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患有创伤后应激障碍的退伍军人配偶的照顾者负担与倦怠

Caregiver burden and burnout in partners of war veterans with post-traumatic stress disorder.

作者信息

Klarić Miro, Francisković Tanja, Pernar Mirjana, Nembić Moro Iva, Milićević Ruza, Cerni Obrdalj Edita, Salcin Satriano Amela

机构信息

Department of Psychiatry, Faculty of Medicine, University of Mostar, Mostar, Bosnia and Herzegovina.

出版信息

Coll Antropol. 2010 Mar;34 Suppl 1:15-21.

Abstract

War veterans diagnosed with chronic post-traumatic stress disorder (PTSD) experience serious difficulties in social, professional and family life. Consequently, their wives often become indirect victims of their husbands' dysfunction. The purpose of this study was to assess the caregiver burden and burnout level in partners of veterans suffering from PTSD, especially in cases where partners suffer from their own PTSD symptoms. The experimental group consisted of 154 wives or partners of war veterans treated for PTSD caused by the war trauma in University Hospital Mostar. The control group was made of 77 wives or partners of war veterans without PTSD. The study was based on the General Demographic Questionnaire, the Harvard Trauma Questionnaire, Bosnia-Herzegovina version, Caregiving and the Experience of Subjective and Objective Burden and the Maslach Burnout Inventory. The wives of PTSD affected veterans scored significantly higher in all subscales of the Caregiver Burden Questionnaire and the Burnout Inventory. The results indicated that subjective demand burden, subjective stress and burnout were significantly higher in relationships in which both partners suffer from PTSD compared to couples in which only the veteran suffers from PTSD and couples in which none of the partners has PTSD. Living with a veteran diagnosed with PTSD places a heavy burden on the wife and poses a serious risk of burnout, which has to be taken into account in treatment planning.

摘要

被诊断患有慢性创伤后应激障碍(PTSD)的退伍军人在社交、职业和家庭生活中都面临着严重困难。因此,他们的妻子常常成为丈夫功能失调的间接受害者。本研究的目的是评估患有PTSD的退伍军人伴侣的照料者负担和倦怠水平,特别是在伴侣自身也有PTSD症状的情况下。实验组由154名在莫斯塔尔大学医院接受因战争创伤导致的PTSD治疗的退伍军人的妻子或伴侣组成。对照组由77名没有PTSD的退伍军人的妻子或伴侣组成。该研究基于一般人口统计问卷、波斯尼亚和黑塞哥维那版的哈佛创伤问卷、照料与主观和客观负担体验以及马氏倦怠量表。患有PTSD的退伍军人的妻子在照料者负担问卷和倦怠量表的所有子量表上得分显著更高。结果表明,与只有退伍军人患有PTSD的夫妻以及双方都没有PTSD的夫妻相比,双方都患有PTSD的夫妻关系中的主观需求负担、主观压力和倦怠显著更高。与被诊断患有PTSD的退伍军人生活在一起给妻子带来了沉重负担,并带来了严重的倦怠风险,这在治疗计划中必须予以考虑。

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