Research methodology: Family support in bipolar disorder

Research orderology Family condescend in bipolar disorder CHAPTER 111 RESEARCH methodological analysis NEED FOR THE STUDYBipolar affective disorder is a re present-day(prenominal) and long term rational illness which can affect the lives of the people in a much serious manner. Globally the life sentence prevalence of all forms of the illness, often referred to as bipolar spectrum disorders, has been estimated to be 5% in the general population. The case rate of affective disorder in India as 34 per 1000 population.(Ganguli 200) For most of the uncomplainings family is the primary divvy up givers. on that point argon not many studies in India done in this area. The most important defensive particularor for a person with mental illness is neighborly backup man and emotional support from a closely associated relationship. Often, but not always, this close relationship is with a spouse/partner or parent. plenty lacking such a close supportive relationship are at greater att empt of anxiety and depression and any sweet of mental illness.Despite the high burden of mental disorders and the fact that a significant portion of this burden can be reduced by primary and supplementary prevention, most of the people in India do not have access to mental health feel for due to inadequate facilities and lack of human resources. India has a participation mental health program that consists of consolidation basic mental health care into general health care services by education primary health care personnel in mental health care. It can, however, be safely reason that a sole reliance on the trained mental health professionals may not be the best way to move ahead. So this essay attempt to see if there is any connector among recovery and family support. This study would enhance the involvement of family in mentally ill endurings, especially Patients execrable from BPAD.SCOPE OF THE STUDYFamily support is a significant factor for a person with any kind of i llness, let alone mental illness. This study aims to see if there is any significant relation between the family support and recovery in the patients with BPAD. Family systems are very much intact in traditional Indian families. This is an excellent resource in the area of mental health services. The finding of this study will assistance to reinforce the necessity of the community based mental health services. Also this may help to roleplay more awareness in the society regarding the significance of support from family and friends.AIM OF THE STUDYTo study the affinity of family support in recovered(p) persons and non recovered persons with Bipolar affective disorder.OBJECTIVESTo study the socio demographic details of persons with BPADTo study the family support among patients with BPAD who are recovered and who are not recoveredTo compare the family support of recovered persons and non recovered persons with BPADOPERATIONAL DEFINITIONSFamilyThe primary care givers of the patient , who can be father, mother, brother, sister, spouse, son, daughter, uncle, aunt, daughter in law, son in law, granny/father, grand daughter/son.Family supportAid or help given by the members in the family in order to meet physical as well as emotional needs of the patient.Bipolar emotional Disorder F31-ICD 10A disorder characterised by two or more episodes in which patients mood and activity level are significantly disturbed, this disturbance consisting of some occasions of an height of mood and increased vitality and activity ( hypomania or mania) and on others of lowering of mood and decreased energy and activity( depression).Repeated episodes of hypomania or mania only are considered as Bipolar.Recovery Recovery requires_8 consecutive weeks with either no symptoms or only 12 mild symptoms with no functional impairment.(Research diagnostic criteria)HYPOTHESISthither will be high family support for recovered persons than non recovered persons with bipolar affective disorder.RE SEARCH bearingThe researcher has employ descriptive research design for the current study.UNIVERSE Mental Health performance Trust Clinics in Malappuram, and Wayanad is the universe of the study.POPULATIONPersons with Bipolar affective disorder in Morayur, Vengara,Ponnani, Pulikkal,Veliyancode, Ambalavayal, kambalakkad was selected.SAMPLE pattern size of the study was 60. 30 recovered patients and 30 non recovered patients. Non probability sampling method (Purposive sampling) was used to select both recovered and non recovered patients. Clinician impression as per RDC criteria was used to select both the groups 30 recovered patients and 30 non recovered patients.Researcher sure the clinics early and the listed patients in the list were asked to be familiarise on the clinic day. Thus info was collectedTOOLS OF DATA COLLECTIONA structured Questioner muniment to retrieve the socio-demographic details.Standardised whoreson for Family support alternate data will be collected from the patient files of the clinics.Description of tools1. A structured Questioner schedule is developed by the researcher to profile the personal, family, social, work. There are total 13 questions among which 9 are about the personal details of the participant. The remaining quadruple questions are directed to the family.2. Social Support Appraisal master (SSA Vaux et al, 1986)The social support appraisal scale developed by Vaux et al, (1986) is to measure subjective appraisal of support. The SSA is a 23- level instrument based on the desire that the social support is in fact a support only if the mortal believes it is available. These subjective appraisals are also viewed as related to overall psychological well being. The SSA taps the extent to which the individual believes he or she is loved by, esteemed by and involved by family, friends and others. The SSA was studied with 10 undergraduate and community samples involving 979 respondents. The mean age ranged from mid teens t o 48. The samples were approximately 60% female.The SSA has very adept internal consistency, with alpha coefficients that ranges from 0.81 to 0.90. No data on stability was reported. The SSA was subject to considerable evaluation of its validity resulting in very good concurrent, predictive, known groups and construct validity. The SSA is significantly correlated in predicted ways with a variety of measures of social support and psychological well-being, including net work satisfaction, comprehend support, family environment, family environment, depression, positive affect, negative affects, loneliness, life satisfaction and happiness. Each item is rated on a scale of 1 (strongly agree), 2 (agree), 3 (disagree), 4 (strongly disagree). The subjects were asked to mark one of the quadruplet options given for each of the items in the scale. The SSA is scored by reverse scoring on items 3, 10, 13, 21, 22 and adding up the individual items for a total score, with lower scores indicatin g a stronger subjective appraisal of social support. In summation to the total score, the 8 family items make up SSA- family scale and 7 friend items make up a friend subscale. The remaining items refer to others in general. This scale has been used in different studies for measuring perceived social support among the people. Panditi (2004) to study the perceived social support among cured alcoholics, Uthaman (2004) to study social support among persons with depressive disorder, Jaison (2004), to study social support among wives of prisoners and Bhadra (2006) to assess the social support among disaster survivors .Secondary dataSecondary data was collected from the file records from the clinics as well as a small questionnaire prepared by the researcher. The questionnaire has 6 questions. These questions included the name of the clinic, duration of illness, last episode, is the patient functioning well or not. method OF DATA COLLECTIONThe administrative head of the clinic was met fo r the permission and plan would be sought to identify the respondents for the current study- and patientInterview tool was used for the data collectionThe clinician listed out the respondents in the both groups of participants. The administrative head of the clinic was informed beforehand and tools were administered to each of the participants. The objective of the study was clearly explained to the respondents. Ethical issues were clearly explained to them and informed consent of the participants were obtained. They were given freedom in deciding to participate in study. The respondents were allowed to withdraw from the study during the study. none of the respondents from both groups refused to participate in the study.Socio demographic details were taken down from both the patient and the bystander. The tool for family support was translated in Malayalam and questions were asked by the researcher. Each interview took 15 to 20 minutes.DATA ANALYSISThe data collected from 60 patient s were coded into binary data manually for the purpose of statistical tests using SPSS 16.0 version. The statistical method used were descriptive statistics namely mean to compare the family support between the 2 groups of patients. Frequency dispersal and percentage for items on age, gender, religion, education, occupation, relationship with the primary care giver was done. T test of the mean of the social support of both the groups was done to see the significance of the Hypothesis.INCLUSION CRITERIAPatients who have at least a 2 years of history of Bipolar affective disorderPatients Who are taking treatment at MHAT clinicsPatients and family members who will give consent for the studyEXCLUSION CRITERIAPatients of other diagnosis other than BPAD.Patients and families who do not give consentPatients who are staying in institutions other than with familiesPatients who are not under the treatment in MHAT clinicsETHICAL ISSUESThe participants were clearly explained the purpose of the study and they were given the freedom to withdraw from the study.Informed consent obtained from the samples for the study.Confidentiality of the learning was maintained.