title: Factors affecting disruption in families of adults with mental illness.
abstract: OBJECTIVE
  This study examined relationships between vulnerability/risk and protective factors, and family functioning in women family members of adults with serious mental illness.
  
  
  METHODS
  Using a descriptive, correlational design, this secondary analysis examined characteristics of the family member with mental illness (e.g., diagnosis, level of care) and measures of caregiver stigma and strain, client dependence, family disruption, sense of coherence, and resourcefulness.
  
  
  RESULTS
  Family disruption was greatest in women who provided direct care and whose family member had major depression, followed by bipolar disorder, schizophrenia, and panic disorder. Sense of coherence and resourcefulness were associated with lower family disruption, but did not mediate the effects of caregiver strain.
  
  
  CONCLUSIONS
  Interventions restricted to one family member may be insufficient for improving the family functioning.
authors.affiliation: Psychiatric and Mental Health Nursing, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA.
authors.forename: M Jane
authors.initials: MJ
authors.lastname: Suresky
authors.forename: Jaclene A
authors.initials: JA
authors.lastname: Zauszniewski
authors.forename: Abir K
authors.initials: AK
authors.lastname: Bekhet
mesh_terms: D000328:Adult; D000368:Aged; D017028:Caregivers / Q000523:psychology*; D005190:Family / Q000523:psychology*; D005260:Female; D006801:Humans; D001523:Mental Disorders / Q000451:nursing*; D008875:Middle Aged; D065840:Protective Factors; D012307:Risk Factors; D060685:Sense of Coherence / Q000502:physiology*; D055815:Young Adult
keywords: Burden; resilience