ANUPAMA RAMMOHAN, M.Phil., Ph.D.Scholar, Department of Biostatistics, National Institute of Mental Health and Neurosciences, Hosur Road, Bangalore-560029.
Indian J Psychiatry. 2002 Jul;44(3):220-7.
Caring for a family member with schizophrenia is an enduring stressor and causes considerable amount of burden. The aim of the present study was to examine burden and coping in parents and spouses of persons with schizophrenia. The sample comprised of 24 parents and 24 spouses. Patients were assessed on the Global Assessment Scale (GAS), and caregivers were assessed on the Burden Assessment Schedule (BAS) and the Coping Checklist (CCL). Spouses reported greater emotional burden. Parents used more of denial as a coping strategy, while spouses used more of negative distraction strategies. On stepwise regression analysis, patient's age, educational level, and level of functioning and caregiver's use of denial as a coping strategy emerged as significant predictors of caregiver burden. The study highlights the fact that family intervention programs need to address the specific concerns of caregivers.
照顾患有精神分裂症的家庭成员是一个持久的压力源,会给他们带来相当大的负担。本研究的目的是探讨精神分裂症患者的父母和配偶的负担和应对方式。样本包括 24 名父母和 24 名配偶。患者根据总体评估量表(GAS)进行评估,照顾者根据负担评估量表(BAS)和应对检查表(CCL)进行评估。配偶报告了更大的情绪负担。父母更多地使用否认作为应对策略,而配偶更多地使用消极的分散注意力策略。在逐步回归分析中,患者的年龄、教育水平、功能水平以及照顾者使用否认作为应对策略的情况是照顾者负担的显著预测因素。这项研究强调了一个事实,即家庭干预计划需要解决照顾者的具体问题。