Hasui Chieko, Sakamoto Shinji, Sugiura Tomoko, Miyata Ryoji, Fujii Yasuo, Koshiishi Fumio, Kitamura Toshinori
Department of Psychiatry, Kumamoto University School of Medicine, Kumamoto, Japan.
Compr Psychiatry. 2002 May-Jun;43(3):219-22. doi: 10.1053/comp.2002.32360.
People with mental disorders often cause distress among their family members. We examined a total of 25 pairs of newly referred psychiatric patients and their family members to investigate the correlations between family burden and patient diagnosis (using the Structured Clinical Interview for DSM-III-R [SCID] axis I disorders), symptomatic severity (Positive and Negative Symptoms Scales [PANSS]), global function (Global Assessment of Functioning [GAF]), and the general level of family function (Family Adaptability and Cohesion Evaluation Scale [FACES]). The subjective and objective burdens on the family were assessed by self-report. The subjective and objective burdens were significantly predicted only by the GAF score.
患有精神障碍的人常常给其家庭成员带来困扰。我们共调查了25对新转诊的精神病患者及其家庭成员,以研究家庭负担与患者诊断(使用《精神疾病诊断与统计手册》第三版修订本[DSM-III-R]轴I障碍的结构化临床访谈[SCID])、症状严重程度(阳性和阴性症状量表[PANSS])、整体功能(功能总体评定量表[GAF])以及家庭功能总体水平(家庭适应性和凝聚性评估量表[FACES])之间的相关性。通过自我报告评估家庭的主观和客观负担。仅功能总体评定量表(GAF)得分能显著预测主观和客观负担。