Influential Factors on the Family Functioning of Patients With Bipolar Disorder: A Qualitative Study

Area of Science:

• Psychiatry
• Psychology
• Sociology

Background:

• Bipolar disorder (BD) is a recurrent psychiatric condition characterized by manic and depressive episodes.
• The recurrent nature and severity of BD symptoms significantly impact family functioning (FF) and the lives of patients' relatives.

Purpose of the Study:

• To explore the key factors influencing the family functioning of individuals diagnosed with bipolar disorder.
• To gain insight into the multifaceted challenges faced by families managing BD.

Main Methods:

• A qualitative study employing conventional content analysis was conducted between 2021-2022.
• Data were gathered through semi-structured interviews with 22 family members of BD patients and 3 healthcare providers in Hamadan, Iran.
• Analysis followed Graneheim and Lundman's conventional content analysis methodology, adhering to COREQ guidelines.

Main Results:

• Six overarching themes emerged from the data: family interaction, adaptation struggles, role challenges, sexual behavior challenges, financial problems, and cultural backgrounds/conflicts.
• These themes encompassed 20 distinct categories detailing the experiences of family members.
• Personal, financial, and sociocultural elements were identified as significant influences on various aspects of family functioning.

Conclusions:

• Personal, financial, and sociocultural factors critically shape family functioning in families affected by bipolar disorder.
• Recognizing these influences is essential for healthcare providers in planning comprehensive care, prevention, and rehabilitation strategies for BD patients.
• The findings empower mental health nurses to offer enhanced support to families and implement participatory care approaches involving family members.