Caregiver-coping in bipolar disorder and schizophrenia - A re-examination
Caregiver-coping in bipolar disorder and schizophrenia - A re-examination
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DOI：
10.1007/s00127-005-0884-3
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发表时间：
2005-04-01
影响因子：
4.4
通讯作者：
Sharma, R
中科院分区：
文献类型：
--
作者：
Nehra, R;Chakrabarti, S;Sharma, R
研究背景精神分裂症等慢性/严重精神疾病患者的照护经历已被广泛研究。这些研究表明，疾病变量和照顾者的情景/个人特征对照顾者如何应对精神疾病有重大影响。然而，其他类似的疾病，如双相情感障碍(BPAD)，在这方面相对被忽视。本研究试图比较BPAD和精神分裂症患者的照顾者应对方式，并探索这种应对方式的决定因素。方法对50例BPAD和精神分裂症患者及其照顾者进行疾病变量及照顾者应对、负担、评价、领悟支持和神经质的调查。结果BPAD和精神分裂症患者功能障碍程度高、照顾者负担重、疾病知晓率低、对患者行为的控制感差，两组间差异无统计学意义。应对模式也非常相似，尽管精神分裂症患者的照顾者使用一些以情绪为重点的策略的频率要高得多。照顾者的性别、患者功能障碍和照顾者神经质对应对模式有显著影响，但只解释了不同应对策略使用的差异的一小部分。结论BPAD患者的应付方式等护理体验因素与精神分裂症患者无明显差异。照顾者应对及其决定因素之间的关系似乎是一种复杂的关系。为了了解这一复杂的领域，需要进行更多方法上合理和文化上相关的调查，希望更好的理解将有助于患者和他们的照顾者的事业。
Background The caregiving experience has been extensively investigated in some chronic/severe mental illnesses such as schizophrenia. These studies have suggested that illness variables and situational/personal characteristics of caregivers have a significant influence on how caregivers cope with mental illness. However, other similar conditions, e. g. bipolar affective disorder (BPAD), have been relatively neglected in this regard. This study attempted to compare caregiver-coping in BPAD and schizophrenia and to explore the determinants of such coping. Method Illness variables and coping, burden, appraisal, perceived support, and neuroticism among caregivers were examined in 50 patients each of BPAD and schizophrenia and their caregivers. Results High levels of patient-dysfunction and caregiver-burden, low awareness of illness and low perceived control over patient's behaviour were characteristic of both BPAD and schizophrenia, with no significant differences between the two groups on these parameters. Coping patterns were also quite alike, though caregivers of patients with schizophrenia were using some emotion-focused strategies significantly more often. Caregiver's gender, patient-dysfunction and caregiver-neuroticism had a significant influence on coping patterns, but explained only a small proportion of the variance in use of different coping strategies. Conclusions Coping and other elements of the caregiving experience in BPAD are no different from schizophrenia. The relationship between caregiver-coping and its determinants appears to be a complex one. More methodologically sound and culturally relevant investigations are required to understand this intricate area, with the hope that a better understanding will help the cause of both patients and their caregivers.