Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India.
Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India.
Psychiatry Res. 2016 Jul 30;241:302-8. doi: 10.1016/j.psychres.2016.04.108. Epub 2016 May 6.
This study aimed to study stigma experienced by caregivers of patients with schizophrenia. One hundred caregivers of patients with schizophrenia were evaluated on Stigma scale for caregivers of people with mental illness (CPMI), Explanatory model interview catalogue stigma scale (EMIC), General health questionnaire-12 (GHQ), Self-report attitude towards medications questionnaire and Knowledge of mental illness scale (KMI). On CPMI the score was higher for affective component (2.3±0.5) than for cognitive (1.9±0.9) and behavioural (1.8±0.6) components. More than half of caregivers 'agreeing' or 'strongly agreeing' on 20 out of 22 items of CPMI indicated high level of stigma. On EMIC the stigma score was 21.7±6.3. Higher level of affiliate and/or associative stigma was associated with shorter duration of illness and treatment, shorter duration of being in the caregiver role, younger, female and non-earning caregivers, prescription of higher number of pills, caregivers who less often accompany the patient to the hospital and caregivers experienced more psychological morbidity. To conclude this study suggests that caregivers of patients with schizophrenia experience substantial stigma; hospital and community level programs and services are required to reduce and prevent the same.
本研究旨在研究精神分裂症患者照顾者所经历的污名化问题。对 100 名精神分裂症患者的照顾者进行了评估,评估工具包括精神疾病照顾者污名量表(CPMI)、解释模型访谈目录污名量表(EMIC)、一般健康问卷-12(GHQ)、自我报告用药态度问卷和精神疾病知识量表(KMI)。CPMI 的评分中,情感成分(2.3±0.5)高于认知成分(1.9±0.9)和行为成分(1.8±0.6)。超过一半的照顾者对 CPMI 的 22 个项目中的 20 个表示“同意”或“强烈同意”,表明他们存在高度的污名化。EMIC 的污名评分是 21.7±6.3。更高程度的关联和/或联想污名与疾病和治疗时间较短、担任照顾者角色的时间较短、年龄较小、女性和非就业照顾者、开更高数量的药物、照顾者较少陪同患者去医院以及照顾者经历更多心理困扰有关。总之,本研究表明精神分裂症患者的照顾者经历了实质性的污名化;需要在医院和社区层面开展项目和服务,以减少和预防这种污名化。