title: Sociocultural Factors Associated with Caregiver-Psychiatrist Relationship in Taiwan.
abstract: OBJECTIVE
  Research on sociocultural factors associated caregiver-provider relationship is needed to enhance family involvement in psychiatric care. This study examines from the caregiver's perspective the associations of schizophrenia attributions, stigmatization, and caregiving experiences with caregiver-psychiatrist working relationship in Taiwan.
  
  
  METHODS
  This cross-sectional study used a convenience sample of 152 Taiwanese family caregivers of persons diagnosed with schizophrenia, recruited from a grassroots organization, 4 community mental health rehabilitation centers and 2 psychiatric hospitals between July 2012 and March 2013. Multiple linear regression models were used for analysis.
  
  
  RESULTS
  Biological attribution was positively associated with perceived family collaboration, and so was environmental attribution with perceived informational support. Internalized stigma was negatively associated with perceived family collaboration. Caregiving rewards were positively related to both perceived family collaboration and informational support, and so was experience of problems with services to perceived family collaboration.
  
  
  CONCLUSIONS
  The examination of family perceptions informs Western psychiatric care providers of the importance of culturally sensitive practices in developing an effective working relationship with family caregivers, particularly in regards to caregivers' casual attributions, impact of stigma, and caregiving experiences.
authors.affiliation: Department of Social Work, National Taiwan University, Taipei, Taiwan, ROC.
authors.forename: Hui-Ching
authors.initials: HC
authors.lastname: Wu
authors.affiliation: Department of Social Welfare, National Chung-Cheng University, Chiayi County, Taiwan, ROC.
authors.forename: Fang-Pei
authors.initials: FP
authors.lastname: Chen
keywords: Attribution; Caregiver-provider relationship; Caregiving experience; Stigma; Western psychiatry