Subho Chakrabarti, MD., Senior Resident, Department of Psychiatry, Postgraduate Institute of Medical Education A Research, Chandigarh 160 012.
Indian J Psychiatry. 1995 Jul;37(3):105-12.
This study sought to compare the extent and pattern of burden experienced by relatives of two different patient groups, one with affective disorders and the other with schizophrenia. Cross-sectional assessment of family burden using the Pai and Kapur's Interview Schedule was done in 78 patients with either bipolar disorder or recurrent major depression and 60 patients with schizophrenia diagnosed according to DSM-III. The inter-rater reliability of the interview schedule for burden was also undertaken prior to the assessment of burden in the main study sample. Doth groups were similar with regard to sociodemographic variables, duration of illness and dysfunction of patient except for lower mean age and greater number of single patients in schizophrenia group. The extent of both objective and subjective burden was significantly more in relatives of schizophrenics. The pattern of burden was, however, almost similar in both the groups. Burden was principally fell in the areas of family routine, family leisure, family interaction and finances. The emotional health of the family was relatively untouched and the impact on physical health of the caring relatives due to burden of care was almost negligible. Various sociodemographic and clinical variables related to burden as well as the implication of the findings of the study are discussed.
本研究旨在比较两组不同患者亲属所经历的负担程度和模式，一组为情感障碍患者，另一组为精神分裂症患者。使用 Pai 和 Kapur 的访谈时间表对 78 名双相情感障碍或复发性重度抑郁症患者和 60 名根据 DSM-III 诊断为精神分裂症的患者进行了家庭负担的横断面评估。在主要研究样本中进行负担评估之前，还对访谈时间表的评分者间信度进行了评估。除了精神分裂症组的平均年龄较低和单身患者较多外，两组在社会人口统计学变量、疾病持续时间和患者功能障碍方面相似。精神分裂症患者亲属的客观和主观负担程度都显著更高。然而，两组的负担模式几乎相似。负担主要集中在家庭常规、家庭休闲、家庭互动和财务方面。家庭的情感健康相对未受影响，由于照顾负担对照顾亲属的身体健康的影响几乎可以忽略不计。讨论了与负担相关的各种社会人口统计学和临床变量以及研究结果的意义。
