title: The relationship between family resiliency factors and caregiver-perceived duration of untreated psychosis in persons with first-episode psychosis.
abstract: Although the family has an important role in the early detection and intervention of first-episode psychosis (FEP), there are few findings reporting associations between family strengths and early treatment-seeking experiences. This study aimed to investigate, within the framework of the resiliency model of family stress, adjustment, and adaptation, the association between family coping strategies, resource management factors and duration of untreated psychosis (DUP) in Iranian families with one adult child with FEP. Hundred and seven individuals referred to three medical centers in Tehran and diagnosed with FEP participated in this study. Caregiver-perceived DUP was measured via semi-structured interviews administered to primary caregivers. They also completed two questionnaires regarding family resources of stress management and family coping strategies. Data analysis indicated that the Family Inventory of Resources of Management (FIRM) total scale score did not significantly explain the variance of caregiver-perceived DUP, but one of the FIRM subscales, the Extended Family Social Support, and the Family Crisis-Oriented Personal Evaluation scale (F-COPES) total score and one its subscales, the Acquiring Social Support, explained a significant amount of the variance of caregiver-perceived DUP. The results suggest that higher family resiliency, especially social support, facilitates the family's appropriate adaptive reaction (i.e., treatment-seeking), with the consequent decrease of DUP.
authors.affiliation: Department of Clinical Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
authors.forename: Hadi
authors.initials: H
authors.lastname: Mo'tamedi
authors.affiliation: Department of Psychology, Faculty of Humanities, Tarbiat Modares University, Tehran, Iran. Electronic address: rezaiemaram@gmail.com.
authors.forename: Peyman
authors.initials: P
authors.lastname: Rezaiemaram
authors.affiliation: Department of Psychology, Faculty of Humanities, Tarbiat Modares University, Tehran, Iran.
authors.forename: Maria E
authors.initials: ME
authors.lastname: Aguilar-Vafaie
authors.affiliation: Behavioral Sciences Research Center, Baqiyatallah Medical University, Tehran, Iran.
authors.forename: Abaas
authors.initials: A
authors.lastname: Tavallaie
authors.affiliation: Department of Clinical Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
authors.forename: Mojtaba
authors.initials: M
authors.lastname: Azimian
authors.affiliation: Department of Clinical Sciences and Speech Reconstructive Surgery, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
authors.forename: Hashem
authors.initials: H
authors.lastname: Shemshadi
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D017028:Caregivers / Q000523:psychology*; D042241:Early Diagnosis; D005192:Family Health; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D007492:Iran; D008297:Male; D008875:Middle Aged; D010465:Perception; D011618:Psychotic Disorders / Q000175:diagnosis* / Q000523:psychology; D036301:Qualitative Research; D012044:Regression Analysis; D055500:Resilience, Psychological; D012917:Social Adjustment; D012944:Social Support; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D013997:Time Factors
keywords: Catastrophic stressor; Duration of untreated psychosis (DUP); Family resiliency; First-episode psychosis (FEP)