Caqueo-Urízar Alejandra, Rus-Calafell Mar, Craig Thomas K J, Irarrazaval Matias, Urzúa Alfonso, Boyer Laurent, Williams David R
Escuela de Psicología y Filosofía, Universidad de Tarapacá, Avenida 18 de Septiembre 2222, Arica, Chile.
Department of Social and Behavioral Sciences, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA, 02115-6018, USA.
Curr Psychiatry Rep. 2017 Jan;19(1):2. doi: 10.1007/s11920-017-0756-z.
In many societies, family members are now the primary caregivers of mental health patients, taking on responsibilities traditionally under the purview of hospitals and medical professionals. The impact of this shift on the family is high, having both an emotional and economic toll. The aim of this paper is to review the main changes that occur in family dynamics for patients with schizophrenia. The article addresses three central themes: (i) changes in the family at the onset of the disorder, (ii) consequences for family members because of their caregiver role, and (iii) family interventions aimed at improving the complex dynamics within the family. After analyzing and discussing these themes, it is observed that despite advances in the field, the viability of taking care of a patient with schizophrenia by the family remains a challenge. Improving care will require commitments from the family, the mental health service system, and local and national governments for greater investments to improve the quality of life of society in general and individuals with schizophrenia in particular.
在许多社会中，家庭成员如今已成为精神疾病患者的主要照料者，承担起了以往属于医院和医学专业人员范畴内的职责。这种转变对家庭的影响极大，在情感和经济方面都造成了损失。本文旨在综述精神分裂症患者家庭动态中发生的主要变化。文章探讨了三个核心主题：（i）疾病发作时家庭的变化，（ii）家庭成员因照料者角色所产生的后果，以及（iii）旨在改善家庭内部复杂动态的家庭干预措施。在对这些主题进行分析和讨论后发现，尽管该领域已取得进展，但家庭照料精神分裂症患者的可行性仍是一项挑战。改善照料需要家庭、精神卫生服务系统以及地方和国家政府做出承诺，加大投资以提高总体社会生活质量，尤其是精神分裂症患者的生活质量。
