Absalom-Hornby Victoria, Gooding Patricia, Tarrier Nicholas
Division of Clinical Psychology, University of Manchester, Manchester, UK.
J Nerv Ment Dis. 2011 Jun;199(6):398-402. doi: 10.1097/NMD.0b013e31821cd394.
This study aimed to assess the needs of the relatives of patients in forensic services and to understand their concerns, perceptions, and ability to cope with the symptoms of schizophrenia. The needs of 18 relatives were assessed using the Family Questionnaire (FQ; Quinn et al., Acta Psychiatr Scand 108:290-296, 2003) and the Relatives' Cardinal Needs Schedule (RCNS; Barrowclough et al., Psychol Med 28:531-542, 1998). The FQ revealed that all symptoms were rated as "frequent." The RCNS supported the data from the FQ because the relatives displayed a need for support and information about the mental illness of schizophrenia. Antisocial behavior was rated as the highest cardinal need (83%), with negative symptoms, interpersonal behavior, psychotic symptoms, and affective symptoms also rated as cardinal needs by more than half of the relatives. The relatives have to cope with a range of symptoms and behaviors displayed by the forensic patient, which can be extremely difficult. Forensic services should provide support for families making information about antisocial behavior a priority.
本研究旨在评估法医服务中患者亲属的需求，并了解他们的担忧、看法以及应对精神分裂症症状的能力。使用家庭问卷（FQ；奎因等人，《斯堪的纳维亚精神病学学报》108:290 - 296，2003年）和亲属主要需求量表（RCNS；巴罗克拉夫等人，《心理医学》28:531 - 542，1998年）对18名亲属的需求进行了评估。FQ显示所有症状的评级均为“频繁”。RCNS支持了FQ的数据，因为亲属表现出对精神分裂症这种精神疾病的支持和信息需求。反社会行为被评为最高的主要需求（83%），超过一半的亲属还将阴性症状、人际行为、精神病性症状和情感症状评为主要需求。亲属必须应对法医患者表现出的一系列症状和行为，这可能极其困难。法医服务应为家庭提供支持，将反社会行为的信息作为优先事项。
