Comparable family burden in families of clinical high-risk and recent-onset psychosis patients.
OBJECTIVE
Family burden is prevalent in psychotic disorders, but little is known about burden experienced by families of patients in early illness. In this exploratory study, we examined the extent of burden reported by families of patients during a putative prodromal period and in the after-math of psychosis onset.


METHODS
Family burden was assessed in 23 family members of patients with emerging or early psychosis. The Family Experiences Interview Schedule was used to assess both objective and subjective burden. Objective burden is comprised of increased resource demands and disruption of routine. Subjective burden includes worry, anger/displeasure and resentment at objective burden.


RESULTS
Family burden was comparable for the clinical high-risk and recent-onset psychosis patients. Worry was as high as previously reported for more chronic patients. By contrast, there was a relative absence of displeasure/anger. Family members endorsed assisting patients in activities of daily living, although not 'minding' doing so, and reported little need to supervise or control patients' behaviour.


CONCLUSIONS
Early in emerging psychotic illness, families report helping patients and worrying about them, but their lives are not yet disrupted and they do not have much anger or resentment.This may be an ideal time then for intervention with families, as worry may motivate help-seeking by families.
Wong
Celine
C
Department of Psychiatry, Columbia University, New York, USA.
Davidson
Larry
L
McGlashan
Thomas
T
Gerson
Ruth
R
Malaspina
Dolores
D
Corcoran
Cheryl
C