Laidlaw Tannis M, Coverdale John H, Falloon Ian R H, Kydd Robert R
Departmetn of Cognitive Neuroscience and Behaviour Imperial College of Science, Technology & Medicine, London, UK.
Community Ment Health J. 2002 Aug;38(4):303-10. doi: 10.1023/a:1015949325141.
Ratings of stress and burden and mental symptoms which were screened by the General Health Questionnaire (GHQ) caseness were collected from two types of primary caregivers either living with (n = 37) or separately from (n = 48) a patient with a chronic schizophrenic disorder. The stress levels and burden of caregivers living apart were similar to those who were living together with patients and around 25 percent of both groups met GHQ criterion for having a mental disorder. Multiple regression analyses of all subjects identified stress with the patient's disorder and strain in their own marital relationships as most predictive of their subjective global stress ratings. These results suggest that mental health services should aim to assist key caregivers of people with chronic schizophrenic disorders to manage stress whether or not the patient lives in the same household as the caregiver.
通过一般健康问卷(GHQ)病例筛选收集了两类主要照顾者的压力、负担及精神症状评分,这两类照顾者分别是与慢性精神分裂症患者同住的(n = 37)和与患者分开居住的(n = 48)。分开居住的照顾者的压力水平和负担与与患者同住的照顾者相似,两组中约25%的人符合GHQ精神障碍标准。对所有受试者的多元回归分析表明,患者的疾病带来的压力以及自身婚姻关系中的紧张状况最能预测他们的主观总体压力评分。这些结果表明,心理健康服务应旨在帮助慢性精神分裂症患者的主要照顾者应对压力,无论患者是否与照顾者同住一个家庭。