ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2021
Moving beyond family: unequal burden across mental health patients' social networks.
Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Well-being and perceived social support in individuals with a sibling with psychiatric disorders: a comparative study.Social psychiatry and psychiatric epidemiology · 2026Article
- Effects of private caregivers on nutritional risk and anxiety in stroke survivors with dysphagia: an observational study.Frontiers in nutrition · 2025Article
- Mental Health Concerns, Insomnia, and Loneliness Among Intern Doctors Amidst the COVID-19 Pandemic: Evidence from a Large Tertiary Care Hospital in Bangladesh.International journal of mental health and addiction · 2023Article
- Stress overload, influencing factors, and psychological experiences of nurse managers during early stages of the COVID-19 pandemic: a sequential explanatory mixed method study.Frontiers in psychology · 2023Article
- Reliability and validity of the Chinese post-discharge coping difficulty scale-parent form in parents of premature infants: a multicenter cross-sectional study.Frontiers in psychology · 2023Article
- Untangling the role of social relationships in the association between caregiver burden and caregiver health: an observational study exploring three coping models of the stress process paradigm.BMC public health · 2022Observational
- Case Report: COVID-19 Pandemic Exacerbates Eating Disorder by Social and Intrafamilial Isolation.Frontiers in pediatrics · 2022Article
- Psychological Impact in Healthcare Workers During Emergencies: The Italian Experience With COVID-19 First Wave.Frontiers in psychiatry · 2022Article
- Hand Hygiene and Mask-Wearing Practices during COVID-19 among Healthcare Workers: Misinformation as a Predictor.The American journal of tropical medicine and hygiene · 2021Article
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Authors and funding
3 authors.
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Abstract
purposeAlthough the family burden of mental health problems on patients' close relatives was widely acknowledged, little was known about how mental health problems affected the quality of life of other types of social relationships of patients, through what mechanisms, and under what conditions. The study aims to explore the burden on all types of relationships of mental health patients and explain why and when the burden is unequal across different relationships.
methodsThe association between different types of relationships and the levels of burden was examined with dyadic data of 1178 patient-acquaintance relationships in the United States and random effects multilevel models. Frequency of contacts was tested as a mediator. The severity of mental health problems was tested as a moderator.
resultsAll types of relationships of patients borne a significant burden. Close relatives including parents, spouses, children, and siblings suffered a greater burden than distant relatives and non-relatives. The unequal burden was partly explained by the frequency of contacts with patients. The burden of close relatives significantly increased when patients' mental health problems were more severe.
conclusionMental health patients put a burden on their frequent contacts outside core families, especially when their problems were more severe. Public health policies should attend to the quality of life of mental health patients' all types of acquaintances in the wider society.
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