J Korean Acad Psychiatr Ment Health Nurs.  2012 Jun;21(2):158-166.

Level and Correlation Factors of Uncertainty in Members of Families of a Patient with Mental Illness

  • 1Yonsei University College of Nursing / National Health Insurance Corporation Ilsan Hospital, Ilsan, Korea.
  • 2Yonsei University College of Nursing, Seoul, Korea. PSY0962@yuhs.ac


The purpose of this study was to measure the level of uncertainty, credible authority, severity of illness and event familiarity in members of families where there is a patient with a mental illness and to examine the relationships among these variables.
Research data were collected from November 23 to December 7, 2010. Participants in the study were 96 family members who visited patients in a closed ward or out-patient department of one hospital in Goyang City. Self-report questionnaires were analyzed using the SPSS 18.0 Program.
Mean scores were 79.8+/-11.23 for level of uncertainty in family members, 15.5+/-2.17 for credible authority, 13.3+/-2.02 for severity of illness, and 14.5+/-2.43 for event familiarity. Uncertainty in family members was significantly related to credible authority (r=-.52, p<.001), event familiarity (r=-.41, p<.001) and severity of illness (r=.22, p<.031).
The results of the study indicate that credible authority, severity of the illness and event familiarity are major factors perceived uncertainty in members of families of these patients. This outcome suggests the need for a new trials in nursing interventions considering the effects of these variables.


Uncertainty; Family member; Mental illness; Care

MeSH Terms

Surveys and Questionnaires
Recognition (Psychology)


1. Bai JI. The experience of families with psychiatric patients: A grounded theory approach. J Korean Acad Psychiatr Ment Health Nurs. 2001. 10:53–65.
2. Baier M. Uncertainty of illness for persons with schizophrenia. Issues Ment Health Nurs. 1995. 16:201–212.
3. Braden CJ. A test of the self-help model: Learned response to chronic illness experience. Nurs Res. 1990. 39:42–47.
4. Ha YS. Therapeutic Environment for patients with psychiatric and cognitive impairments. Korea Ins Healthc Archit J. 2001. 7(2):83–89.
5. Ham EM, Kim SK, Park YS. A study on the effects of uncertainty-related variables on uncertainty of hospitalized patients. J Korean Acad Psychiatr Ment Health Nurs. 2000. 9:121–133.
6. Jo KH, Son BY. The relationship of uncertainty, hope, and quality of life in patients with breast cancer. J Korean Acad Nurs. 2004. 34:1184–1193.
7. Kang Y. The relationships among uncertainty, appraisal of uncertainty, depression, anxiety and perceived health status in patients with atrial fibrillation. J Korean Acad Adult Nurs. 2005. 17:230–238.
8. Kang Y. The relationships between uncertainty and its antecedents in Korean patients with atrial fibrillation. J Clin Nurs. 2011. 20:1880–1886.
9. Ko NY, Hsu ST. Informational needs, health locus of control and uncertainty among women hospitalized with gynecological diseases. Chang Gung Med J. 2005. 28:559–566.
10. Lee CS, Kim SJ, Kim AK, Kweon YR. The effect of integrated mental health care program on knowledge and practice related to drug and symptom management, and problem solving ability for schizophrenic patients and their families. J Korean Acad Psychiatr Ment Health Nurs. 2007. 16:276–287.
11. Lee JE, Hyun MY. Burden, self-esteem and hope in the family caregivers of mentally ill person. J Korean Acad Psychiatr Ment Health Nurs. 2003. 12:268–278.
12. Lee JY, Choi S. Quality of life in gynecological cancer patients during chemotherapy. Korean J Women Health Nurs. 2007. 13:290–298.
13. Lee K, Park C. A study on the burden of the families with the chronic mentally ill. J Korean Public Health Assoc. 2003. 29(2):140–149.
14. Lee MJ. Uncertainty, appraisal of uncertainty and health-related quality of life in recovering clients discharged from hospital after CABG. Nurs Sci. 2009. 21(1):49–63.
15. Lee MS, Kim HJ, Suh SR. Uncertainty and nursing need according to illness phases in cancer patients. J Korean Acad Adult Nurs. 2008. 20:1–9.
16. Lee YJ, Ham EM, Kim KS. A correlational study on uncertainty, coping and depression of cancer patients. J Korean Acad Nurs. 2001. 31:244–256.
17. Mishel MH. Parents perception of uncertainty concerningtheir hospitalized child. Nurs Res. 1983. 32:324–330.
18. Mishel MH. Uncertainty in illness. Image J Nurs Sch. 1988. 20:225–232.
19. Mishel MH. Uncertainty in acute illness. Annu Rev Nurs Res. 1997. 15:57–80.
20. Mishel MH, Braden CJ. Finding meaning: Antecedents of uncertainty. Nurs Res. 1988. 37:98–103.
21. Mishel MH, Germino BB, Gil KM, Belyea M, Laney IC, Stewart J, et al. Benefits from an uncertainty management intervention for African-American and Caucasian older long-term breast cancer survivors. Psychooncology. 2005. 14:962–978.
22. Mishel MH, Germino BB, Lin L, Pruthi RS, Wallen EM, Crandell J, et al. Managing uncertainty about treatment decision making in early stage prostate cancer: A randomized clinical trial. Patient Educ Couns. 2009. 77:349–359.
23. Park ES, Martinson MI. Maternal uncertainty in childhood chronic illness. Korean J Child Health Nurs. 1998. 4:207–220.
24. Saunders JC. Families livings with severe mental illness: A literature review. Issues Ment Health Nurs. 2003. 24:175–198.
25. Son KH, Bae JI, Jeon JI. Psychiatric outpatients' knowledge of illness and medication who had received symptom and medication instruction. J Korean Acad Psychiatr Ment Health Nurs. 2001. 10:699–713.
26. Stewart JL, Mishel MH, Lynn MR, Terhorst L. Test of a conceptual model of uncertainty in children and adolescents with cancer. Res Nurs Health. 2010. 33:179–191.
27. Szmukler GI, Burgess P, Herrman H, Benson A, Colusa S, Bloch S. Caring for relatives with serious mental illness: The development of the experience of caregiving inventory. Soc Psychiatry Psychiatr Epidemiol. 1996. 31:137–148.
28. Tluczek A, McKechnie AC, Lynam PA. Modified uncertainty theory and parents' perspectives about equivocal diagnostic results for cystic fibrosis. Qual Health Res. 2010. 20:209–223.
29. Yoo KH. Model construction of perceived uncertainty in rheumatoid arthritis patients. 1996. Seoul: Seoul National University;Unpublished doctoral dissertation.
30. Yu PS, Ko SH. A study on the relation among uncertainty in illness, hope and spiritual well-being of cancer patients. J Korean Acad Adult Nurs. 2006. 18:479–487.
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