Wei Yicheng, Peng Yanan, Li Yan, Song Lanjun, Ju Kang, Xi Juzhe
Shanghai Key Laboratory of Mental Health and Psychological Crisis Intervention, Affiliated Mental Health Center (ECNU), School of Psychology and Cognitive Science, East China Normal University, Shanghai, China.
Shanghai Changning Mental Health Center, Shanghai, China.
Front Psychiatry. 2022 Aug 25;13:961691. doi: 10.3389/fpsyt.2022.961691. eCollection 2022.
Increasing attention has been paid to the role of caregivers' burden in affecting quality of life (QoL) of schizophrenic patients. However, less is known about potential mediation mechanisms underlying this relationship. The current study aimed to explore the sequential mediating effect of expressed emotion and perceived expressed emotion on the relationship between care burden and QoL among people with schizophrenia.
135 Chinese families (one patient and one caregiver) participated in this study. Caregivers reported their care burden and expressed emotion, patients reported their perceived expressed emotion and QoL.
The results of the correlation analysis showed that care burden was negatively related to patients' QoL, including physical, psychological, and social relationships domains, with patients' sex, age, educational level, employment status, and medication-taking as covariates. The sequential mediating effects of criticism and perceived criticism between care burden and QoL were not significant. However, the sequential mediating effects of emotional over-involvement and perceived emotional over-involvement (EOI) between care burden and QoL (including physical and psychological domain) were significant.
The results indicated that reducing the burden and expressed emotion of caregivers could be helpful to improve schizophrenia patients' QoL.
照顾者负担对精神分裂症患者生活质量（QoL）的影响作用已受到越来越多的关注。然而，对于这种关系潜在的中介机制却知之甚少。本研究旨在探讨情感表达和感知到的情感表达在精神分裂症患者照顾负担与生活质量关系中的序列中介作用。
135个中国家庭（一名患者和一名照顾者）参与了本研究。照顾者报告其照顾负担和情感表达，患者报告其感知到的情感表达和生活质量。
相关分析结果显示，以患者的性别、年龄、教育水平、就业状况和服药情况作为协变量，照顾负担与患者的生活质量呈负相关，生活质量包括身体、心理和社会关系领域。批评和感知到的批评在照顾负担和生活质量之间的序列中介作用不显著。然而，情感过度卷入和感知到的情感过度卷入（EOI）在照顾负担和生活质量（包括身体和心理领域）之间的序列中介作用显著。
结果表明，减轻照顾者的负担和情感表达可能有助于提高精神分裂症患者的生活质量。
