Friedrich Fabian, Unger Annemarie, Freidl Marion, Stelzig-Schöler Renate, Rittmannsberger Hans, Simhandl Christian, Grill Wolfgang, Doby Dagmar, Wancata Johannes
Klinische Abteilung für Sozialpsychiatrie, Universitätsklinik für Psychiatrie und Psychotherapie, Wien, Österreich.
Psychiatr Prax. 2012 Oct;39(7):339-44. doi: 10.1055/s-0032-1305318. Epub 2012 Sep 12.
Relatives of persons with schizophrenia have an essential role in informal caregiving. This may result in a high level of burden. Aim of the study was to investigate, if the frequency of unmet needs among relatives caring for schizophrenia patients increases the risk for burden among these relatives.
135 relatives of patients with schizophrenia or schizoaffective disorder were investigated by means of the "Involvement Evaluation Questionnaire" (IEQ) and the "Carer's Needs Assessment for Schizophrenia" (CNA-S).
Multiple linear regression analyses showed positive associations between the frequency of caregivers' unmet needs and the IEQ-subscores "tension" and "worrying". Further, the IEQ-subscore "worrying" was significantly lower among caregivers of outpatients than among caregivers of inpatients or day hospital patients. The IEQ-subscore "urging" was significantly associated with patient's negative symptoms.
Unmet needs among caring relatives have negative effects on their burden. Further, the patients' type of treatment setting (inpatient, outpatient, day hospital) seems to predict caregivers' burden.
精神分裂症患者的亲属在非正式照料中起着至关重要的作用。这可能导致较高的负担水平。本研究的目的是调查，在照料精神分裂症患者的亲属中，未满足需求的频率是否会增加这些亲属负担的风险。
通过“参与度评估问卷”（IEQ）和“精神分裂症照料者需求评估”（CNA-S）对135名精神分裂症或分裂情感性障碍患者的亲属进行了调查。
多元线性回归分析显示，照料者未满足需求的频率与IEQ子分数“紧张”和“担忧”之间存在正相关。此外，门诊患者的照料者中IEQ子分数“担忧”显著低于住院患者或日间医院患者的照料者。IEQ子分数“催促”与患者的阴性症状显著相关。
照料亲属中未满足的需求对他们的负担有负面影响。此外，患者的治疗环境类型（住院、门诊、日间医院）似乎可以预测照料者的负担。
