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The Well-being of siblings of patients with schizophrenia : an evaluation within the transactional stress and coping model

Yüksel, Muazzez Merve
Schizophrenia is a chronic mental illness which strongly affects not only schizophrenia patients, but also their families and close relatives. So far, family research on patients with schizophrenia has focused on parents, but has neglected siblings.The present study aims to evaluate the well-being of the siblings of patients with schizophrenia within the Lazarus & Folkman’s Transactional Coping and Stress Model. The sample consisted of 103 well siblings of schizophrenia patients. In the present study Socio-demographic Information Form, Subjective Well-being Scale, Rosenberg Self-esteem Scale, Zarit Caregiver Burden Scale, Multidimensional Perceived Social Support Scale, Religiousness Scale, Ways of Coping Scale and, Shortened Perceived Parental Rearing Styles Form were administered to the well siblings. The results of the present study revealed that wellbeing was found to be associated with perceived mother over-protection by well siblings, social support, problem-focused coping, and indirect coping. Self-esteem which is a strong indicator of well-being as the second outcome measure was found to be predicted by gender, burden, perceived mother rejection, father rejection, mother over-protection, mother warmth, father warmth, religiousness, problem-focused coping, and indirect coping. Furthermore, social support was found to be as a moderator variable between burden and well-being; and two mediators of burden were determined which are problemfocused coping and social support. In the framework of Stress and Coping Theory, the significance of perceived social support and ways of coping of well siblings were validated. Social support seems to be very important factor for well-being and selfesteem of the well siblings. It moderates burden, moreover it mediates the relationship between burden and wellbeing. Therefore, siblings should be provided social support as well as their problem focused coping strategies should be strengthened.