The relationship between emotional burnout and psychopathological symptoms in relatives of patients with mood disorders of various origins

CLINICAL PSYCHOLOGY

  • Alexandra M. Shishkova V.M. Bekhterev National Research Medical Center for Psychiatry and Neurology, Saint Petersburg, Russia
  • Viktor V. Bocharov V.M. Bekhterev National Research Medical Center for Psychiatry and Neurology, Saint Petersburg, Russia
  • Tatyana A. Korman V.M. Bekhterev National Research Medical Center for Psychiatry and Neurology, Saint Petersburg, Russia
  • Nadezhda G. Vasilyeva V.M. Bekhterev National Research Medical Center for Psychiatry and Neurology, Saint Petersburg, Russia
  • Irina A. Gekht V.M. Bekhterev National Research Medical Center for Psychiatry and Neurology, Saint Petersburg, Russia
  • Alexandra A. Sivak Saint Petersburg State Pediatric Medical University, Saint Petersburg, Russia
  • Svetlana A. Vindorf Saint Petersburg State Pediatric Medical University, Saint Petersburg, Russia
Keywords:
тревога депрессия расстройства сна родственники больных эмоциональное выгорание психопатологическая симптоматика anxiety depression sleep disorders relatives of patients burnout psychopathological symptoms

Abstract

Background. Affective disorders (AD) often diagnosed in psychiatry. The occurrence and development of AD associated with significant negative social consequences and decrease in patients’ and their relatives’ quality of life. Stabilizing the mental state and maintaining the well-being of relatives caring for the patient is important in the context of preventing burnout, mental and somatic disorders, as well as preventing adverse forms of the disease in patients with AD.

Aim — study of the relationship between burnout and psychopathological symptoms in relatives caring for patients with mood disorders of various origins.

Materials and methods. The study involved 39 relatives of patients with AD. To assess the mental state of the respondents, the Symptom Checklist-90-Revised was used, the study of burnout and the resource personal activity in the process of informal caregiving was carried out using the Level of Relatives’ Emotional Burnout. Spearman’s correlation coefficient was used as a measure of the relationship between the indicators.

Results. The analysis showed a significant number of positive correlations of subjectively noted psychopathological symptoms with various manifestations of burnout. Exhaustion is associated with severe anxiety, decrease in mood, increasing difficulties in interpersonal interaction, including with the patient being cared for. The feeling of a relatives’ own effectiveness in the process of helping a patient with AD is interrelated with indicators reflecting the course of the patient's disease, in particular, the duration of the disease and the duration of remission.

Conclusion. The manifestations of emotional burnout in relatives of patients with affective disorders are associated both with the experience of severe psychological distress, manifested primarily by anxiety and depressive symptoms, and with the characteristics of the patients’ disease, particularly the duration of illness and remission.

References

Бочаров В.В., Шишкова А.М., Корман Т.А., Сарайкин Д.М., Винникова А.Ю., Буева Ю.А. Значение психологического функционирования родственников как фактора стабилизации ремиссий у больных с аффективными расстройствами: систематический обзор. Неврологический вестник. 2024;56(4):411–425. https://doi.org/10.17816/nb634704.

Карауш И.С., Куприянова И.Е., Дашиева Б.А. Негативные события, связанные со школьным функционированием, и их взаимосвязь с риском развития депрессии у подростков. Клиническая и специальная психология. 2022;11(3):142–166. https://doi.org/10.17759/cpse.2022110306. EDN: MNOEBO.

Мезенцева О.И. Специфика аффективной сферы детей дошкольного возраста из неполных семей. Вопросы педагогики. 2020;(4-2):236–238. EDN: SRIYDX.

Международная классификация болезней (10-й пересмотр). Классификация психических и поведенческих расстройств: МКБ-10/УСД-10: Клинические описания и указания по диагностике. СПб.: Адис; 1994.

Тарабрина Н.В. Практикум по психологии посттравматического стресса. СПб.: Питер; 2001.

Смулевич А.Б., Андрющенко А.В., Романов Д.В., Захарова Н.В. Ремиссии при аффективных заболеваниях: эпидемиология, психопатология, клинический и социальный прогноз, вторичная профилактика. Журнал неврологии и психиатрии им. С.С. Корсакова. 2014;114(3):4–13. EDN: SDIJDN.

Шишкова А.М., Бочаров В.В., Стрижицкая О.Ю., Вукс А.Я. Психометрические характеристики методики «Уровень эмоционального выгорания родственников». Консультативная психология и психотерапия. 2021;29(2):100–118. https://doi.org/10.17759/cpp.2021290205.

Шишкова А.М., Бочаров В.В. Эмоциональное выгорание родственников больных с химической зависимостью: методология и инструментарий оценки. СПб.: Нестор-История; 2021.

Шишкова А.М., Бочаров В.В., Черная Ю.С. Оценка психометрических показателей методики «Уровень эмоционального выгорания родственников» (родительско-детский вариант). Сибирский психологический журнал. 2022;(83):141–165. https://doi.org/10.17223/17267080/83/8.

Akinci E., Wieser M.O., Vanscheidt S. et al. Impairments of social interaction in depressive disorder. Psychiatry Investig. 2022;19(3):178–189. https://doi.org/10.30773/pi.2021.0289.

Alves L.C.S., Monteiro D.Q., Bento S.R. et al. Burnout syndrome in informal caregivers of older adults with dementia: A systematic review. Dement Neuropsychol. 2019;13(4):415–421. https://doi.org/10.1590/1980-57642018dn13-040008.

Angst J., Stassen H.H., Clayton P.J., Angst J. Mortality of patients with mood disorders: follow up over 34–38 years. J Affect Disord. 2002;68(2–3):167–181. https://doi.org/10.1016/S0165-0327(01)00377-9

Blom С., Reis A.C., Lencastre L. Good together makes it better? Psychological distress, relationship quality, and burnout in informal caregivers. Eur J Psychol Open. 2024;83(3):119–129. https://doi.org/10.1024/2673-8627/a000066.

Cuijpers P., Stam H. Burnout among relatives of psychiatric patients attending psychoeducational support groups. Psychiatric Services. 2000;51(3):375–379. https://doi.org/10.1176/appi.ps.51.3.375.

Ezquiaga E., García A., Bravo F., Pallarés T. Factors associated with outcome in major depression: a 6-month prospective study. Soc Psychiatry Psychiatr Epidemiol. 1998;33(11):552–557. https://doi.org/10.1007/s001270050093.

Katsifaraki M., Wood R.L. The impact of alexithymia on burnout amongst relatives of people who suffer from traumatic brain injury. Brain Injury. 2014;28(11):1389–1395. https://doi.org/10.3109/02699052.2014.919538.

Kupferberg A., Hasler G. The social cost of depression: Investiga­ting the impact of impaired social emotion regulation, social cognition, and interpersonal behavior on social functioning. J Affect Disord Reports. 2023;14(14):100631. https://doi.org/10.1016/j.jadr.2023.100631.

Luo R., Chen F., Ke L. et al. Interparental conflict and depressive symptoms among Chinese adolescents: A longitudinal moderated mediation model. Dev Psychopathol. 2023;35(2):972–981. https://doi.org/10.1017/S0954579422000190.

Miklowitz D.J., George E.L., Richards J.A., et al. A randomized study of family-focused psychoeducation and pharmacotherapy in the outpatient management of bipolar disorder. Arch Gen Psychiatry. 2003;60(9):904–912. https://doi.org/10.1001/archpsyc.60.9.904.

Reinares M., Vieta E., Colom F., et al. What really matters to bipolar patients' caregivers: sources of family burden. J Affect Disord. 2006;94(1–3):157–163. https://doi.org/10.1016/j.jad.2006.04.022.

Ybema J.F. Kuijer R.G., Hagedoorn M., Buunk B.P. Caregiver burnout among intimate partners of patients with a severe illness: an equity perspective. Personal Relationships. 2002;9(1):73–88. https://doi.org/10.1111/1475-6811.00005.

Yılmaz A., Turan E., Gundogar D. Predictors of burnout in the family caregivers of Alzheimer’s disease: evidence from Turkey. Austral J Ageing. 2009;28(1):16–21. https://doi.org/10.1111/j.1741–6612.2008.00319.x.