Nähe unter Druck – stille Belastung bei Schizophrenie und Psychosen

Schizophrenie betrifft nicht nur die erkrankten Menschen, sondern auch deren Angehörige. Sie begleiten den Alltag, tragen Verantwortung und bewältigen anfallende Herausforderungen. In der Pflegepraxis finden ihre Bedürfnisse jedoch bislang kaum Beachtung. Damit sich das ändert, wird anhand von 19 internationalen Studien aus den vergangenen acht Jahren aufgezeigt, welche Belastungen für Angehörige bestehen und welche Impulse sich für die psychiatrische Pflege ableiten lassen, um Angehörige zu entlasten und zu unterstützen.

Publikationsverlauf

Artikel online veröffentlicht:
23. September 2025

• Literatur

• 1 Radley J, Barlow J, Johns LC.. A family perspective on parental psychosis. Psychology and Psychotherapy 2023; 96 (02) 347-363
• 2 Rahmani F, Ebrahimi H, Seyedfatemi N. et al Trapped like a butterfly in a spider’s web: Experiences of female spousal caregivers in the care of husbands with severe mental illness. Journal of Clinical Nursing 2018; 27 (7–8) 1507-1518
• 3 Koushan M, Shomoossi N, Parsaei Mehr Z. et al Women’s Perception of Spousal Psychotic Disorders: A Qualitative Study Iranian Journal of Psychiatry. 2019.
• 4 Al-Sawafi A, Lovell K, Renwick L. et al Relatives living with individuals diagnosed with schizophrenia in Oman: A qualitative study. Journal of Psychiatric and Mental Health Nursing 2021; 28 (06) 1029-1040
• 5 Öztürk GK, Çam MO.. „Like a Pale Flower in a Dark Well“: Experiences of Women Whose Spouses Have Schizophrenia. Journal of Psychosocial Nursing and Mental Health Services 2023; 61 (02) 53-59
• 6 Lewis LF.. Meta-Ethnography of Qualitative Research on the Experience of Being a Partner to an Individual with Schizophrenia Spectrum Disorder. Issues in Mental Health Nursing 2017; 38 (03) 219-232
• 7 Dodge CE, Smith AP.. Caregiving as Role Transition: Siblings’ Experiences and Expectations when Caring for a Brother or Sister with Schizophrenia. Canadian Journal of Community Mental Health 2019; 38 (02) 35-47
• 8 Izon E, Radez J, Knight MTD.. The psychosocial stressors of siblings of people with experiences of psychosis (SOPEP): A systematic narrative review across cultures Clinical Psychology and Psychotherapy. 2023.
• 9 Graves JM, Marsack-Topolewski CN, Shapiro J.. Emerging Adult Siblings of Individuals with Schizophrenia: Experiences with Family Crisis. Journal of Family Issues 2020; 41 (11) 2002-2021
• 10 Yang CI, Hsieh MY, Lee LH. et al Experiences of caring for a sibling with schizophrenia in a Chinese context: A neglected issue. International Journal of Mental Health Nursing 2017; 26 (04) 409-417
• 11 Akgül Gök F, Duyan V.. ,I wanted my child dead’ – Physical, social, cognitive, emotional and spiritual life stories of Turkish parents who give care to their children with schizophrenia: A qualitative analysis based on empowerment approach. International Journal of Social Psychiatry 2020; 66 (03) 249-258
• 12 Bai XL, Luo ZC, Wang A. et al Challenge of parents caring for children with early-stage schizophrenia in China: A qualitative study. Perspectives in Psychiatric Care 2020; 56 (04) 777-784
• 13 Klages D, East L, Usher K. et al Health Professionals as Mothers of Adult Children With Schizophrenia. Qualitative Health Research 2020; 30 (12) 1807-1820
• 14 Sharifi M, Younesi SJ, Foroughan M. et al The Challenges of Caring for an Adult Child with Schizophrenia in the Family: An Analysis of the Lived Experiences of Older Parents. Inquiry 2023; 60: 469580221148867
• 15 Sharma B, Green N, Keville S.. Fathers’ experiences of caring for an adult child with psychosis: a qualitative study. Psychosis 2020; 12 (02) 139-150
• 16 Huang C, Lam L, Plummer V. et al Feeling responsible: Family caregivers’ attitudes and experiences of shared decision-making regarding people diagnosed with schizophrenia: A qualitative study. Patient Education and Counseling 2021; 104 (07) 1553-1559
• 17 Boström PK, Strand J.. Children and parents with psychosis-Balancing between relational attunement and protection from parental illness. Journal of Child and Adolescent Psychiatric Nursing 2021; 34 (01) 68-76
• 18 Karaca A, Şener DK, Kundakçi N.. Being a child of a parent with schizophrenia or bipolar disorder: A qualitative study. Archives of Psychiatric Nursing 2024; 50: 94-99
• 19 Rask M, Schmidt M, Brolin R. et al Children’s Perceptions and Experiences of Their Involvement in Their Parents’ Mental Health Care – A Qualitative Literature Review. Issues in Mental Health Nursing 2024; 45 (07) 676-685
• 20 Huckle C, Lemmel F, Johnson S.. Experiences of friendships of young people with first-episode psychosis: A qualitative study. PLoS One 2021; 16 (07) e0255469
• 21 Ludwig KA, Brandrett B, Lim MH. et al Lived experience of loneliness in psychosis: A qualitative approach. Journal of Mental Health 2022; 31 (04) 543-550
• 22 Kinderschutzleitlinienbüro. AWMF S3 + Leitlinie Kindesmisshandlung, -missbrauch, -vernachlässigung unter Einbindung der Jugendhilfe und Pädagogik (Kinderschutzleitlinie), Langfassung 1.0, 2019, AWMF-Registernummer: 027–069