Psychiatric symptoms in caregivers of patients with bipolar disorder: A review

Steele, Annie; Maruyama, Nancy; Galynker, Igor

doi:10.1016/j.jad.2009.04.020

Cited by 160Family Caregiving in Mental IllnessBipolar Disorder and TreatmentNursing care and research

Psychiatric symptoms in caregivers of patients with bipolar disorder: A review

Steele, Annie, Maruyama, Nancy, Galynker, Igor·2010·Journal of Affective Disorders

DOI 10.1016/j.jad.2009.04.020

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Abstract

Objectives The burden experienced by caregivers of patients with bipolar disorder has been associated with increased caregiver depression, anxiety and mental health service use. As caregiver burden is also associated with poor patient outcome, these findings may indicate a source of distress not only for caregivers, but also for patients. This review presents what is currently known about psychiatric symptoms in this population and suggests directions for future research. Methods Computerized databases Medline, Pubmed, PsychINFO and Google Scholar were searched using the keywords 'bipolar disorder', 'manic-depressive disorder', 'caregiver', 'caregiver burden', 'family', 'couple', 'spouse' and 'partner.' Of these, publications both measuring and reporting psychiatric symptoms or mental health service use in adult caregivers were included. Results Twenty four (24) papers were analyzed. Thirteen (13) of these papers measured general psychiatric distress, 2 measured anxiety symptoms, 9 reported mood symptoms and 8 reported increased mental health service use. 21 total papers reported clinical significance of least one category of psychiatric distress. Significant findings include up to 46% of caregivers reporting depression and up to 32.4% reporting mental health service use. Data suggest that caregiver psychiatric symptoms depend on the nature of the caregiving relationship. Common methodological problems included: lack of control groups, small sample sizes and non-standardized…

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Relatives who live with patients with severe mental disorders present mood disorders, mostly depressive.
“trastornos del estado de ánimo (mayoritariamente depresivos)”
From Intervención psicológica grupal, basada en la aceptación y el entrenamiento en comunicación, con familiares de personas con trastorno mental grave (2015) · cites this paper as Steele et al., 2010
Relatives who live with patients with severe mental disorders present anxiety disorders.
“y de ansiedad”
From Intervención psicológica grupal, basada en la aceptación y el entrenamiento en comunicación, con familiares de personas con trastorno mental grave (2015) · cites this paper as Steele et al., 2010
These positions have left aside attention to other psychological issues of relatives of patients with severe mental disorders, such as depressive and anxious symptomatology.
“estas posiciones han dejado un poco al margen la atención de otras cuestiones psicológicas de los familiares de los pacientes con TMG, como la presencia de sintomatología depresiva y ansiosa”
From Intervención psicológica grupal, basada en la aceptación y el entrenamiento en comunicación, con familiares de personas con trastorno mental grave (2015) · cites this paper as Steele et al., 2010

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Authors: Steele, A., Maruyama, N., & Galynker, I.
Corresponding author: Steele, Annie
ORCID: Galynker, Igor
Venue: Journal of Affective Disorders
Publisher: Elsevier BV
Published: 2010-02
Volume: 121
Issue: 1-2
Pages: 10-21
ISSN: 0165-0327 (ISSN-L)
DOI: 10.1016/j.jad.2009.04.020
OpenAlex: W2045493269
Cited by: 160
References: 45
Citations by year: 2026: 2 · 2025: 14 · 2024: 7 · 2023: 13 · 2022: 10 · 2021: 5 · 2020: 9 · 2019: 12 · 2018: 12 · 2017: 7 · 2016: 14 · 2015: 11 · 2014: 13 · 2013: 9 · 2012: 11
FWCI: 7.80
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of Affective Disorders (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Family Caregiving in Mental Illness
Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
Health Sciences › Health Professions › Pharmacy › Nursing care and research
Keywords: bipolar disorder, caregiver burden, caregiver depression, caregiver anxiety, psychiatric symptoms, mental health service utilization, family caregivers, caregiver-patient relationship, mood symptoms, stigma, coping styles
MeSH terms: Anxiety Disorders, Bipolar Disorder, Major Depressive Disorder, Depressive Disorder, Major, Humans, Phenotype, Psychotic Disorders, Research, Risk Factors, Caregivers, Cost of Illness

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Psychiatric symptoms in caregivers of patients with bipolar disorder: A review

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