Roick Christiane, Heider Dirk, Bebbington Paul E, Angermeyer Matthias C, Azorin Jean-Michel, Brugha Traolach S, Kilian Reinhold, Johnson Sonia, Toumi Mondher, Kornfeld Asa
Department of Psychiatry, University of Leipzig, Leipzig, Germany.
Br J Psychiatry. 2007 Apr;190:333-8. doi: 10.1192/bjp.bp.106.025353.
Burden on the relatives of patients with schizophrenia may be influenced not only by patient and caregiver characteristics, but also by differences in mental health service provision.
To analyse whether family burden is affected by national differences in the provision of mental health services.
Patients with schizophrenia and their key relatives were examined in Germany (n=333) and Britain (n=170). Differences in family burden in both countries were analysed with regression models controlling for patient and caregiver characteristics.
Family burden was associated with patients'symptoms, male gender, unemployment and marital status, as well as caregivers'coping abilities, patient contact and being a patient's parent. However, even when these attributes were controlled for, British caregivers reported more burden than German caregivers.
National differences in family burden may be related to different healthcare systems in Germany and Britain. Support for patients with schizophrenia may be shifted from the professional to the informal healthcare sector more in Britain than in Germany.
精神分裂症患者亲属的负担可能不仅受患者和照料者特征的影响，还受心理健康服务提供差异的影响。
分析家庭负担是否受各国心理健康服务提供差异的影响。
在德国（n = 333）和英国（n = 170）对精神分裂症患者及其主要亲属进行了调查。使用控制患者和照料者特征的回归模型分析了两国家庭负担的差异。
家庭负担与患者症状、男性、失业和婚姻状况以及照料者的应对能力、与患者的接触情况以及作为患者父母等因素相关。然而，即使控制了这些因素，英国照料者报告的负担仍比德国照料者更多。
家庭负担的国家差异可能与德国和英国不同的医疗保健系统有关。与德国相比，在英国对精神分裂症患者的支持可能更多地从专业医疗保健部门转移到了非正规医疗保健部门。
