Loughland Carmel M, Lawrence Gali, Allen Joanne, Hunter Mick, Lewin Terry J, Oud Nico E, Carr Vaughan J
Centre for Brain and Mental Health Research, Hunter New England Mental Health, The University of Newcastle, PO Box 833, Newcastle, NSW 2300, Australia.
Soc Psychiatry Psychiatr Epidemiol. 2009 Dec;44(12):1031-40. doi: 10.1007/s00127-009-0025-5. Epub 2009 Mar 31.
Exposure to aggression and associated psychological outcomes are poorly characterised among carer-relatives of people with psychosis.
Carer-relatives (N = 106) completed questionnaires assessing socio-demographics and perceived prevalence of aggression in their caring role in the last 12 months. Carers exposed to moderate-severe levels of aggression were re-approached to assess PTSD and coping strategies.
Most respondents (77.4%) reported experiencing moderate-severe levels of aggression. Increased contact with (M = 15.12 vs. M = 6.71 days per month), and significantly higher ratings of affective, antisocial, negative and psychotic symptomology in affected relatives were associated with experiences of moderate-severe aggression. Approximately half of the moderate-severe respondents reported potentially significant levels of PTSD (52%, N = 34), which was associated with greater exposure to verbal aggression and increased usage of coping strategies.
Comparable ratios of physical to non-physical aggression to those reported by professional carers working in acute psychiatric treatment settings were reported. Carer-relatives require greater levels of information and support to assist them in their community caring roles.
在精神病患者的照顾亲属中,遭受攻击行为及其相关心理后果的情况鲜有描述。
照顾亲属(N = 106)完成问卷调查,评估社会人口统计学特征以及过去12个月中他们在照顾角色中所感知到的攻击行为发生率。再次联系那些遭受中度至重度攻击行为的照顾者,以评估创伤后应激障碍(PTSD)和应对策略。
大多数受访者(77.4%)报告称经历过中度至重度攻击行为。与受影响亲属的接触增加(每月接触天数:M = 15.12天对M = 6.71天),以及受影响亲属在情感、反社会、负面和精神病症状方面的评分显著更高,均与中度至重度攻击行为的经历相关。约一半经历中度至重度攻击行为的受访者报告称可能存在显著水平的创伤后应激障碍(52%,N = 34),这与更多地遭受言语攻击以及应对策略使用增加有关。
报告的身体攻击与非身体攻击的比例与在急性精神病治疗环境中工作的专业照顾者所报告的比例相当。照顾亲属需要更多的信息和支持,以帮助他们履行社区照顾职责。