Jungbauer J, Mory C, Angermeyer M C
Universität Leipzig, Klinik und Poliklinik für Psychiatrie, Leipzig, Germany.
Fortschr Neurol Psychiatr. 2002 Oct;70(10):548-54. doi: 10.1055/s-2002-34669.
The aim of this study was to investigate to what extent caregivers of schizophrenia patients suffer from psychiatric and psychosomatic symptoms themselves; furthermore, whether there are differences between parents and spouses.
51 parents and 52 spouses of people with schizophrenia were interviewed regarding psychiatric and psychosomatic troubles using standardized questionnaires and diagnostic methods.
A considerably increased prevalence of depressive disorders was found compared to the level in the general population. As well as mothers and wives, caregivers of patients with severe impairments of psycho-social functioning were particularly affected. The severity of the patient's disease and the caregiver's mental problems are significant predictors of psychosomatic complaints in parents and spouses. In addition, caregivers visit physicians more frequently, in particular family doctors, psychiatrists and psychotherapists.
The results support the hypothesis that the burden carried by caregivers of severely affected schizophrenia patients increases their risk of becoming ill, which, as a consequence, leads to a greater use of medical resources. Specific offers of health care and advice on preventative measures appear to be necessary in order to preclude health impairments to caregivers as early as possible.
本研究旨在调查精神分裂症患者的照料者自身患有精神症状和心身症状的程度；此外，父母与配偶之间是否存在差异。
采用标准化问卷和诊断方法，就精神症状和心身问题对51名精神分裂症患者的父母及52名配偶进行了访谈。
与普通人群相比，发现抑郁症患病率显著增加。除了母亲和妻子外，心理社会功能严重受损患者的照料者受影响尤为明显。患者疾病的严重程度和照料者的心理问题是父母及配偶心身主诉的重要预测因素。此外，照料者更频繁地就医，尤其是家庭医生、精神科医生和心理治疗师。
研究结果支持以下假设，即严重受影响的精神分裂症患者的照料者所承受的负担增加了他们患病的风险，这进而导致更多地使用医疗资源。为了尽早预防照料者的健康损害，提供特定的医疗保健服务和预防措施建议似乎很有必要。
