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智力残疾患者照料者的负担评估、精神疾病发病率及其相关因素

Burden Assessment, Psychiatric Morbidity, and Their Correlates in Caregivers of Patients with Intellectual Disability.

作者信息

Bhatia M S, Srivastava S, Gautam P, Saha R, Kaur J

机构信息

Department of Psychiatry, University College of Medical Sciences & GTB Hospital, Dilshad Garden, Delhi, India.

出版信息

East Asian Arch Psychiatry. 2015 Dec;25(4):159-63.

Abstract

OBJECTIVE

Intellectual disability in a child places great stress on a family and caregiver and this leads to significant socio-occupational dysfunction and impaired quality of life for caregivers. This study aimed to assess socio-demographic characteristics, burden, and psychiatric morbidity of the caregivers of persons with intellectual disability, as well as to determine the variables that correlated with burden and psychiatric morbidity.

METHODS

An observational study was carried out in an outpatient psychiatric unit of a tertiary care teaching hospital in India from October 2014 to April 2015. A total of 100 caregivers of intellectually impaired individuals were assessed for burden and psychiatric morbidity.

RESULTS

In all, 39% of the caregivers had a high burden score, 46% perceived mild-to-moderate burden severity, and 15% perceived no to mild burden. Mild-to-moderate depressive symptoms were present in 23% and 16% had severe-to-extremely severe depressive symptoms. Mild-to-moderate anxiety symptoms were evident in 19% of caregivers and a further 19% had severe-to-extremely severe anxiety symptoms.

CONCLUSION

Routine assessment of burden and psychiatric morbidity in the caregiver will help to reduce their burden and thus help them care for their children more appropriately and efficiently.

摘要

目的

儿童智力残疾给家庭和照料者带来巨大压力,这会导致严重的社会职业功能障碍,并损害照料者的生活质量。本研究旨在评估智力残疾者照料者的社会人口学特征、负担及精神疾病发病率,并确定与负担和精神疾病发病率相关的变量。

方法

2014年10月至2015年4月在印度一家三级护理教学医院的门诊精神科进行了一项观察性研究。共对100名智力障碍者的照料者进行了负担和精神疾病发病率评估。

结果

总体而言,39%的照料者负担得分较高,46%认为负担严重程度为轻度至中度,15%认为无负担或负担较轻。23%存在轻度至中度抑郁症状,16%有重度至极重度抑郁症状。19%的照料者有轻度至中度焦虑症状,另有19%有重度至极重度焦虑症状。

结论

对照料者的负担和精神疾病发病率进行常规评估将有助于减轻他们的负担,从而帮助他们更妥善、高效地照顾孩子。

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