Department of Psychiatry & Behavioral Sciences, Faculty of Medicine, University of Crete, Heraklion, Greece Department of Social Medicine, Faculty of Medicine, University of Crete, Heraklion, Greece
Department of Psychology, University of Crete, Rethymnon, Greece.
Int J Soc Psychiatry. 2015 May;61(3):251-64. doi: 10.1177/0020764014540151. Epub 2014 Jun 27.
Studies on determinants affecting family functioning of patients with psychosis are still limited in Greece.
The aim of this study was to describe the socio-demographic and clinical characteristics associated with family functioning in patients with schizophrenia and bipolar disorder in Crete, Greece.
A total of 100 patients and their caregivers agreed to participate in the study. Family functioning was assessed in terms of cohesion, adaptability, communication and satisfaction dimensions (Family Adaptability and Cohesion Evaluation Scale IV Package), expressed emotion (Family Questionnaire), family burden (Family Burden Scale) and caregivers' psychological distress (General Health Questionnaire-28). Multivariate linear regression models were implemented to examine the associations between each one of the family measures and different social and clinical characteristics.
With regard to the caregivers' characteristics, gender, employment status, origin, residence, financial status, relation to the patient, contact with the patient and family structure were among the most significant determinants of family functioning. Also, patients' socio-demographic characteristics, including age, education, origin, residence and employment status, as well as illness-related factors, such as onset of mental illness, number of hospitalisations, last hospitalisation, longer hospitalisation and clinical diagnosis impacted intrafamilial relationships.
The results of this study suggest that a number of social and clinical factors contributed to the family environment of patients with psychosis. Identifying the determinants of family functioning in psychosis is instrumental in developing understandings regarding the factors which may contribute to the rehabilitation or relapse of the patient and the support required to strengthen positive family interactions.
在希腊，关于影响精神疾病患者家庭功能的决定因素的研究仍然有限。
本研究旨在描述与克里特岛精神分裂症和双相情感障碍患者家庭功能相关的社会人口学和临床特征。
共有 100 名患者及其照顾者同意参与研究。家庭功能通过凝聚力、适应性、沟通和满意度维度（家庭适应和凝聚力评估量表 IV 包）、表达情感（家庭问卷）、家庭负担（家庭负担量表）和照顾者的心理困扰（一般健康问卷-28）来评估。实施多元线性回归模型来检查每个家庭措施与不同社会和临床特征之间的关联。
就照顾者的特征而言，性别、就业状况、原籍国、居住地、财务状况、与患者的关系、与患者的接触以及家庭结构是家庭功能的最重要决定因素之一。此外，患者的社会人口学特征，包括年龄、教育程度、原籍国、居住地和就业状况，以及与疾病相关的因素，如精神疾病发病、住院次数、最近一次住院、住院时间延长和临床诊断，都对家庭关系产生了影响。
这项研究的结果表明，许多社会和临床因素促成了精神病患者的家庭环境。确定精神病患者家庭功能的决定因素有助于了解可能导致患者康复或复发的因素，以及加强积极家庭互动所需的支持。
