Importance of psychological functioning of family members as a factor of remission stability in affective disorder patients: a systematic review

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Abstract

BACKGROUND: The biopsychosocial approach to understanding the etiology and pathogenesis of affective disorders predetermines the importance of studying the relationship of social and mental factors, including the patient’s microsocial environment, and the course of disease.

AIM: This review analyzes data from literature related to the psychological traits of the patient’s family environment and the relationship of these variables and indicators of the course of disease in affective disorders.

MATERIALS AND METHODS: This review uses PRISMA criteria and requirements. Systematic online search in Pubmed, Google Scholar, ScienceDirect and eLibrary databases, and manual search of articles.

RESULTS: The review includes 21 studies with a total of 3,166 respondents, including 2,320 patients and 846 family members. Patient distribution by diagnosis: bipolar disorder (65.90%), recurrent depressive disorder (20.52%), schizoaffective disorder (4.84%), other unspecified affective disorders (8.70%). Family member distribution by kinship: partners and spouses (57.1%), parents (20.2%), children (8.2%), siblings (1.9%), other relatives and family members acting as carers (12.6%). It was found that the nature of the patient’s family functioning was an important factor in assessing the course of affective disorders. Five relatively independent research areas were found. They describe the relationship of microsocial environment phenomena and the course of affective disorders, including social integration and support of the patient, general family functioning, emotional expression, types of attachment in the family, and disease burden.

CONCLUSION: Further study of psychosocial factors in the context of the course of affective disorders appears to be a promising research area as it allows to identify important pathogenesis and sanogenesis aspects. There is a critical shortage of domestic research in this area, which is largely determined by the lack of psychognostic methods and evaluation technologies. Adaptation and development of such methods is important at the current development stage of clinical psychology.

About the authors

Victor V. Bocharov

V.M. Bekhterev National Research Medical Center for Psychiatry and Neurology; Saint-Petersburg State Pediatric Medical University; Saint-Petersburg State University

Email: bochvikvik@gmail.com
ORCID iD: 0000-0003-0874-4576
SPIN-code: 2199-6745

Cand. Sci. (Psychology), Leading Researcher, Head of the Laboratory of Clinical Psychology and Psychodiagnostics, Associate Professor of the Department of Psychology of Crisis and Extreme Situations, Head of the Department of Clinical Psychology

Russian Federation, St. Petersburg; St. Petersburg; St. Petersburg

Alexandra M. Shishkova

V.M. Bekhterev National Research Medical Center for Psychiatry and Neurology

Author for correspondence.
Email: shishaspb@mail.ru
ORCID iD: 0000-0001-9707-138X
SPIN-code: 4493-1497

Cand. Sci. (Psychology), Senior Researcher, Laboratory of Сlinical Psychology and Psychodiagnostics

Russian Federation, St. Petersburg

Tatyana A. Korman

V.M. Bekhterev National Research Medical Center for Psychiatry and Neurology

Email: korman-t@mail.ru
ORCID iD: 0009-0007-2841-0166
SPIN-code: 4685-0420

Junior Researcher of the Laboratory of Clinical Psychology and Psychodiagnostics

Russian Federation, St. Petersburg

Dmitry M. Saraykin

V.M. Bekhterev National Research Medical Center for Psychiatry and Neurology

Email: saraikindm@yandex.ru
ORCID iD: 0000-0002-0561-4736
SPIN-code: 1854-3703

Junior Researcher of the Laboratory of Clinical Psychology and Psychodiagnostics

Russian Federation, St. Petersburg

Anastasia Yu. Vinnikova

V.M. Bekhterev National Research Medical Center for Psychiatry and Neurology

Email: vinnikovaanastasia@gmail.com
ORCID iD: 0009-0008-1425-2547
SPIN-code: 7413-1385

Laboratory Research Assistant of the Laboratory of Clinical Psychology and Psychodiagnostics

Russian Federation, St. Petersburg

Iulia A. Bueva

V.M. Bekhterev National Research Medical Center for Psychiatry and Neurology

Email: uliabueva@gmail.com
ORCID iD: 0009-0000-3517-5140

Laboratory Research Assistant of the Laboratory of Clinical Psychology and Psychodiagnostics

Russian Federation, St. Petersburg

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