Chiba Rie, Miyamoto Yuki, Funakoshi Akiko, Hirota Misato, Hayashi Yuta, Yamanouchi Tomoko, Mitsui Masako, Inagaki Akiko, Cheng Sheung-Tak
Kyoto University, Japan.
The University of Tokyo, Japan.
J Fam Nurs. 2025 Feb;31(1):16-30. doi: 10.1177/10748407241309138. Epub 2025 Jan 22.
Benefit finding is a concept that represents finding positive changes or benefits through difficult experiences. To map the currently available studies on benefit finding and growth among family caregivers of individuals with mental illness, we conducted a scoping review based on methodological frameworks. A systematic search for studies published in English was conducted using MEDLINE, PsycINFO, PsycARTICLES, CINAHL, and PTSDpubs from inception to August 2023. After screening, 21 articles were included in the review. Of these, 11 studies were cross-sectional studies, 7 were qualitative studies, 2 were mixed-methods studies, and a randomized controlled trial (RCT). Family caregivers experienced various positive psychological changes, such as becoming compassionate/tolerant and resilient, stronger family bonds, change in perspective on life and hope, acquisition of knowledge and coping strategies, and leveraging their experiences and appreciation by others, following various struggles and negative changes. Some indicators of benefit finding and growth, such as positive personal traits, positive reappraisal, good relationships with patients, and social support, were also revealed. The quality assessment demonstrated an acceptable level of quality in most studies, with a few outliers. Future longitudinal studies would reveal the mechanism of benefit finding and growth among family caregivers of individuals with mental illness.
益处发现是一个代表通过艰难经历找到积极变化或益处的概念。为了梳理目前关于精神疾病患者家庭照顾者的益处发现和成长的现有研究,我们基于方法框架进行了一项范围综述。使用MEDLINE、PsycINFO、PsycARTICLES、CINAHL和PTSDpubs对从创刊到2023年8月发表的英文研究进行了系统检索。筛选后,21篇文章被纳入综述。其中,11项研究为横断面研究,7项为定性研究,2项为混合方法研究,还有一项随机对照试验(RCT)。在经历了各种挣扎和负面变化后,家庭照顾者经历了各种积极的心理变化,比如变得富有同情心/宽容且有韧性、家庭关系更紧密、人生观和希望感发生改变、获得知识和应对策略,以及利用自身经历并得到他人的赞赏。还揭示了一些益处发现和成长的指标,如积极的个人特质、积极的重新评价、与患者的良好关系以及社会支持。质量评估表明,大多数研究的质量处于可接受水平,有少数例外。未来的纵向研究将揭示精神疾病患者家庭照顾者的益处发现和成长机制。