Division of Social Work, College of Health Science, University of Wyoming, USA, 1000 E. University Ave, Laramie, WY, 82071, USA.
Psychiatr Q. 2018 Sep;89(3):631-644. doi: 10.1007/s11126-017-9557-0.
Despite the high comorbidity of psychiatric and substance use disorders, extremely little research has examined the experience of caregiving for relatives with co-occurring psychiatric and substance use disorders (COD). The primary objective of the present article is to identify characteristics pertaining to care recipients, family caregivers, and the experience of providing caregiving associated with care recipients having COD vs. only having psychiatric disorders (PD). A U.S. community recruited sample of 1394 family caregivers of persons with COD or PD was employed. Chi-square and Mann-Whitney-Wilcoxon tests were conducted. Compared to caregivers of persons with only PD, caregivers of persons with COD provided slightly less caregiving but experienced significantly greater negative effects from providing care. Caregivers of persons with COD were also more likely to fear care recipients would engage in multiple problematic behaviors. Most significant differences found in providing care to recipients with COD vs. only PD persisted when examining care recipients with severe psychiatric disorders or more moderate psychiatric disorders. Additional findings and treatment implications are described.
尽管精神疾病和物质使用障碍的共病率很高，但很少有研究检查同时患有精神疾病和物质使用障碍（COD）的亲属的护理经验。本文的主要目的是确定与同时患有 COD 和仅患有精神疾病（PD）的护理接受者、家庭护理者以及提供护理的经验相关的特征。本研究在美国社区招募了 1394 名 COD 或 PD 患者的家庭护理者。进行了卡方检验和曼-惠特尼-威尔科克森检验。与仅患有 PD 的护理者相比，COD 患者的护理者提供的护理略少，但提供护理所带来的负面影响要大得多。COD 患者的护理者也更担心护理接受者会出现多种问题行为。当检查患有严重精神疾病或中度精神疾病的护理接受者时，与仅 PD 患者相比，在提供护理方面发现的大多数显著差异仍然存在。描述了其他发现和治疗意义。
