Mediating effects of care burden and sense of coherence between patients' disabilities and siblings' emotions in psychotic disorders
Mediating effects of care burden and sense of coherence between patients' disabilities and siblings' emotions in psychotic disorders
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精神病患者残疾与兄弟姐妹情绪之间护理负担和一致性感的中介作用
DOI：
10.1002/pcn5.55
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Tatsuo Akechi
中科院分区：
文献类型：
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作者：
Nao Shiraishi;Hiroko Yatsu;Haruka Ogawa;Tatsuo Akechi
AimCare负担和一致性感（SOC）可以帮助理解家庭成员如何解释他们关于精神病亲属的经历。在非正式沟通中，理解兄弟姐妹在这方面的经历对于减轻负面情绪和加强积极情绪是必要的。本研究探讨是否照顾负担和SOC调解残疾的精神病患者和他们的兄弟姐妹的emotions.MethodsA全国范围内的在线调查被用来筛选和招募成年兄弟姐妹的精神障碍患者之间的关系。评估患者在工作生活、社交和家庭沟通方面的残疾，兄弟姐妹的照顾负担和SOC，以及兄弟姐妹的积极和消极情绪。结构方程模型（SEM）进行测试的路径模型，说明了中介效应的照顾负担和SOC对患者的残疾和兄弟姐妹的emotions.ResultsThe样本包括237名兄弟姐妹年龄42.3岁（平均），男性对女性的比例为0.88和237例精神分裂症（80.2%）或情感障碍（19.8%）。在结构方程模型分析中，护理负担通过护理负担正向预测消极和积极情绪的路径将三种残疾与两种类型的情绪联系起来。此外，SOC功能之间的中介残疾的家庭沟通和两种类型的emotions.ConclusionSibery的负性情绪，应减轻干预措施，旨在抑制照顾负担，提高SOC，以解决残疾人的社会化和家庭沟通。然而，照顾负担可能有助于他们的积极情绪。
AimCare burden and sense of coherence (SOC) can facilitate an understanding of how family members interpret their caregiving experiences regarding a relative with psychosis. In informal caregiving, understanding siblings' experiences in this regard is necessary to mitigate negative emotions and strengthen positive ones. This study investigated whether care burden and SOC mediate the relationship between the disabilities of patients with psychosis and their siblings' emotions.MethodsA nationwide online survey was used to screen and recruit adult siblings of patients with psychotic disorders. The patients' disabilities in their work lives, socializing, and family communication, the siblings' care burden and SOC, and the siblings' positive and negative emotions were assessed. Structural equation modeling (SEM) was employed to test the path model that illustrated the mediating effects of care burden and SOC on patients' disabilities and siblings' emotions.ResultsThe sample included 237 siblings aged 42.3 years (mean) with a male‐to‐female ratio of 0.88 and 237 patients with schizophrenia (80.2%) or schizoaffective disorder (19.8%). In the SEM analyses, care burden connected each of the three disabilities with the two types of emotions through the pathways in which care burden positively predicted both negative and positive emotions. Additionally, SOC functioned as a mediator between disability in family communication and both types of emotions.ConclusionSiblings' negative emotions should be alleviated through interventions aimed at suppressing the care burden and enhancing SOC to address disabilities in patients' socializing and family communication. Nevertheless, care burden might contribute to their positive emotions.