S. The burden of caretakers of schizophrenia patients is burnout and determining social adaptation. Specialization Thesis. Mustafa Kemal University, Tayfur Ata Sökmen Medical Faculty, Hatay, Turkey, 2018.
Attepe Özden S, Tuncay T. The experiences of Turkish families caring for individuals with Schizophrenia: a qualitative inquiry. Int J Soc Psychiatry. 2018;64(5):497–505.
Attepe Özden S. Examination of caregiving experiences and social support relationship of family who are caregiving to the individual who has diagnosed with schizophrenia on the basis of psychiatric social work. PhD Thesis, Hacettepe University, Ankara, Turkey, 2015.
Bademli K, Çetinkaya Duman Z. Caregivers of schizophrenia patients. Curr Approaches Psychiatry. 2013;5(4):461–78.
Bademli K, Çetinkaya Duman Z. Family to family support programs for the caregivers of schizophrenia patients: a systematic review. Turk Psychiatry J. 2011;22(4):255–65.
Baştuğ G, Karancı N. A semi-qualitative study on the thoughts of patients diagnosed with schizophrenia about their diseases. Düşünen Adam J Psychiatry Neurol Sci. 2015;28:127–39.
Bellack AS, Mueser KT, Wade J, Sayers S, Morrison RL. The ability of schizophrenics to perceive and cope with negative affect. Br J Psychiatry. 1992;160(4):473–80. https://doi.org/10.1192/bjp.160.4.473.
Brekke JS, Prindle C, Bae SW, Long JD. Risks for individuals with schizophrenia who are living in the community. Psychiatr Serv. 2001;52(10):1358–66. https://doi.org/10.1176/appi.ps.52.10.1358.
Çetin N, Demiralp M, Oşaz F, Özşahin A. The relationship between daily life activity levels of schizophrenia patients and care burden and expressed emotion statuses of their family members. Anatol J Psychiatry. 2013;14:19–26.
Cohen J, Struening EL. Opinions about mental illness in the personnel of two large mental hospitals. J Abnorm Soc Psychol. 1962;64:349–60. https://doi.org/10.1037/h0045526.
Çinik E. Impact of using substances on schizophrenic criminal patient’s offensive and violent behaviour. Medical Thesis, Bakırköy Prof Dr Mazhar Osman Mental Health and Nervous Diseases Research and Training Hospital for Psychiatry, İstanbul, Turkey, 2013.
De Mooij LD, Kikkert M, Lommerse NM, Meijwaard SC, Theunissen J, Duurkoop PWRA, Goudriaan AE, Van HL, Beekman ATF, Dekker JJM. Victimisation in adults with severe mental illness: prevalence and risk factors. The Br J Psychiatry. 2015;207(6):515–22. https://doi.org/10.1192/bjp.bp.113.143370.
Doğan S, Doğan O, Tel H, Coker F, Polatöz O, Doğan FB. Psychosocial approaches in outpatients with schizophrenia. Psychiatr Rehabil J. 2004;27(3):279–28. https://doi.org/10.2975/27.2004.279.282.
Ferriter M, Huband N. Experiences of parents with a son or daughter suffering from schizophrenia. J Psychiatr Ment Health Nurs. 2003;10:552–60. https://doi.org/10.1046/j.1365-2850.2003.00624.x.
Friedman SH, Loue S. Incidence and prevalence of intimate partner violence by and against women with severe mental illness. J Women’s Health. 2007;16:471–80. https://doi.org/10.1089/jwh.2006.0115.
González-Torres MA, Oraa R, Arístegui M, Fernández-Rivas A, Guimon J. Stigma and discrimination towards people with schizophrenia and their family members. Soc Psychiatry Psychiatr Epidemiol. 2007;42(1):14–23. https://doi.org/10.1007/s00127-006-0126-3.
Greasley K, Ashworth P. The Phenomenology of “approach to studying”: the university student’s studies within the lifeworld. Br Edu Res J. 2007;32:819–43. https://doi.org/10.1080/01411920701656977.
Gülseren L. Schizophrenia and the family: difficulties, burdens, emotions, needs. Turk J Psychiatry. 2002;13(2):143–51.
Hodgins S, Mednick SA, Brennan PA, Schulsinger F, Engberg M. Mental disorder and crime: evidence from a Danish birth cohort. Arch Gen Psychiatry. 1996;53:489–96. https://doi.org/10.1001/archpsyc.1996.01830060031004.
Howard PB. The experience of adult children with schizophrenia. Issues Ment Health Nurs. 1998;19(4):399–413. https://doi.org/10.1080/016128498249006.
Khalifeh H, Oram S, Osborn D, Howard LM, Johnson S. Recent physical and sexual violence against adults with severe mental illness: a systematic review and meta-analysis. Int Rev Psychiatry. 2016;28(5):433–51. https://doi.org/10.1080/09540261.2016.1223608.
Korkmaz S, Korucu T, Yıldız S, Kaya Ş, İzci F, Atmaca M. Frequency of domestic violence in psychiatric patients and related factors. Düşünen Adam J Psychiatry Neurol Sci. 2016;29:359–66.
Köşger F, Eşsizoğlu A, Sönmez İ, Güleç G, Genek M, Akarsu PÖ. The relationship between violence and clinical features, ınsight and cognitive functions in patients with schizophrenia. Turk J Psychiatry. 2015;26:1–8.
Latalova K, Kamaradova D, Prasko J. Violent victimization of adult patients with severe mental illness: a systematic review. Neuropsychiatr Dis Treat. 2014;10:1925–39. https://doi.org/10.2147/NDT.S68321.
Oram S, Trevillion K, Feder G, Howard LM. Prevalence of experiences domestic violence among psychiatric patients: systematic review. Br J Psychiatry. 2013;202:94–9. https://doi.org/10.1192/bjp.bp.112.109934.
Öz YC, Barlas GÜ. Şizofreni hastalığı olan bireylerin işeyerleştirme ile ilgili görüşleri ve beklentileri: niteliksel bir çalışma. Kocaeli Univ J Health Sci. 2017;3(3):28–32. https://doi.org/10.30934/kusbed.338389.
Post RD, Willet AB, Franks RD, House RM, Back SM, Weissberg MP. A Preliminary report on the prevalence of domestic violence among psychiatric in patients. Am J Psychiatry. 1980;137(8):974–5. https://doi.org/10.1176/ajp.137.8.974.
Sağlam T. Comparison of soft neurological signs, sociodemographic and clinical features in criminal and non-criminal schizophrenia patients. Specialization Thesis, Istanbul University Cerrahpaşa Medical Faculty, İstanbul, Turkey, 2019.
Saldırın T. Evaluation of the clinical and aggressiveness levels of patients diagnosed with schizophrenia in the period of compulsory protection and treatment. Master’s Thesis, Çukurova University, Faculty of Health Sciences, Adana, Turkey, 2017.
Saunders JC. Families living with severe mental illness: a literature review. Issues Ment Health Nurs. 2003;24(2):175–98. https://doi.org/10.1080/01612840305301.
Schene AH, Van Wijngaarden B, Koeter MW. Family caregiving in schizophrenia: domains and distress. Schizophr Bull. 1998;24(4):609–18.
Soygür H, Özalp E, Alptekin KŞ. Life quality. Schizophr Other Psychotic Disord. 2007;1:250–69.
Thompson MS. Violence and the costs of caring for a family member with severe mental illness. J Health Soc Behav. 2007;48(3):318–33.
Uygur AB, Danacı E. Needs and predictability of schizophrenia patients. Turk J Psychiatry. 2019;30(3):1–11.
Üçok A. Why is schizophrenia patient stamped? Clin Psychiatry. 2003;1:3–8.
Walsh E, Buchanan A, Fahy T. Violence and schizophrenia: examining the evidence. Br J Psychiatry. 2002;180(6):490–5. https://doi.org/10.1192/bjp.180.6.490.
Yakışır SY. Unmet needs of schizophrenia patients, Kocaeli University, Faculty of Health Sciences, Science Speciality Thesis, Kocaeli, 2019.
Yıldız M. Mental social skills training for schizophrenia patients. Turkey Social Psychiatry Association Publication, first edition. Ankara, 2011.
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We would like to thank Dr Burcu Yakut Çakar for her thoughtful comments and translation of the paper.
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YBA: Conceptualization, data curation, formal analysis, formal analysis, supervision, validation, writing—review & editing. İİÜ: Conceptualization, data curation, investigation, formal analysis, formal analysis, validation, Writing–original draft, writing—review & editing.
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Ünlü, İ.İ., Baykara Acar, Y. Violence Against Patients with Schizophrenia from their Surrounding Environment: A Qualitative Study in Turkey. J. Psychosoc. Rehabil. Ment. Health 9, 159–167 (2022). https://doi.org/10.1007/s40737-021-00248-2
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DOI: https://doi.org/10.1007/s40737-021-00248-2