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患有精神疾病的儿童和青少年照料者的照料负担及其相关因素:一项描述性横断面研究。

Caregiver burden and correlates among caregivers of children and adolescents with psychiatric morbidity: a descriptive cross sectional study.

作者信息

Molebatsi Keneilwe, Ndetei David M, Opondo Phillip R

机构信息

a Department of Psychiatry , University of Botswana , Gaborone , Botswana.

b Department of Psychiatry , University of Nairobi ; Africa Mental Health Foundation. Nairobi, Kenya.

出版信息

J Child Adolesc Ment Health. 2017 Sep;29(2):117-127. doi: 10.2989/17280583.2017.1340301.

Abstract

OBJECTIVE

To determine levels and correlates of caregiver burden among caregivers of children and adolescents with psychiatric morbidity.

METHOD

Over a period of four months, a total of 252 caregivers of children and adolescents with psychiatric morbidity were recruited. Data on socio-demographic factors, psychiatric morbidity among caregivers, and level of caregiver burden was collected using a researcher-designed socio-demographic questionnaire, Mini International Neuropsychiatric Interview, and Zarit burden interview, respectively. Data was analysed using statistical package for social sciences (SPSS) version 21.

RESULTS

Females (n = 211, 83.7%) and mothers (n = 182, 72.2%) accounted for the majority of the study participants. The majority of caregivers reported moderate to severe caregiver burden; (n = 100, 39.7%). Being single or separated (B = -6.91, p = 0.001, β = -0.18) and presence of psychiatric morbidity (B = 7.44, p = 0.009, β = 0.22) in the caregiver significantly contributed to the high levels of caregiver burden.

CONCLUSION

Caregivers of children and adolescents with psychiatric morbidity suffer high levels of caregiver burden. A multidisciplinary approach to management of children with psychiatric morbidity to address challenges faced by the caregivers may alleviate the burden; thereby improving clinical outcomes of children and adolescents with psychiatric morbidity.

摘要

目的

确定患有精神疾病的儿童和青少年的照料者的照料负担水平及其相关因素。

方法

在四个月的时间里,共招募了252名患有精神疾病的儿童和青少年的照料者。分别使用研究人员设计的社会人口学问卷、迷你国际神经精神病学访谈和扎里特负担访谈收集社会人口学因素、照料者的精神疾病情况以及照料负担水平的数据。使用社会科学统计软件包(SPSS)21版对数据进行分析。

结果

女性(n = 211,83.7%)和母亲(n = 182,72.2%)占研究参与者的大多数。大多数照料者报告有中度至重度的照料负担;(n = 100,39.7%)。照料者单身或离异(B = -6.91,p = 0.001,β = -0.18)以及存在精神疾病(B = 7.44,p = 0.009,β = 0.22)显著导致了高水平的照料负担。

结论

患有精神疾病的儿童和青少年的照料者承受着高水平的照料负担。采用多学科方法管理患有精神疾病的儿童,以应对照料者面临的挑战,可能会减轻负担;从而改善患有精神疾病的儿童和青少年的临床结局。

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