Cardiff School of Sport, Cardiff Metropolitan University, Cardiff, UK.
Int J Ment Health Nurs. 2018 Feb;27(1):358-367. doi: 10.1111/inm.12329. Epub 2017 Mar 19.
Caring for someone with a mental illness is associated with high levels of burden and psychological distress. Understanding these factors could be important to prevent the development of physical and mental health problems in carers. The purpose of the present study was to determine the contribution of coping styles and social support in predicting the psychological distress reported by informal carers (IC) of individuals with major depression or bipolar disorder. IC (n = 72) of adults with a diagnosed depressive illness were recruited from mental health organizations within the community setting. Carers completed the General Health Questionnaire, Brief COPE, and Social Support Questionnaire. Multiple linear regression analysis revealed that 63% of the variance in psychological distress could be accounted for by adaptive and maladaptive coping styles and perceived quantity and satisfaction with social support. Satisfaction with social support (β = -0.508, P < 0.001) and maladaptive coping (β = 0.369; P < 0.001) were significant predictors of psychological distress. These findings suggest that interventions should consider coping styles, specifically the interaction between maladaptive behaviours and enhancement of quality of support, to assist carers to manage psychological distress, especially earlier in the caring role.
照顾患有精神疾病的人会带来很大的负担和心理困扰。了解这些因素对于预防照顾者出现身心健康问题可能很重要。本研究的目的是确定应对方式和社会支持对预测有重度抑郁症或双相情感障碍的个体的非正式照顾者（IC）报告的心理困扰的贡献。从社区环境中的心理健康组织中招募了患有确诊抑郁障碍的成年人的 IC（n=72）。照顾者完成了一般健康问卷、简要应对量表和社会支持问卷。多元线性回归分析显示，心理困扰的 63%可以通过适应性和适应性不良的应对方式以及感知到的社会支持的数量和满意度来解释。社会支持满意度（β=-0.508，P<0.001）和适应不良应对（β=0.369；P<0.001）是心理困扰的显著预测因素。这些发现表明，干预措施应考虑应对方式，特别是适应不良行为与支持质量增强之间的相互作用，以帮助照顾者管理心理困扰，尤其是在照顾角色的早期。
