Suresky M Jane, Zauszniewski Jaclene A, Bekhet Abir K
Psychiatric and Mental Health Nursing, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA.
Perspect Psychiatr Care. 2014 Oct;50(4):235-42. doi: 10.1111/ppc.12047. Epub 2013 Nov 20.
This study examined relationships between vulnerability/risk and protective factors, and family functioning in women family members of adults with serious mental illness.
Using a descriptive, correlational design, this secondary analysis examined characteristics of the family member with mental illness (e.g., diagnosis, level of care) and measures of caregiver stigma and strain, client dependence, family disruption, sense of coherence, and resourcefulness.
Family disruption was greatest in women who provided direct care and whose family member had major depression, followed by bipolar disorder, schizophrenia, and panic disorder. Sense of coherence and resourcefulness were associated with lower family disruption, but did not mediate the effects of caregiver strain.
Interventions restricted to one family member may be insufficient for improving the family functioning.
本研究探讨了严重精神疾病成年患者女性家庭成员的脆弱性/风险与保护因素以及家庭功能之间的关系。
采用描述性相关设计，本次二次分析考察了患有精神疾病的家庭成员的特征（如诊断、护理水平）以及照顾者的耻辱感和压力、患者依赖性、家庭破裂、连贯感和应变能力的测量指标。
在提供直接护理且家庭成员患有重度抑郁症的女性中，家庭破裂最为严重，其次是双相情感障碍、精神分裂症和惊恐障碍。连贯感和应变能力与较低的家庭破裂程度相关，但并未调节照顾者压力的影响。
仅针对一名家庭成员的干预措施可能不足以改善家庭功能。
