Socio-cultural and natural-environmental factors related to the caregiver burden for patients with schizophrenia

在本研究中，我们比较了日本（新泻）和韩国（首尔、大邱）精神分裂症患者家庭的护理负担和病耻感，以阐明影响东亚地区家庭护理体验的社会文化因素的异同。方法：采用访谈问卷对日本（n=47）和韩国（n=92）智障家庭支持团体成员的护理负担（采用8项短版Zarit照顾者负担访谈：ZBI-8）、耻辱感和社会距离等因素进行评估。受访者报告了他们对个案小品的个人态度（个人污名、社会距离）和对社区中其他人态度的看法（感知污名）。这些小插曲描述了一个患有慢性精神分裂症的人。结果：数据分析显示：1)照料负担感（根据ZBI-8）、感知耻感和社会距离在日本显著强于韩国；2)个人耻感在韩国显著强于日本。讨论：日本和韩国精神分裂症患者家属所经历的护理负担和耻辱有所不同。目前的研究结果表明，为了提供有效的支持，以减少家庭耻辱和护理负担，必须在这两个国家强调这种支持的必要性。

Introduction : In the present study, we compared the care burden and stigma experienced by families of patients with schizophrenia in Japan (Niigata) and Korea (Seoul, Daegu) in order to elucidate similarities and differences in the sociocultural factors that affect the care experience of families in East Asia.Methods : Factors such as care burden (evaluated using the 8-item short version of the Zarit Caregiver Burden Interview : ZBI-8), stigma, and social distance were evaluated for members of support groups for families of mentally impaired individuals in Japan (n=47) and Korea (n=92) using an interview questionnaire. Interviewees reported their personal attitudes (personal stigma, social distance) and perceptions of the attitudes of others in the community (perceived stigma) with respect to a case vignette. These vignettes described a person with chronic schizophrenia.Results : The data analysis revealed the following : 1) feelings of care burden (according to ZBI-8), perceived stigma, and social distance were significantly stronger in Japan compared to Korea, and 2) feelings of personal stigma were significantly stronger in Korea than in Japan.Discussion : The care burden and stigma experienced by families of patients with schizophrenia differed between Japan and Korea. The present findings suggest that in order to provide effective support for reducing family stigma and care burden, the necessity of such support must be emphasized in both countries.