Family Stressors as the Cause of Rehospitalization in Psychotic Disorders

Objective: this study aimed to describe attributors of family stressors which cause rehospitalizations inpatients with psychotic disorders.materials and methods: in a cross sectional study (during 2006-7) 203 randomly selected psychiatricreadmitted patients with psychotic diagnosis and registered demographic and psychiatric clinical datawere included. family stressors as the possible cause of readmission were asked through a structuredinterview by the psychiatrist.results: family factors were reported as a cause in 132 (60.6%) cases. poor family support (n=88;43.3%) and family conflict (n=58; 28.6%) were the two most prevalent family stressors, respectively.bivariate analysis showed that admission due to family issues was different among men and women(79.1% vs. 38.7%, respectively p<0.001) and according to job situation (p<0.001), and literacy(p=0.036). according to logistic regression, gender (men) was the only predictor of admission due tofamily issues (or=5.989, ci=3.220-11.141, p<0.001).conclusion: family factors are prevalent causes of return to hospital in patients with psychoticdisorders, and this is more prevalent in men. an approach to decrease the marital stressors is neededin patients with psychotic disorders. in this approach, increasing family support and decreasing familyconflict are essential.