Impact of bipolar affective disorder on family and partners
Impact of bipolar affective disorder on family and partners
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DOI：
10.1016/s0165-0327(01)00450-5
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发表时间：
2001-12-01
影响因子：
6.6
通讯作者：
Romans, SE
中科院分区：
文献类型：
--
作者：
Dore, G;Romans, SE
背景资料：在社区中成功管理重大精神疾病在很大程度上依赖于非正式或非专业的照顾者网络。这种照顾者的需要和经验很少被研究方面的主要慢性情绪障碍。方法：一个样本的照顾者（n = 41）的RDC双相情感障碍进行了系统的采访，以确定这种作用如何影响他们。结果：照顾者报告显着的困难，他们与病人的关系时，她/他是不舒服的。这对她们自己的就业、财务、法律的事务、共同抚养子女和其他社会关系产生了相当大的影响。当患者躁狂时，男性和女性患者的伴侣/父母照顾者特别担心暴力。照顾者自己的心理健康似乎未受影响。尽管如此，护理人员似乎在情感上对患者忠诚，并对问题行为表现出相当大的容忍度，他们对这些行为进行了困难排序。在非家庭伴侣中，同居前对疾病的了解很少。局限性：抽样不包括那些已经放弃自己角色的照顾者，比如与双相情感障碍患者离婚的配偶。结论：这种疾病的管理需要精神卫生专业人员和非正式照顾者之间的伙伴关系，作者建议，每个群体都需要了解对方遇到的困难。虽然关系的侵蚀是双相情感障碍的一个众所周知的并发症，研究结果表明，治疗临床医生可以依靠致力于病人的福利照顾者。(C)2001 Elsevier Science B. V.保留所有权利。
Background: Successful management of major mental illness in the community relies significantly on an informal or non-professional network of caregivers. The needs and experiences of such caregivers have been little studied with respect to major chronic mood disorders. Method: A sample of caregivers (n = 41) of RDC bipolar disorder was systematically interviewed to determine how this role affected them. Results: Caregivers reported significant difficulties in their relationships with the patient when s/he was unwell. with considerable impact on their own employment, finances, legal matters, co-parenting and other social relationships. Violence was a particular worry for partner/parent caregivers of both male and female patients when the patient was manic. The caregiver's own mental health appeared unaffected. Despite this, the caregivers appeared emotionally committed to the patients and showed considerable tolerance of problem behaviours, which they rank-ordered for difficulty. Among nonfamily partners, knowledge of the illness before cohabitation was poor. Limitation: The sampling does not capture caregivers who have abandoned their role, such as spouses who have divorced the bipolar sufferer. Conclusions: Management of this illness requires a partnership between mental health professionals and the informal caregivers and the authors suggest that each group needs to understand the difficulties encountered by the other. Although erosion of relationships is a well-known complication of bipolar disorder, findings indicate that treating clinicians can rely on caregivers committed to the welfare of the patient. (C) 2001 Elsevier Science B.V. All rights reserved.