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

简介：在本研究中，我们比较了日本（新泻）和韩国精神分裂症患者家属的护理负担和耻辱感（首尔，大邱），以阐明影响东亚家庭护理体验的社会文化因素的异同。（使用Zarit护理人员负担访谈的8项简短版本进行评估：ZBI-8），耻辱，对日本（n=47）和韩国（n=92）的精神障碍者家庭支持小组成员进行了评估使用访谈问卷。受访者报告了他们的个人态度（个人耻辱，社会距离）和对社区其他人的态度（感知耻辱）的看法。结果：资料分析显示：（1）照顾负担感（根据ZBI-8），与韩国相比，日本的感知耻辱感和社会距离明显更强，2）韩国的个人耻辱感明显强于日本。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感不同。目前的研究结果表明，为了提供有效的支持，减少家庭耻辱和照顾负担，这种支持的必要性，必须强调在这两个国家。

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.