BAB sadece hastalarda değil bakım verenlerde de yeti yitimine neden olabi-len kronik bir hastalıktır. Bu hastalık bakım verenlerde değişik derecelerde tükenmiş-liğe neden olmaktadır. Bu çalışmada da bakım verenlerde bozuklukla ilişkili faktörle-re göfaktörle-re değişik defaktörle-recede sosyal uyumda bozulma ve tükenmişlik saptanmıştır. Kli-nikte daha çok hastalık ve hastaların durumuyla ilgilenilmekte ve büyük oranda ba-kım verenler göz ardı edilmektedir. Literatürde baba-kım veren kişilerin hastalığın seyri, prognozu, tedaviye uyumu, relaps, hastaların sosyal işlevselliği üzerindeki etkileri net bir şekilde gösterilmiştir. Ancak birçok ülkede olduğu gibi ülkemizde de kronik mental hastalıklara bakım verenlere psikolojik destek ve tıbbi tedavi öneren bir kıla-vuz bulunmamaktadır. Yine diğer ülkelerdeki gibi bizim ülkemizde de hastalara ba-kım sağlayacak standardize edilmiş bir destek sistemi bulunmamaktadır. Baba-kım ver-me işini ülkemizde de büyük oranda hasta yakınları üstlenver-mektedir. Standardize bir sistemin bulunması, bakım verenlerdeki öznel ve nesnel tükenmişliği ve böylece has-taların sağlık sistemi üzerindeki yüklerini azaltabilir. Yine bakım verenlerin hastalık-la ve tedavisi ile ilgili standardize edilmiş tedavi programhastalık-ları çok fazhastalık-la uyguhastalık-lanma- uygulanma-maktadır. Bu tür tedavi programlarının desteklenmesi bakım veren kişinin yükünü azaltabilir. Ancak yukarıda da bahsettiğimiz gibi bakım verenlerin psikolojik ve be-densel sağlığı klinisyenlerin dikkatini daha az çekmektedir. Bu konuyla ilgili daha fazla çalışma yapılarak klinisyenlerin dikkati bakım veren kişilerdeki tükenmişliğe çekilebilir. Sonuçta bu konu ile ilgili ulusal ruh sağlığı politikaları geliştirilmesi ve uygulanması hastalar, bakım verenler ve sağlık giderleri üzerinde olumlu etkiler ya-ratabilir ve bu nedenle de konuyla ilgili daha fazla sayıda çalışmalar yapılmasının ge-rekli olduğu aşikardır.
KAYNAKLAR
1. Saunders JC. Families living with severe mental illness: a literature review.
Issues Ment Health Nurs 2003; 24: 175-198.
2. Dunkin JJ, Anderson-Hanley C. Dementia caregiver burden: a review of the literature and guidelines for assessment and intervention. Neurology 1998;
51: 53-60.
3. Larsen LS. Effectiveness of a counseling intervention to assist family caregivers of chronically ill relatives. J Psychosoc Nurs Ment Health Serv 1998; 36: 26-32.
4. Zarit SH, Reever KE, Bach-Peterson J. Relatives of the impaired elderly:
Correlates of feelings of burden. Gerontologist 1980; 20: 649-655.
5. Montgomery JRJ, Gonyea JG, Hooyman NR. Caregiving and the experience of subjective and objective burden. Fam Relat 1985; 34: 19-26.
6. Sales E. Family burden and quality of life. Qual Life Res 2003; 12(Suppl 1):
33-41.
7. Webb C, Pfeiffer M, Mueser M, Gladis M, Mensch E, DeGirolamo J. Burden and well-being of caregivers for the severely mentally ill. The role of coping style and social support. Schizophr Res 1998; 34: 169-180.
8. Sierra P, Livianos L, Rojo L. Quality of life for patients with bipolar disorder:
Relationship with clinical and demographic variables. Bipolar Disord 2005;
7: 159-165.
9. Fava GA. Subclinical symptoms in mood disorders: pathophysiological and therapeutic implications. Psychol Med 1999; 29: 47-61 .
10. Judd LL, Akiskal HS, Schettler PJ, Endicott J, Maser J, Solomon DA, Leon AC, Rice JA, Keller MB. The long-term natural history of the weekly
symptomatic status of bipolar I disorder. Arch Gen Psychiatry 2002; 59: 530-537 .
11. Judd LL, Akiskal HS, Schettler PJ, Coryell W, Endicott J, Maser JD, Solomon DA, Leon AC, Keller MB. A prospective investigation of the
natural history of the long-term weekly symptomatic status of bipolar II disorder. Arch Gen Psychiatry 2003; 60: 261-269.
12. Tohen M, Hennen J, Zarate CM, Baldessarini RJ, Strakowski SM, Stoll AL, Faedda GL, Suppes T, Gebre-Medhin P, Cohen BM. Two-year syndromal and functional recovery in 219 cases of first-episode major affective disorder with psychotic features. Am J Psychiatry 2000; 157: 220-228.
13. Morselli PL, Elgie R, Cesana BM. GAMIAN-Europe/BEAM survey II:
cross-national analysis of unemployment, family history, treatment
satisfaction and impact of the bipolar disorder on life style. Bipolar Disord 2004; 6: 487-497 .
14. Reinares M, Vieta E, Colom F, Martínez-Arán A, Torrent C, Comes M, Goikolea JM, Benabarre A, Daban C, Sánchez- Moreno J. What really matters to bipolar patients’ caregivers: sources of family burden. J Affect Disord 2006; 94: 157-163.
15. Brodaty H, Green A. Who cares for the carer? The often forgotten patient.
Aust Fam Physician 2002; 31: 833-836 .
16. Lowery K, Mynt P, Aisbett J, Dixon T, O’Brien J, Ballard C. Depression in the carers of dementia sufferers: a comparison of the carers of patients suffering from dementia with Lewy bodies and the carers of patients with Alzheimer’s disease. J Affect Disord 2000; 59: 61-65.
17. Cook JA, Lefley HP, Pickett SA. Age and family burden among parents of offspring with severe mental illness. Amer J Orthopsychiat 1994; 64: 435-47.
18. Perlick DA, Rosenheck R, Miklowitz DJ. STEP-BD Family Experience Collaborative Study Group. Prevalence and correlates of burden among caregivers of patients with bipolar disorder enrolled in the Systematic
Treatment Enhancement Program for Bipolar Disorder. Bipolar Disord 2007;
9: 262-273.
19. Ogilvie AD, Morant N, Goodwin GM. The burden on informal caregivers of people with bipolar disorder. Bipolar Disord 2005; 7: 25-32.
20. Perlick DA, Rosenheck RA, Clarkin JF. Impact of family burden and
affective response on clinical outcome among patients with bipolar disorder.
Psychiatr Serv 2004; 55: 1029-1035.
21. Tantum D. Familial factors in psychiatric disorder. Curr Opin Psychiatry 1989; 2: 296-301 .
22. Kaplan&Sadock’s comprehensive textbook of psychiatry / editors, Benjamin J. Sadock, Virginia A. Sadock. – 8 th. Edition 2005 Lippincott Williams &
Wilkins Chapter 13.2, page 1559-1575. Hagop S, Akiskal MD.
23. WHO. The Global Burden of Disease: 2004 Update (2008), p. 51.
24. Adams F. (Ed.) (1856) The Extant Works of Arateaus, the Coppadacion.
Sydenham Society, London.
25. Falret JP. Memorie sur la folie circulaire. Bulletin de I Academie de Medicine 1854; 19: 382-415.
26. Baillarger J. De La Folie a double form. Ann. Med. Psychol (Paris) 1854; 6:
367-391.
27. Hare E. The two manias: a study of the evolution of the modem concept of mania . Br J Psychiatry 1981; 138:89-99.
28. Krapelin E. (1921) Manic Dpressive Insanıty and Paranoia. Livingstone, Edınburgh.
29. Akıskal H.S.(1996) The prevalent clinical spectrum of bipolar disorders:
beyond DSM–IV.J.Clin. psychopharmacology, 16.
30. Ruhsal Bozuklukların Tanısal ve Sayımsal Elkitabı, Dördüncü Baskı, Yeniden Gözden GeçirilmiĢ Tam Metin (DSM-IV-TR), Amerikan Psikiyatri Birliği, Washington DC, 2000. Köroğlu E (Çeviri Ed.), Hekimler Yayın Birliği, Ankara, 2007, 494-513 .
31. Amerikan Psikiyatri Birliği. Mental bozuklukların tanısal ve sayımsal el kitabı, Yeniden Gözden Geçirilmiş Dördüncü Baskı ( DSM-IV- TR ).
Washington D.C, 2000’den çeviri editörü: Köroğlu E, Hekimler Yayın Birliği, Ankara. 2001.
32. Savaş AH, Yumru M. Bipolar (iki uçlu) bozuklukta genetik çalışmalar.
Türkiye Klinikleri Psiki-yatri 2006; 2: 10-16.
33. Öztürk MO, Uluşahin A. Ruh Sağlığı ve Bozuklukları, 11. Basım, Nobel Tıp Kitapevleri Ltd. ġti., Ankara, 2008, 337-428. .
34. Bebbington P, Ramana R. The epidemiology of bipolar disorder. Soc Psychiatry Epid 1995; 30: 279-292.
35. Begeley CE, Annegers JF, Swann AC. The lifetime cost of bipolar disorder in the United States: an estimate based on incidence and course of illness.
Pharmacoeconomics 2001; 19: 483-49.
36. Akiskal HS, Hantouche EG, Bourgeois ML, Azorin JM, Sechter D, Allilaire JF, Lancrenon S,Fraud JP, Chatenet-Duchene L. Gender, temperament and the clinical Picture in dysphoric mixed mania: findings from a French national study (EPIMAN). J Affect. Disord 1998; 50: 175-186
37. Neuman RJ1, Geller B, Rice JP, Todd RDIncreased prevalence and earlier onset of mood disorders among relatives of prepubertal versus adult probandsJ Am Acad Child Adolesc Psychiatry. 1997; 36: 466-473.
38. Lapalme MI, Hodgins S, LaRoche C. Children of parents with bipolar disorder: a metaanalysis of risk for mental disorders. Can J Psychiatry. 1997;
42: 623-631.
39. Rouillon et al., 2011a F. Rouillon, I. Gasquet, R.P. Garay, S. Lancrenon Screening for bipolar disorder in patients consulting general practitioners in France Journal of Affective Disorders, 130 (2011), pp. 492–495 .
40. M. Olfson, B. Fireman, M.M. Weissman, A.C. Leon, D.V. Sheehan, R.G.
Kathol, C. Hoven, L. Farber Mental disorders and disability among patients in a primary care group practice American Journal of Psychiatry, 154 (1997), pp. 1734–1740 .
41. C.V. Blacker, A.W. Clare The prevalence and treatment o depression in general practicePsychopharmacology (Berl), 95 (Suppl) (1988), p. S14-17.
42. A.K. Das, M. Olfson, M.J. Gameroff, D.J. Pilowsky, C. Blanco, A. Feder, R.
Gross, Y. Neria, R. Lantigua, S. Shea, M.M. Weissman Screening for bipolar disorder in a primary care practiceJournal of the American Medical Association, 293 (2005), pp. 956–963
43. J. Angst, A. Gamma, F. Benazzi, V. Ajdacic, D. Eich, W. Rossler Toward a re-definition of subthreshold bipolarity: epidemiology and proposed criteria for bipolar-II, minor bipolar disorders and hypomania Journal of Affective Disorders, 73 (2003), pp. 133–146.
44. H.S. Akiskal The emergence of the bipolar spectrum: validation along clinical-epidemiologic and familial-genetic lines Psychopharmacology Bulletin, 40 (2007), pp. 99–115.
45. Kroon JS, Wohlfarth TD, Dieleman J, Sutterland AL, Storosum JG, Denys D, de Haan L, Sturkenboom MC. Incidence rates and risk factors of bipolar disorder in the general population: a population-based cohort study. Bipolar Disord. 2013; 15: 306-313.
46. Carter TD, Mundo E, Parikh SV, Kennedy JL. Early age at onset as a risk factor for poor outcome of bipolar disorder. J Psychiatr Res 2003; 37: 297-303.
47. Bellivier F, Golmard JL, Rietschel M, Schulze TG, Malafosse A, Preisig M . Age at Onset in Bipolar I Affective Disorder: Fur Evidence for Three Subgroups. Am J Psychiatry 2003; 160:999-1001.
48. Joyce PR. Age of onset in bipolar affective disorder and misdiagnosis as schizophrenia. Psychol Med,(1984) 14:145-149.
49. Goodwin FK, Jamison KR (1990) Manic-depressive illness, New York, Oxford University Press.
50. Krasa NR, Tolbert HA. Adolescent bipolar disorder: anine - year experience.
J Affect Disord, 30:175-184.
51. Sigurdsson E, Fombonne E, Sayal K. Neurodevelopmental antecedents of early-onset bipolar affective disorder. Br J Psychiatry 1999; 174: 121-127.
52. Carlson GA, Bromet EJ, Sievers S () Phenomenology and outcome of subjects with early- and adult- onset psychotic mania. Am J Psychiatry 2000;
157: 213-219.
53. Leboyer M, Henry C, Paillere-Martinot M-L, Bellivier F. Age at onset in bipolar affective disorders: a review. Bipolar Disorders, 2005; 7: 111-118.
54. Oral T. İki uçlu bozukluk. İstanbul: WPA serisi, CSA Medikal Yayın Ajansı, 2002: 441-503.
55. Angst J, Marneros A. Temperament and personality types in bipolar patients:
ahistorical review. Bipolar Disorders: 100 Years After Manic-depressive Insanity.London, Kluwer Academic Publishers, s.175-199, 2000
56. Sachs GS. Bipolar mood disorder: practical strategies for acute and maintenance phase treatment. J Clin Psychopharmacol. 1996; 16: 32-47.
57. Akiskal HS, Lopez JJ, Sartorius N. İki Uçlu Bozukluk. (Çev.Ed:Timuçin O) John Wiley&Sons Ltd, s.174-175, 2002.
58. Gitlin MJ, Swendsen J, Heller TL. Relapse and impairment in bipolar disorder. Am J Psychiatry 1995; 152: 1635-1640 .
59. O’Connel RA, Mayo JA, Flatlow L. Outcome of bipolar disorder on long term treatment with lithium. Br J Psyhiatry 1991; 159: 123-129.
60. Keller MB, Lavori PW, Coryell W. Bipolar I, a five-year prospective follow-up. Journal of Nervous and MentalDisorders 1993; 181: 238-245.
61. Marneros A, Brieger P. İki uçlu bozuklukların prognozu: Gözden geçirme. İki Uçlu Bozukluk içinde. (Eds: Maj M, Akiskal HS, Lopez-Ibor J, Sartorius N) John Wiley& Sons Ltd, 2002; Sf.97-148.
62. Goldberg JF, Harrow M, Grossman LS. Course an outcome in bipolar affective disorder: A longitudinal follow-up study. Am J Psychiatry 1995;
152: 379-384 .
63. Harrow M, Goldberg JF, Grossman LS. Outcome in manic disorders. A naturalistic follow-up study. Arch Gen Psychiatry 1990; 47: 665-671.
64. Arnold LM, Witzeman KA, Swank ML. Health- related quality of life using the SF-36 in patients with bipolar disorder compared with patients with chronic back pain and the general population. J Affect Disord 2000; 57: 235-239. .
65. Yatham LN, Lecrubier Y, Fieve RR. Quality of life in patients with bipolar I depression: data from 920 patients. Bipolar Disord 2004; 6: 379-385.
66. Coryell W, Scheftner W, Keller M. The enduringpsychosocial consequences of mania and depression. Am J Psychiatry 1993; 150: 720-727.
67. Perlick DA, Miklowitz DJ, Link BG, Struening E. Perceived stigma and depression among caregivers of patients with bipolar disorder. Br J Psychiatry 2007; 190: 535 .
68. Steele A, Maruyama N, Galynker I. Psychiatric symptoms in caregivers of patients with bipolar disorder: A review. J Affect Disord 2010; 121: 10-21.
69. Sadock BJ, Sadock VA. Kaplan &Sadoc’s Comprehensive Textbook of Psychiatry. 8.baskı, Ankara:Güneş Kitabevi, 2007. .
70. Daviss WB, Coon H, Whitehead P, Ryan K, Burkley M, McMahon W.
Predicting diabetic control from competence, adherence, adjustment, and psychopathology. J Am Acad Child Adolesc Psychiatry 1995; 34: 1629-1636.
71. Georgotas A. Evolution and concepts of depression and mania. A Georgotas, R Cancro, (eds): Depression and Mania’de, New York, Elsevier, 1988, s.3.
72. Warner LA, Silk K, Yeaton WH, Bargal D, Janssen J, Hill EM. Psychiatrists' and patients' views on drug information sources and medication compliance.
Hosp Com Psychiatry 1994; 45(Suppl. 12): 1235-1237.
73. Adams J, Scott J. Predicting medication adherence in severe mental disorders.
Acta Psychiatrica Scand. 2000; 101: 119-124.
74. Bauer J, Hafner S, Kachele H, Wirsching M, Dahlbender RW. The burn out syndrome and restoring mental health at the working place. Psychother Psychosom Med Psychol. 2003; 53: 213-222.
75. Maslach C, Jackson SE (1986). Maslach Burnout Inventory Manual. Palo Alto, CA Consulting Psychologist Press.
76. Pines A, Aronson E, Kafry D. (1981). Burnout:From tedium to personal growth. The Free Press, New York.
77. Cherniss C. (1980). Professional Burnout in human service organizations.
Praeger pres, New York.
78. Schaufeli WB, Enzmann D. (1998). The burnout companion to study &
practice: A critical analysis. London: Taylor & Francis.
79. Edelwich J, Brodsky A. Burn-out Stages Disillusionment In The Helping Professions, Newyork, Human Sciences Press,1980.
80. Perlman B, Hartman EA. Burnout: Summary and Future Research.Human Relation, 1982; 35: 283-305.
81. Pines AM, Nunes R. The relationship between career and couple burnout:
Implications for career and couple counseling. Journal of Employment Counseling 2003; 40: 50-64.
82. Maslach C. The client role in staff burnout. Journal of Social Issues 1976; 34:
111-124.
83. Schwab RL, Jackson SE, Schuler RS. Educator Burnout: Sources and Consequences. Educational Research Quarterly 1986; 10: 14-30.
84. Ergin C. Doktor ve Hemşirelerde Tükenmişlik ve Maslach Tükenmişlik Ölçeği’nin Uyarlanması. 7. Ulusal Psikoloji Kongresi Bilimsel Çalışmaları, 1992; 143-154.
85. Maslach C, Schaufeli WB, Leiter PM. Job burnout. Annual of Pyshcology 2001; 52: 397-422. .
86. Çam O. Tükenmişlik Envanterinin Geçerlik Güvenirliğinin Araştırılması.
VII. Ulusal Psikoloji Kongresi Bilimsel Çalışmaları El Kitabı, 1991.
87. Baysal A. Lise ve Dengi Okul Öğretmenlerinde Meslekte Tükenmişliğe Etki Eden Faktörler. Yayımlanmamış Doktora Tezi, Dokuz Eylül Üniversitesi Sosyal Bilimler Enstitüsü, İzmir, 1995.
88. Hsu K, Marshall V. Prevalance of depression and distress on a large sample of Canadian residents, interns and fellows. Ann. J. Psychiatry 1980; 144:
1561-1566. .
89. Maslach C, Leither MP. The Truth about Burnout. San Fransisco, Prentice-Hall, 1997: 74-76.
90. Özgüven HD, Haran S. Tükenme. Sayıl Işık, editor. Kriz ve krize müdahale.
Ankara:Ankara Üniversitesi Psikiyatrik Kriz Uygulama ve Araştırma Merkezi Yayınları; 2000.s.199-214. .
91. Fawzy FI, Fawzy NW, Pasnau RO. Burnout in the health professioanals. In:
Judd FK, Burrows GD, Lipsitt DR (eds.). Handbook of studies on general hospital psychiatry.Amsterdam: Elsevier Science Publishers BV; 1991. p.
119-30.
92. Maslach C. Burnout: the cost of caring. Cambridge: Malor, 2003.
93. Torun A. Stres ve Tükenmişlik. İstanbul, Türk Psikologlar Derneği Yayınları, 1997: 44.
94. Butterfield PS. The stress of residency. A review of the literatüre. Archive lnternational Education 1988; 148: 1428-1435.
95. Maslach C, Zimbardo PG. Burnout- The Cost of Caring. New Jersey, Prentice Hall, 1982: 77-82.
96. Angerer JM. Job burnout. Journal of Employment Counselling 2003; 40: 98- 107.
97. Baltaş A, Baltaş Z. Stres ve başa çıkma yolları. Remzi Kitapevi 18.Baskı, 1998. .
98. Slaby AE. Handbook of psychiatric emergencies. 4th ed. Connecticut:
Appleton & Lange; 1994.
99. Sears SF, Jr, Urizar GG, Jr, Evans GD. Examining a stress-coping model of burnout and depression in extension agents. J Occup Health Psychol 2000; 5:
56-62
100. Arı GS, Bal EÇ. Tükenmişlik kavramı: Birey ve örgütler açısından önemi.
Yönetim ve Ekonomi 2008; 15: 131-148.
101. Freudenberger HJ, Richelson G: Tükenmeye Rağmen Nasıl Yaşanabilir?
Stresle Başa Çıkma Olumlu Bir Yaklaşım. Türk Psikologlar Derneği Yayınları, 3.Basım 1998; 2.
102. Zigmund AS, Snaith RP. The Hospital Anxiety and Depression Scale. Acta Psychiatr Scand 1983; 67:361-370. .
103. Aydemir Ö, Güvenir T, Küey L, Kültür S. Hastane Anksiyete ve Depresyon Ölçeği Türkçe Formunun Geçerlilik ve Güvenirliği Türk Psikiyatri Dergisi 1977; 8: 280-287.
104. Bosc M, Dubini A, Polin V. Development and validation of a social functioning scale, the Social Adaptation Self-evaluation Scale. Eur Neuropsychopharmacol 1997; 7 (Suppl 1): 57-70.
105. Akkaya C, Sarandöl A, Esen Danacı A, Sivrioğlu Y, Kaya E, Kırlı S, Sosyal Uyum Kendini Değerlendirme Ölçeği Türkçe formunun Geçerliliği ve Güvenirliliği . Türk Psikiyatri Dergisi 2008; 19: 292-299.
106. Williams BW. A structured interview guide for Hamilton Depression Rating Scale. Arch Gen Psyciatry 1978; 45: 742-747.
107. Young RC, Biggs JT, Ziegler VE, Meyer DA. A rating scale for mania:
reliability, validity andsensitivity. Br J Psychiatry 1978; 133: 429-35 . 108. Karadağ F, Oral ET, Yalçın FA, Erten E. Young Mani Derecelendirme
Ölçeğinin Türkiye’de Geçerlik ve Güvenilirliği. Türk Psikiyatri Dergisi 2001; 13: 107-114.
109. Titus A, Beentjes R, Peter J, Goossens , Irina E. Poslawsky , Perspectives in Psychiatric Care. October 2012, Volume 48, Issue 4, pages 187–197.
110. Fisher L, Weihs K. Can addressing family relationships improve outcomes in chronic disease? Report of the National Working Group on Family-Based Interventions in Chronic Disease. J Family Practice 2000; 49: 561-566.
111. Zendjidjian X, Richieri R, Adida M, Limousin S. Quality of life among caregivers of individuals with affective disorders. J Affect Disord 2012;
136: 660-665.
112. Baker JA. Bipolar disorders: An overview of current literature. Journal of Psychiatric and Mental Health Nursing 2001; 8: 437-441.
113. Goossens PJJ, Van Wijngaarden B, Knoppert-Van Der Klein EAM, Van Achterberg T. Family caregiving in bipolar disorder: Caregiver consequences, caregiver coping styles, and caregiver distress. International Journal of Social Psychiatry 2008; 54: 303-316.
114. Dore G, Romans SE. Impact of bipolar affective disorder on family and partners. Journal of Affective Disorders 2001; 67: 147-158.
115. Reinares M, Colom F, Sánchez-Moreno J. Impact of caregiver group psychoeducation on the course and outcome of bipolar patients in remission:
A randomized controlled trial. Bipolar Disorders 2008; 10: 511-519.
116. Van der Voort TY, Goosens PJ, Van der Biji JJ. Burden, coping and needs for support of caregivers for patients with bipolar disorder: A systematic review. J Psychiatr Ment Health Nurs 2007; 14: 679-687.
117. Rose LE, Mallinson RK, Walton-Moss B. Barriers to family care in psychiatric settings. Journal of Nursing Scholarship 2004; 36: 1-9.
118. Karancı AN, Inandılar H. Predictors of components of expressed emotion in major caregivers of Turkish patients with schizophrenia. Soc Psychiatry Psychiatr Epidemiol 2002; 37: 80-88. .
119. Çoban S., Özkan B., Medik K, Saraç B, Bipolar Bozukluğu Olan Bireyler ve Bakım verenlerinin Yaşam Kalitesi Psikiyatri Hemşireliği Dergisi 2013;4(2):61-66.
120. Samele C, Manning N. Level of caregiver burden among relatives of thementally ill in South VeronaEur Psychiatry 2000; 15: 196-204.
121. Elgie R, Morselli PL. Social functioning in bipolar patients: The perception and perspective of patients, relatives and advocacy organizations – a review.
Bipolar Disorders 2007; 9: 144-157.
122. Rose LE, Mallinson RK, GersonMastery LD. Burden and Areas of Concern Among Family Caregivers of Mentally Ill Persons. Archives of Psychiatric Nursing 2006; 20: 41–51.
123. Steele A, Maruyama N, Galynker I. Psychiatric symptoms in caregivers of patients with bipolar disorder: A review. Journal of Affective Disorders 2009; 21: 10-21.
124. Ogilvie AD, Morant N, Goodwin GM. The burden on informal caregivers of people with bipolar disorder. Bipolar Disord. 2005; 7 (Suppl 1): 25-32.
125. Giovanna S, Karen J, Luana B, Jerônimo B, Ricardo T P, Pedro M, Flávio K, Ricardo A. Burden and related factors in caregivers of young adults presenting bipolar and unipolar mood disorder International Journal of Social Psychiatry.
126. Jones SL, Roth D, Jones PK. Effect of demographic and behavioral variables on burden of caregivers of chronic mentally ill persons.
Psychiatric Services 1995; 46: 141-145.
127. Schulze B, Angermeyer MC. (). Subjective experiences of stigma: A focus group study of schizophrenic patients, their relatives and mental health professionals. Social Science & Medicine 2003; 56: 299-312.
128. Milliken PJ, Northcott HC(). Redefining parental identity: Caregiving and schizophrenia. Qualitative Health Research 2003; 13: 100-113.
129. Bibou-Nakou I, Kidaiou M, Bairactaris C. (). Psychosocial dimensions of family burden among two groups of carers looking after psychiatric patients.
Social Psychiatry and Psychiatric Epidemiology 1997; 32: 104-108.
130. Rose LE. Benefits and limitations of professional– family interactions.
Archives of Psychiatric Nursing 1998; 12: 140-147.
131. Schumacher KL, Stewart BJ, Archbold PG. Conceptualization and measurement of doing family caregiving well. Image: Journal of Nursing Scholarship 1998; 30: 63-69
132. Schulze B, Rossler W. Caregiver burden in mental illness: review of measurement, findings and interventions in 2004–2005. Current Opinion in Psychiatry 2005;18: 684-691.
133. Kjellin L, Ostman M. Relatives of psychiatric inpatients: do physical violence and suicide attempts of patients influence family burden and participation in care? Nord J Psychiatry 2005; 59: 7-1.
134. Ganguly KK, Chadda RK, Singh TB. Caregiver burden and coping in schizophrenia and bipolar disorder: A qualitative study. American Journal of Psychiatric Rehabilitation, 2010; 13: 126-142.
135. Perlick DA, Rosenheck RA, Miklowitz DJ, Kaczynski R, Link B, Ketter T, Wisniewski S. Caregiver burden and health in bipolar disorder: A cluster analytic approach. Journal of Nervous andMental Disease,196(6), 484–491.
136. Bauer R, Gottfriedsen GU, Binder H, Dobmeier M, Cording C, Hajak G, Spiessl H. Burden of caregivers of patients with bipolar affective disorders.
American Journal of Orthopsychiatry 2011; 81. 139-148 .
137. Targum SD, Dibble ED, Davenport YB, Gershon ES. (). The family attitudes questionnaire: Patients’ and spouses’ views of bipolar illness.
Archives of General Psychiatry 1981; 38: 562-568.
138. Perlick DA, Clarkin JF, Sirey J, Raue P, Greenfield S, Struening E, Rosenheck RA. Burden experienced by care-givers of persons with bipolar affective disorder. British Journal of Psychiatry 1999; 175: 56-62.
139. Ostacher MJ, Nierenberg AA, Iosifescu DV, Eidelman P, Lund HG, Ametrano RM, Perlick DA. Correlates of subjective and objective burden among caregivers of patients with bipolar disorder. Acta Psychiatrica Scandinavica 2008; 118: 49-56.
140. Reinares M, Vieta E, Colom F, Martínez-A A, Torrent C, Comes M, Goikolea JM, Benabarre A, Daban C, Sánchez J. What really matters to bipolar patients' caregivers: Sources of family burden Journal of Affective Disorders 2006; 94: 157.
141. Chakrabarti S, Gill S. Coping and its correlates among caregivers of patients with bipolar disorder: A preliminary study. Bipolar Disorders 2002; 4: 50-60.
142. Gülseren L, Cam B, Karakoç B, Yiğit T. The perceived burden of careand its correlates in schizophrenia. Turk Psikiyatri Derg 2010; 21: 203-12.
143. Tel H, Pınar E.Ş, Kronik Ruhsal Sorunlu Hastaların Primer Bakım Vericilerinde Tükenmişlik ve Depresyon Arasındaki İlişkinin İncelenmesi Psikiyatri Hemşireliği Dergisi 2013;4(3):145-152.
144. Moor S, Crowe M, Luty S, Carter J, Joyce PR. Effects of comorbidity and early age of onset in young people with Bipolar Disorder on self harming behaviour and suicide attempts Journal of Affective Disorders 2012; 136:
1212-1215.
145. Rea MM, Miklowitz DJ, Thompson MC. Familyfocused treatment versus individual treatment for bipolar disorder: results of a randomized clinical trial. Journal of Consulting and Clinical Psychology 2003; 71: 482-492.
145. Rea MM, Miklowitz DJ, Thompson MC. Familyfocused treatment versus individual treatment for bipolar disorder: results of a randomized clinical trial. Journal of Consulting and Clinical Psychology 2003; 71: 482-492.