Support-seeking, support-provision and support-perception in distressed married couples : a multi-method analysis

An emerging consensus argues for the importance of spousal support in our understanding of how relationships succeed or fail. This report covers two studies that examined support seeking, support provision and support perception in distressed married couples. In Study 1 a total of seventy distressed and seventy non-distressed couples participated in a survey study; in Study 2 twenty distressed and twenty non-distressed couples participated in an observational study. Global self-reports were used in both studies to assess spouses' support behaviour and perceived support. These measures were supplemented in Study 2 with measures of observed support behaviour and interaction-based perceived support as assessed during specific support interactions. Our self-report and observational measures consistently indicated that distressed marital couples display lower levels of positive support-seeking and emotional or instrumental support provision than non-distressed couples. We also found evidence for higher levels of negative support-seeking and provision behaviour in distressed couples, as compared to non-distressed couples. Distressed spouses also reported lower levels of global and interaction-based perceived support than non-distressed spouses

Family support groups for family members of mentally ill offenders : family expectations and experiences

Family Support Groups (FSGs) are developed for family members of mentally ill offenders. This study investigates family treatment expectations and experiences of an FSG. Family members were interviewed before (n = 20) and after (n = 17) attending an FSG. Results show that family members hesitated or were curious about the FSG, expected to receive peer support and universality of problems, to receive information and advice and thought about the safety and respect of the group. Family members experienced the treatment as helpful because it was supportive, they gained new insights and they felt relieved and satisfied. Many family members see the guidance of the therapists and the differences in family and gender roles as an added value of attending an FSG. However, considering the limitations of the study, future studies should gain insight in and stress the importance of the meaning of therapeutic processes for family members confronted with different psychiatric disorders and/or situations

Family support groups for family members of mentally ill offenders : a pilot study

To date, there is a lack of family interventions for family members of persons with a mental illness who offended (PMIO). With the aim of addressing this issue, a Family Support Group (FSG) has been developed. The current pilot study investigated the impact of two pilot FSGs for family members of PMIO in relation to quality of life, burden, coping strategies, and resilience. Family members completed several questionnaires (i.e. WHOQOL-BREF, ZBI-22, CERQ, RS-nl) both before and after the group intervention. A total of 20 family members participated in both FSGs. The results indicated that participants experienced less self-blame, a decrease in loss of control over their lives, and improved emotional well-being. The findings showed that attending an FSG can be empowering for family members as it offers support in the management of emotional experiences and coping strategies

Use of apomorphine in Parkinsonian patients with neuropsychiatric complications to oral treatment

Neuropsychiatric side effects often complicate anti-Parkinsonian therapy and pose a significant problem in the optimal management of idiopathic Parkinson's disease. Several publications report a relative lack of neuropsychiatric side effects in Parkinsonian patients treated with subcutaneous apomorphine. To investigate this further, we have used subcutaneous apomorphine to treat 12 non-demented IPD patients with previous oral drug-related neuropsychiatric problems. Treatment with apomorphine allowed alteration of anti-Parkinsonian medication and led to the abolition or reduction of neuropsychiatric complications in all patients. The mechanism remains unclear but may be due, in part, to a reduction in oral medication or a psychotropic action of apomorphine, possibly due to the piperidine moiety in its structure, or both