Evidence map›Paper›PMID 41144159›Full record

ReviewInternational journal of bipolar disorders2025

Experiences of informal caregivers supporting individuals diagnosed with bipolar disorder: a systematic review and thematic synthesis.

Emily Roxburgh, Billie Lever Taylor, Aikaterini Rammou, Joanne Hodgekins

Abstract readReview
In one paragraph

Review in International journal of bipolar disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Emily RoxburghDepartment of Clinical Psychology and Psychological Therapies, Norwich Medical School, University of East Anglia, Norwich, NR4 7TJ, UK.
Billie Lever TaylorDivision of Methodologies, Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK.
Aikaterini RammouDepartment of Clinical Psychology and Psychological Therapies, Norwich Medical School, University of East Anglia, Norwich, NR4 7TJ, UK.
Joanne HodgekinsDepartment of Clinical Psychology and Psychological Therapies, Norwich Medical School, University of East Anglia, Norwich, NR4 7TJ, UK. j.hodgekins@uea.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo identify, appraise, and synthesise qualitative studies exploring the experiences of informal caregivers (unpaid individuals providing emotional and or practical care) supporting individuals diagnosed with bipolar disorder (BD), and to identify any emotional, practical, or informational needs.

methodsOvid, MEDLINE, Scopus, PsychINFO and CINAHL were searched from 1980 to January 2025. Studies were eligible for inclusion if they were peer viewed, published in English, used qualitative data collection and analysis, had data on the experiences of caregivers (aged 18 or above) supporting individuals with BD (aged 14 or above), and were conducted in western countries with individualistic cultures. Studies were appraised using the Critical Appraisal Skills Programme checklist. Data were analysed using thematic synthesis.

findingsFourteen papers were included in the review. Three analytical themes: 'challenges of caregiving', 'healthcare system challenges', and 'coping with the shifting landscape' were identified, encompassing six descriptive themes and three supporting subthemes.

conclusionsCaregivers supporting individuals with BD face complex emotional and physical challenges, coupled with significant imposed losses and responsibilities. The relapsing and unpredictable nature of BD can exacerbate caregiver demands. There is a need for increased societal awareness of BD, improved communication and collaboration between mental health services and caregivers, and improved support for caregiver wellbeing. Further research exploring cultural, gender, and role specific needs of caregivers is warranted.

Indexed as

Bipolar disorderCaregiversMeta-synthesisQualitative researchSystematic reviewThematic synthesis

Identifiers

PMID41144159
PMCPMC12559543

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.