Abstract
Physical Health Problems in Psychosis: Is It Time to Consider the Views of Family Carers?
Highlights
People living with a diagnosis of psychosis have depleted social networks [1]; a picture which is already evident at the first episode stage [2]
Reininghaus and colleagues, for example, completed a 10 years follow up of first episode psychosis cases in England. Their results suggested that patients with families were 90% more likely to be alive at follow up, compared to peers without no documented family support [12]
In light of emerging evidence, we argue that discussions on optimizing patient physical health and ensuring parity of esteem in physical and mental health provision must consider the role of carers, the impact of patient health on carer health and well-being and the caregiving relationship, and to consider what roles, carers might want in supporting improved physical health outcomes in patients
Summary
People living with a diagnosis of psychosis have depleted social networks [1]; a picture which is already evident at the first episode stage [2]. Informal carers have long been recognized for the vital role they play in supporting patients with psychosis to recover, and their role in improving a broad range of outcomes [5] Such outcomes include reducing rates of relapse and need for inpatient care [6], and improving engagement in and outcomes from prescribed treatments [7, 8]. Reininghaus and colleagues, for example, completed a 10 years follow up of first episode psychosis cases in England Their results suggested that patients with families were 90% more likely to be alive at follow up (i.e., less likely to have experienced a death attributable to unnatural cause e.g., suicide), compared to peers without no documented family support [12]. Ran et al [13] who assessed families living in China observed that over a 14 years follow up period, it was patients with family support who had improved survival rates at 70.9% compared to rates of 47.5% for those without support
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