Department of Public Health, University of Oxford, Oxford, UK.
Int J Soc Psychiatry. 2013 Mar;59(2):147-56. doi: 10.1177/0020764011427241. Epub 2011 Nov 17.
The correlates of parental burden in schizophrenia may differ between ethnic groups, but few studies have examined this in a UK setting. Our aim was to identify the correlates of burden in a UK sample of first-generation North Indian Punjabi Sikh parents and their white British counterparts.
Test the association of burden with a series of clinical, social and service use variables and control for potential confounding factors in a model predicting drivers of burden in a combined sample of the above.
The strongest correlates of burden were patient symptoms and parental distress. Differences in correlates of burden between the groups emerged when individual components of service use and parental social network were tested. The group comparisons also revealed differences in expressed emotion (EE) and social networks.
The similarities in sources of burden between the groups could be explained by a commonality of sociocultural and economic experience, resulting from the successful acculturation and affluence of this British Sikh group. The differences between the groups may be related to enduring cultural factors such as kin support, since larger family groups were associated with low burden in the British Sikh group. The nature of EE in this British Sikh group may explain why it was not associated with burden in this sample.
精神分裂症患者父母的负担与种族群体有关，但很少有研究在英国环境中对此进行研究。我们的目的是确定第一代北印度旁遮普锡克父母及其英国白人父母的英国样本中负担的相关因素。
在一个综合样本中，通过模型预测负担的驱动因素，检验与一系列临床、社会和服务使用变量的负担关联，并控制潜在的混杂因素。
负担的最强相关因素是患者症状和父母的痛苦。当测试服务使用和父母社会网络的个别组成部分时，两组之间的负担相关因素出现差异。组间比较还揭示了表达情感（EE）和社会网络的差异。
两组之间负担来源的相似性可以用共同的社会文化和经济经验来解释，这是由于这个英国锡克教群体成功地适应和富裕。两组之间的差异可能与持久的文化因素有关，例如亲属支持，因为在英国锡克教群体中，更大的家庭群体与负担低有关。这个英国锡克教群体中 EE 的性质可以解释为什么它与本样本中的负担无关。
