Gutiérrez-Maldonado José, Caqueo-Urízar Alejandra
Departamento de Personalidad, Evaluación y Tratamientos Psicológicos, Universidad de Barcelona, Paseo Valle de Hebrón, 171, 08035, Barcelona, Spain.
Qual Life Res. 2007 Jun;16(5):739-47. doi: 10.1007/s11136-007-9173-9. Epub 2007 Feb 8.
To explore the effectiveness of a psycho-educational family intervention program for reducing burden in caregivers of patients with schizophrenia in a developing country.
Forty-five caregivers participated, 22 in a psycho-educational family intervention group and 23 in a control group. The family program was held once a week for 5 months. In the control group the caregivers received standard intervention, comprising periodical meetings with the staff to monitor the effects of the medication. Burden was measured before and after the intervention: relatives in the psycho-educational group were evaluated at inclusion and at the end of the program; controls were evaluated at inclusion and 5 months later.
Burden decreased significantly in the psycho-educational group; mean scores on the Zarit Caregiver Burden Scale fell from 85.06 pre-intervention to 52.44 post-intervention, while scores fell only slightly in the control group, from 87.65 to 87.22. Treatment was especially effective in mothers and caregivers with lower educational levels.
This intervention program for reducing caregiver burden in developing Latin American countries was effective. Future investigations should focus on obtaining more precise estimates of the contributions of specific components of these programs to reducing burden.
探讨一项心理教育家庭干预项目在减轻发展中国家精神分裂症患者照料者负担方面的有效性。
45名照料者参与研究，22名进入心理教育家庭干预组，23名进入对照组。家庭干预项目每周进行一次，为期5个月。对照组的照料者接受标准干预，包括定期与工作人员会面以监测药物疗效。在干预前后测量负担：心理教育组的亲属在纳入研究时和项目结束时进行评估；对照组在纳入研究时和5个月后进行评估。
心理教育组的负担显著降低；Zarit照料者负担量表的平均得分从干预前的85.06降至干预后的52.44，而对照组的得分仅略有下降，从87.65降至87.22。该治疗对母亲和教育水平较低的照料者尤其有效。
这个旨在减轻拉丁美洲发展中国家照料者负担的干预项目是有效的。未来的研究应集中于更精确地评估这些项目的具体组成部分对减轻负担的贡献。
