Positive and negative caregiver experiences in first-episode psychosis: Emotional overinvolvement, wellbeing and metacognition

Jens Einar Jansen; Paul H. Lysaker; Susanne Harder; Ulrik Helt Haahr; Hanne-Grethe Lyse; Marlene Buch Pedersen; Anne Marie Trauelsen; Erik Simonsen

doi:10.1111/papt.12014

Positive and negative caregiver experiences in first-episode psychosis: Emotional overinvolvement, wellbeing and metacognition

Jens Einar Jansen, Paul H. Lysaker, Susanne Harder, Ulrik Helt Haahr, Hanne-Grethe Lyse, Marlene Buch Pedersen, Anne Marie Trauelsen, Erik Simonsen

Department of Clinical Medicine

17 Citations (Scopus)

Abstract

Objectives While caregivers of persons with first-episode psychosis often report a range of negative experiences, little is known about what psychological factors are involved. The aim of this study was to examine how caregivers' general wellbeing, emotional overinvolvement and metacognition influenced their reports of both positive and negative caregiving experiences. Design A prospective consecutive cross-sectional study. Methods Forty caregivers of patients with first-episode psychosis were interviewed using semi-structured interview and questionnaires. Results Greater levels of distress and overinvolvement were associated with more negative experiences of caregiving while greater metacognitive capacity was associated with more positive experiences of caregiving. Conclusions The experience of positive and negative aspects of caregiving seems to be associated with different variables. Greater metacognitive capacity does not necessarily alleviate the suffering and distress, which is a healthy and normal reaction to having a close one suffering from psychosis. But it might help broaden the perspective, allowing for both negative and positive experiences. Clinical implications in terms of expanding the range of therapeutic interventions are discussed.

Original language	English
Journal	Psychology and Psychotherapy - Theory Research and Practice
Volume	87
Issue number	3
Pages (from-to)	298-310
Number of pages	13
ISSN	1476-0835
DOIs	https://doi.org/10.1111/papt.12014
Publication status	Published - Sept 2014

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Positive and negative caregiver experiences in first-episode psychosis : Emotional overinvolvement, wellbeing and metacognition. / Jansen, Jens Einar; Lysaker, Paul H.; Harder, Susanne et al.

In: Psychology and Psychotherapy - Theory Research and Practice, Vol. 87, No. 3, 09.2014, p. 298-310.

Research output: Contribution to journal › Journal article › Research › peer-review

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title = "Positive and negative caregiver experiences in first-episode psychosis: Emotional overinvolvement, wellbeing and metacognition",

abstract = "Objectives While caregivers of persons with first-episode psychosis often report a range of negative experiences, little is known about what psychological factors are involved. The aim of this study was to examine how caregivers' general wellbeing, emotional overinvolvement and metacognition influenced their reports of both positive and negative caregiving experiences. Design A prospective consecutive cross-sectional study. Methods Forty caregivers of patients with first-episode psychosis were interviewed using semi-structured interview and questionnaires. Results Greater levels of distress and overinvolvement were associated with more negative experiences of caregiving while greater metacognitive capacity was associated with more positive experiences of caregiving. Conclusions The experience of positive and negative aspects of caregiving seems to be associated with different variables. Greater metacognitive capacity does not necessarily alleviate the suffering and distress, which is a healthy and normal reaction to having a close one suffering from psychosis. But it might help broaden the perspective, allowing for both negative and positive experiences. Clinical implications in terms of expanding the range of therapeutic interventions are discussed.",

author = "Jansen, {Jens Einar} and Lysaker, {Paul H.} and Susanne Harder and Haahr, {Ulrik Helt} and Hanne-Grethe Lyse and Pedersen, {Marlene Buch} and Trauelsen, {Anne Marie} and Erik Simonsen",

year = "2014",

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doi = "10.1111/papt.12014",

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AU - Jansen, Jens Einar

AU - Lysaker, Paul H.

AU - Harder, Susanne

AU - Haahr, Ulrik Helt

AU - Lyse, Hanne-Grethe

AU - Pedersen, Marlene Buch

AU - Trauelsen, Anne Marie

AU - Simonsen, Erik

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N2 - Objectives While caregivers of persons with first-episode psychosis often report a range of negative experiences, little is known about what psychological factors are involved. The aim of this study was to examine how caregivers' general wellbeing, emotional overinvolvement and metacognition influenced their reports of both positive and negative caregiving experiences. Design A prospective consecutive cross-sectional study. Methods Forty caregivers of patients with first-episode psychosis were interviewed using semi-structured interview and questionnaires. Results Greater levels of distress and overinvolvement were associated with more negative experiences of caregiving while greater metacognitive capacity was associated with more positive experiences of caregiving. Conclusions The experience of positive and negative aspects of caregiving seems to be associated with different variables. Greater metacognitive capacity does not necessarily alleviate the suffering and distress, which is a healthy and normal reaction to having a close one suffering from psychosis. But it might help broaden the perspective, allowing for both negative and positive experiences. Clinical implications in terms of expanding the range of therapeutic interventions are discussed.

AB - Objectives While caregivers of persons with first-episode psychosis often report a range of negative experiences, little is known about what psychological factors are involved. The aim of this study was to examine how caregivers' general wellbeing, emotional overinvolvement and metacognition influenced their reports of both positive and negative caregiving experiences. Design A prospective consecutive cross-sectional study. Methods Forty caregivers of patients with first-episode psychosis were interviewed using semi-structured interview and questionnaires. Results Greater levels of distress and overinvolvement were associated with more negative experiences of caregiving while greater metacognitive capacity was associated with more positive experiences of caregiving. Conclusions The experience of positive and negative aspects of caregiving seems to be associated with different variables. Greater metacognitive capacity does not necessarily alleviate the suffering and distress, which is a healthy and normal reaction to having a close one suffering from psychosis. But it might help broaden the perspective, allowing for both negative and positive experiences. Clinical implications in terms of expanding the range of therapeutic interventions are discussed.

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DO - 10.1111/papt.12014

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VL - 87

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JO - Psychology and Psychotherapy: Theory, Research and Practice

JF - Psychology and Psychotherapy: Theory, Research and Practice

IS - 3

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Positive and negative caregiver experiences in first-episode psychosis: Emotional overinvolvement, wellbeing and metacognition

Abstract

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