Gargano Maria Teresa, Serantoni Grazia, Ceppi Fiorella, D'Alema Marco, Ferraris Luisella, Innocente Paola, Lanzi Fiorella, Narracci Andrea, Russo Federico, Venier Marcella
Dipartimento di Psicologia, Università di Palermo.
Dipartimento di Psicologia, Sapienza Università di Roma.
Riv Psichiatr. 2016 Jul-Aug;51(4):135-142. doi: 10.1708/2342.25116.
The main aim of this study is to investigate the burden in relatives of psychiatric patients attending long-term psychodynamic multifamily groups (18 months) of some Mental Health Departments of Lazio Region. A further aim is to verify if the decrease of the burden and the group participation are associated with a reduction of psychiatric symptoms in patients.
The sample consisted of 13 patients (10 men and 3 women) with severe personality disorder with at least one psychotic episode and 42 caregivers (15 men and 27 women). We administered a psychiatric protocol composed of the MCMI-III for the patients and QRS for the caregivers.
The results show a reduction of the subjective burden especially in mothers (F=4.231; sig.=.021). Further results show that the reduction of anxiety (F=1.446; p<.001), somatoform (F=3.573; p<.001), dysthymia (F=2.203; p<.001) and thought disorder (F=2.992; p<.001) in the patients is influenced by the relationship between the "time spent in group" and the "lower subjective burden".
These results suggest a burden decrease, particularly in women caregivers, with direct effects on the structural modifications of the severe syndromes in psychiatric patients.
本研究的主要目的是调查拉齐奥地区一些精神卫生部门长期心理动力多家庭团体（18个月）中精神科患者亲属的负担。另一个目的是验证负担减轻和团体参与是否与患者精神症状的减轻相关。
样本包括13名患有严重人格障碍且至少有一次精神病发作的患者（10名男性和3名女性）以及42名照料者（15名男性和27名女性）。我们对患者实施了由MCMI-III组成的精神科诊疗方案，对照料者实施了QRS。
结果显示主观负担有所减轻，尤其是母亲们（F = 4.231；显著性 =.021）。进一步结果表明，患者焦虑（F = 1.446；p <.001）、躯体形式障碍（F = 3.573；p <.001）、心境恶劣（F = 2.203；p <.001）和思维障碍（F = 2.992；p <.001）的减轻受“在团体中花费的时间”与“较低主观负担”之间关系的影响。
这些结果表明负担有所减轻，尤其是女性照料者，这对精神科患者严重综合征的结构改变有直接影响。
