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The experiences of the caring dyad: (un)articulated realities of living with cardiometabolic risk, metabolic syndrome and related diseases in severe mental illness
- Source :
- Health Expectations : An International Journal of Public Participation in Health Care and Health Policy, Health Expectations, Vol 24, Iss 5, Pp 1821-1832 (2021)
- Publication Year :
- 2021
-
Abstract
- Background: Informal carers play an important role in the care of patients with mental illness. Little is known of the relationship experience of the patient and their informal carer (caring dyad) as the context for the intersection between physical and mental health.\ud Aim:This study aimed to explore the impact of comorbid cardiometabolic risk(CMR), metabolic syndrome (MetS) and related diseases and severe mental illness(SMI) on the caring dyad.\ud Design: Between October 2018 and March 2020, we conducted 11 indepth semistructured interviews across 6 adult caring dyads, interviewing each individual separately\ud Setting: Dyads were recruited within the United Kingdom; informal carers were nominated by the patient as a person who provided a significant amount of support.\ud Variable Being Studied: Participants were asked about the impacts of illness and caring on daily life.\ud Data Analysis: Data were analysed at the dyad level using thematic analysis,comparing and contrasting responses from each individual.\ud Results: Themes were identified: enhanced closeness, dissonance and balance within the caring dyad.\ud Discussion and Conclusions: This study uses a particular population of patients with comorbid CMR factors, MetS and related diseases and SMI and their informal carers to explore the relevance and utility of caring dyads as an analytical framework to inform practice and policy. Future interventions should consider factors impacting on dyadic relationships to formulate effective and sustainable dyadic care and treatment to improve health outcomes for both patients with SMI and their informal carers.\ud Patient/Public Involvement: In this study, patients and informal carers were participants. Topic guides were piloted with a patient and informal carer.
- Subjects :
- Gerontology
dyad
Adult
Medicine (General)
Population
education
Psychological intervention
BF
Context (language use)
thematic analysis
R5-920
Cognitive dissonance
medicine
Humans
Metabolic Syndrome
education.field_of_study
Mental Disorders
Public Health, Environmental and Occupational Health
Original Articles
Mental illness
medicine.disease
Mental health
informal carer
schizophrenia
Mental Health
Caregivers
Cardiovascular Diseases
qualitative
relationship
Original Article
patient
Public aspects of medicine
RA1-1270
Thematic analysis
Psychology
human activities
Dyad
Subjects
Details
- Language :
- English
- ISSN :
- 13697625 and 13696513
- Database :
- OpenAIRE
- Journal :
- Health Expectations : An International Journal of Public Participation in Health Care and Health Policy, Health Expectations, Vol 24, Iss 5, Pp 1821-1832 (2021)
- Accession number :
- edsair.doi.dedup.....e96889e103a7464b6f4c0168cf877976