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[精神病患者配偶的日常负担——亲属支持中以客户为导向的方法]

[Everyday burden of mentally ill people's spouses -- client orientated approaches in relatives' support].

作者信息

Wittmund Bettina, Nause Bianca, Angermeyer Matthias C

机构信息

Klinik und Poliklinik für Psychiatrie am Universitätsklinikum Leipzig, Leipzig.

出版信息

Psychiatr Prax. 2005 Jul;32(5):233-8. doi: 10.1055/s-2003-814962.

Abstract

OBJECTIVE

Regarding clinical practice groups for relatives of mentally ill people mostly are conceptualized depending on the type of disorder the patient is suffering from. However, results of research on burden of caregivers indicate aspects of burden which do not seem to be associated with the patients' disorder.

METHOD

As part of a study on the burden of caregiving to mentally ill family members in-depth interviews as well as diary writing over a 12 weeks period were carried out with 6 spouses of patients suffering from schizophrenia or depression.

RESULTS

Differences in the burden of caregiving do not seem to be related to the type of the patients' diagnosis. Aspects of partnership dominated the interviews and diary writing of the spouses. In all cases substantial parts of experienced burden are related to the spouses' efforts to share mastering of the illness with the patient.

CONCLUSIONS

The hypothesis of specific aspects regarding the type of the patients' disorder related to spouses caregiver burden can not be supported by the results of this study. However, our results seem to encourage aspects of relationship within the development of support programs for relatives of mentally ill people.

摘要

目的

关于为精神病患者亲属设立的临床实践小组,大多是根据患者所患疾病的类型来进行概念化的。然而,对照顾者负担的研究结果表明,存在一些似乎与患者疾病无关的负担方面。

方法

作为一项关于照顾精神病家庭成员负担的研究的一部分,对6名患有精神分裂症或抑郁症患者的配偶进行了为期12周的深入访谈和日记记录。

结果

照顾负担的差异似乎与患者的诊断类型无关。伴侣关系方面主导了配偶的访谈和日记记录。在所有案例中,所经历负担的很大一部分与配偶努力与患者共同应对疾病有关。

结论

本研究结果无法支持关于患者疾病类型与配偶照顾者负担相关的特定方面的假设。然而,我们的结果似乎为精神病患者亲属支持项目的发展中关系方面提供了启示。

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