A sociocultural stress, appraisal, and coping model of subjective burden and family attitudes toward patients with schizophrenia
A sociocultural stress, appraisal, and coping model of subjective burden and family attitudes toward patients with schizophrenia
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DOI：
10.1037/0021-843x.115.1.157
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发表时间：
2006-02-01
影响因子：
4.6
通讯作者：
Aziz, N
中科院分区：
文献类型：
--
作者：
Rosenfarb, IS;Bellack, AS;Aziz, N
本研究以社会文化压力、评估与因应模式探讨精神分裂症患者家属之照护负担与负性情感态度。92名非裔美国人和79名白色患者和一名重要的其他（80%的母亲）完成了2个10分钟的家庭问题解决讨论。此外，Kreisman拒绝量表和家庭负担的总体自我报告评级管理的亲属，并管理的物质使用的自我报告评级的患者。结果表明，主观负担的照顾和病人的奇怪和不寻常的想法，在家庭讨论各自独立预测亲属对病人的态度，这表明，消极的态度是部分基于病人的症状和感知负担的照顾。非裔美国人亲属的感知负担也预测了患者的药物滥用。最后，白色家庭成员比非洲裔美国人更有可能感到负担，并拒绝对他们的精神分裂症亲属的态度，这表明文化因素起着重要的作用，在确定双方的负担和亲属对病人的态度。
A sociocultural stress, appraisal, and coping model was developed to understand relatives' burden of care and negative affective attitudes toward patients with schizophrenia. Ninety-two African American and 79 White patients and a significant other (80% mothers) completed 2 10-min family problem-solving discussions. In addition, the Kreisman Rejection Scale and a global self-report rating of family burden were administered to relatives, and a self-report rating of substance use was administered to patients. Results indicated that subjective burden of care and patients' odd and unusual thinking during the family discussion each independently predicted relatives' attitudes toward patients, suggesting that negative attitudes are based in part on both patients' symptoms and perceived burden of care. African American relatives' perceived burden was also predicted by patients' substance abuse. Finally, White family members were significantly more likely than African Americans to feel burdened by and have rejecting attitudes toward their schizophrenic relative suggesting that cultural factors play an important role in determining both perceived burden and relatives' attitudes toward patients.