Department of Psychiatry and Psychotherapy, University Hospital Tuebingen, Calwerstr. 14, 72076 Tuebingen, Germany.
Department of Psychiatry and Psychotherapy, University Hospital Tuebingen, Calwerstr. 14, 72076 Tuebingen, Germany.
Psychiatry Res. 2014 Jul 30;217(3):171-6. doi: 10.1016/j.psychres.2014.02.023. Epub 2014 Feb 22.
The study tests assumptions from the "cognitive model of caregiving" (Kuipers et al., 2010), which aims to inform interventions for carers of people with psychoses. The sample comprised 61 relatives of patients with schizophrenia. Standardized psychological assessments were conducted twice within 6 months including Involvement Evaluation Questionnaire (IEQ-EU), a short form of the Symptom Checklist 90-R (SCL K9), the Family Questionnaire (FQ), scales measuring control attributions of the Illness Perception Questionnaire for Schizophrenia (IPQS-R) and emotions toward the ill relative. Structural equation modelling was used to analyse data. We identified two pathways: (a) from "attributing control to relatives" to distress, intermediated by anxiety for the patient and emotional overinvolvement (EOI), and (b) from "attribution control to patient" to distress, intermediated by anger about the patient and criticism. The model provided a good fit to the data and was successfully replicated at a second point in time. We were able to find supporting evidence for a cognitive model of caregiving. Control attributions and emotions of informal caregivers are important when interventions are planned reducing expressed emotion and burden of caregivers.
该研究检验了“认知照护模式”（Kuipers 等人，2010 年）的假设，旨在为精神疾病患者的照护者提供干预措施。样本包括 61 名精神分裂症患者的亲属。在 6 个月内进行了两次标准化心理评估，包括参与评估问卷（IEQ-EU）、症状清单 90-R（SCL K9）的简短形式、家庭问卷（FQ）、衡量疾病感知问卷-精神分裂症（IPQS-R）的控制归因和对患病亲属的情绪的量表。使用结构方程模型来分析数据。我们确定了两条途径：（a）从“将控制归因于亲属”到痛苦，通过对患者的焦虑和情感过度卷入（EOI）中介，以及（b）从“将控制归因于患者”到痛苦，通过对患者的愤怒和批评中介。该模型与数据拟合良好，并在第二次时间点成功复制。我们找到了支持认知照护模式的证据。当计划干预措施以减少照护者的表达情绪和负担时，非正式照护者的控制归因和情绪很重要。
