Mory C, Jungbauer J, Bischkopf J, Angermeyer M C
Universität Leipzig, Klinik und Poliklinik für Psychiatrie, Leipzig, Germany.
Fortschr Neurol Psychiatr. 2002 Feb;70(2):71-7. doi: 10.1055/s-2002-19919.
The aim of this study was to compare financial burden of spouses, whose relative suffers from schizophrenia, depression or anxiety disorder. 151 spouses filled in the questionnaire about illness related expenses and financial loss. Additionally they estimate their subjective burden according to these experienced costs. Direct cash expenditures on behalf of the patients' illness were reported by 66 % spouses. In the sampling the amount of spent money did not differ statistically, however spouses of patients with anxiety disorder emphasised experiencing financial strain and described more often subjective economic disadvantages. Although most spouses of patients with psychiatric disorders experience illness related financial disadvantages, these costs were usually not considered as serious problem or as burdensome. Based on a subjective hierarchy of burdens financial problems can be regarded as less important for spouses of patients with mental illness. Thus, not only the material, but also the immaterial costs of care giving spouses should be taken into consideration when planning health policy decisions.
本研究旨在比较配偶的经济负担，这些配偶的亲属患有精神分裂症、抑郁症或焦虑症。151名配偶填写了关于疾病相关费用和经济损失的问卷。此外，他们根据这些经历的费用估计自己的主观负担。66%的配偶报告了代表患者疾病的直接现金支出。在抽样中，支出金额在统计学上没有差异，然而，焦虑症患者的配偶强调经历了经济压力，并更频繁地描述了主观经济劣势。虽然大多数精神疾病患者的配偶都经历了与疾病相关的经济劣势，但这些费用通常不被视为严重问题或负担过重。基于负担的主观层次结构，经济问题对精神疾病患者的配偶来说可能不那么重要。因此，在制定卫生政策决策时，不仅要考虑照顾配偶的物质成本，还要考虑非物质成本。
