The role of perceived criticism in patient and caregiver outcomes in severe mental health disorders: A systematic review

Abstract

• The role of perceived criticism on patient outcomes in SMI is ambiguous. • Paucity of research on impact of perceived criticism on caregiver outcomes limited consensus and clarity on targets of perceived criticism. • Lack of consistency in the use and reporting of perceived criticism measures. This review aimed to systematically synthesise the evidence on the role of perceived criticism (PC) in patient and caregiver outcomes in severe mental disorders and bridge the gap in current knowledge of existing PC measures. Four databases (EMBASE, Medline, PsycINFO and Web of Science) were searched. The quality of the reviewed studies was evaluated using the Effective Public Health Practice Project (EPHPP) tool. Sixty studies were identified for inclusion in this review. The Perceived Criticism Measure (PCM) and its derivatives were used in over half of these studies. Over a third (35%) of studies focused on anxiety disorders. Only four studies reported on the role of PC in caregiver outcomes. Empirical studies into the contribution of perceived criticism and its direct links with caregiver functioning and outcomes remains scarce. Further research across a broader range of mental disorders, with more ethnically diverse samples is required. To advance scholarly debate on perceived criticism and its relevance to mental health assessment and interventions, consensus on its criteria and measurement tools is called for.