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精神分裂症患者的情感表达与照料者负担

Expressed emotion and caregiver burden in patients with schizophrenia.

作者信息

Nirmala B P, Vranda M N, Reddy Shanivaram

机构信息

Department of Psychiatric Social Work, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, Karnataka, India.

出版信息

Indian J Psychol Med. 2011 Jul;33(2):119-22. doi: 10.4103/0253-7176.92052.

Abstract

BACKGROUND

Family's expressed emotion has been shown to be predictive of outcome in mental and physical illnesses in a variety of cultural settings. The relationship between caregiver burden and high level of expressed emotions has demonstrated a high level of relapse among the psychiatric patients in the West.

AIM

The current study explores the relationship between caregivers' burden and level of expressed emotions by the patients with schizophrenia in Indian setting.

MATERIALS AND METHODS

The sample for the study consisted of totally 70 subjects comprising 35 schizophrenic patients and 35 caregivers. The schizophrenic patients who were attending the Day Care Center run by Department of Psychiatric and Neuro Rehabilitation Unit at National Institute of Mental Health and Neuro Sciences (NIMHANS) in Bangalore, India (a tertiary care center) and their primary caregivers were included. Family emotional involvement and criticism scale and The burden assessment schedule were administered to assess the expressed emotions and caregivers' burden. Carl Pearson Correlation test used to study the relationship between the variables.

RESULTS AND CONCLUSION

The study highlighted the need for addressing expressed emotion in comprehensive psychosocial intervention plan. More attention should be paid to the needs of the caregivers in order to alleviate their burden in managing mentally ill patients.

摘要

背景

在多种文化背景下,家庭表达性情绪已被证明可预测精神疾病和躯体疾病的预后。在西方,照顾者负担与高水平表达性情绪之间的关系已表明精神科患者中有较高的复发率。

目的

本研究探讨印度背景下精神分裂症患者的照顾者负担与表达性情绪水平之间的关系。

材料与方法

本研究样本共70名受试者,包括35名精神分裂症患者和35名照顾者。纳入在印度班加罗尔国家精神卫生和神经科学研究所(NIMHANS,一家三级护理中心)的精神科和神经康复科日间护理中心就诊的精神分裂症患者及其主要照顾者。采用家庭情感卷入和批评量表以及负担评估表来评估表达性情绪和照顾者负担。使用卡尔·皮尔逊相关检验来研究变量之间的关系。

结果与结论

该研究强调在综合心理社会干预计划中应对表达性情绪的必要性。应更多关注照顾者的需求,以减轻他们照顾精神疾病患者的负担。

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