Jabłoński Marcin, Dudek Dominika, Furgał Mariusz, Datka Wojciech, Zieba Andrzej
Kliniki Psychiatrii Dorosłych CM UJ.
Psychiatr Pol. 2007 Nov-Dec;41(6):799-812.
The mechanisms of the impact of family support on somatic diseases are still unclear and they are subject of research. Especially little is known about the role of family relations. This study discusses the meaning of social support in somatic disorders, particularly acute leukaemia in the context of family functioning. The aim of the study is the evaluation of usefulness of the Manfred Cierpka questionnaire as the assessment tool examining social support for leukaemic patients.
The study included 36 subjects, 21 men and 15 women, with diagnosis of acute leukaemia. The level of depression symptoms was Manfred Cierpka questionnaire usefulness in the analysis of perception of familiar support in patients with acute leukaemia by the set of questionnaires. The level of disease symptoms was estabilished on the basis of several clinical variables and procedures, during a one year course of the disease. Family functioning and functioning of the patient within the family were evaluated by family assessment questionnaire of Cierpka.
The result of the overall family functioning assessment in the subgroup with depressive symptoms was significantly worse than in the group without depression. There was no such difference in self assessment of the patients' functioning in the family. The scores of the family assessment questionnaire does not differentiate the group according to severity of the illness and one year mortality. CONCLUSION. The Manfred Cierpka questionnaire is helpful as an assessment method of subjective perception of family support for leukaemic patients. The results of the family functioning questionnaire are related to the sustaining of depressive symptoms in the course of the disease. It may indicate the usefulness of early family intervention in the specific group of patients.
家庭支持对躯体疾病的影响机制尚不清楚，仍是研究的课题。尤其是家庭关系的作用知之甚少。本研究探讨社会支持在躯体疾病，特别是急性白血病家庭功能背景下的意义。本研究的目的是评估曼弗雷德·齐尔普卡问卷作为评估白血病患者社会支持的工具的有效性。
该研究纳入了36名诊断为急性白血病的受试者，其中男性21名，女性15名。抑郁症状水平通过一组问卷来分析曼弗雷德·齐尔普卡问卷对急性白血病患者家庭支持感知的有效性。疾病症状水平是在疾病的一年病程中根据几个临床变量和程序确定的。家庭功能以及患者在家庭中的功能通过齐尔普卡家庭评估问卷进行评估。
有抑郁症状亚组的整体家庭功能评估结果明显比无抑郁组差。患者对自身在家庭中功能的自我评估没有这种差异。家庭评估问卷的得分没有根据疾病严重程度和一年死亡率区分组别。结论：曼弗雷德·齐尔普卡问卷作为评估白血病患者家庭支持主观感知的方法是有帮助的。家庭功能问卷的结果与疾病过程中抑郁症状的持续存在有关。这可能表明早期家庭干预对特定患者群体的有用性。
