van der Voort T Y G, Goossens P J J, van der Bijl J J
Adhesie Mental Health Care Midden-Overijssel, Deventer, The Netherlands.
J Psychiatr Ment Health Nurs. 2007 Oct;14(7):679-87. doi: 10.1111/j.1365-2850.2007.01158.x.
This study was aimed to highlight the factors which influence experienced burden, coping and needs for support of caregivers for patients with a bipolar disorder. Research articles meeting content and methodological quality criteria from January 1995 through October 2005 were reviewed. High objective and subjective burden is experienced by these caregivers. Subjective burden is extremely influenced by illness beliefs. High burden is associated more with severity of symptoms (than diagnosis), difficulties in the relationship with patient, lack of support and stigma. Coping is influenced by appraisal and burden. Different phases in the process of caregiving require different coping mechanisms. Little research is available on effectiveness of coping mechanisms and needs for support. Suggestions are nevertheless found in the literature for professional support. Caregivers of patients with a bipolar disorder experience high burden and try to cope in different ways. Little research is available on coping styles and needs for support. However, recommendations can be made to increase support for these caregivers.
本研究旨在突出影响双相情感障碍患者照料者的经历负担、应对方式及支持需求的因素。回顾了1995年1月至2005年10月间符合内容和方法学质量标准的研究文章。这些照料者经历了较高的客观和主观负担。主观负担受疾病观念的影响极大。高负担更多地与症状严重程度（而非诊断）、与患者关系中的困难、缺乏支持以及污名化相关。应对方式受评估和负担的影响。照料过程中的不同阶段需要不同的应对机制。关于应对机制的有效性和支持需求的研究很少。然而，文献中能找到关于专业支持的建议。双相情感障碍患者的照料者负担较重，并尝试以不同方式应对。关于应对方式和支持需求的研究很少。不过，可以提出建议以增加对这些照料者的支持。
