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马来西亚关丹市精神分裂症患者照顾者的应对策略及其相关因素。

Coping strategies and their associated factors among caregivers of patients with schizophrenia in Kuantan, Malaysia.

作者信息

Kamarulbahri Tengku Mohd Saifuddin Tengku, Ariaratnam Suthahar, Nikmat Azlina Wati, Abdullah Nik Nairan, Khing Tan Lee

机构信息

Department of Psychiatry, Faculty of Medicine, Universiti Teknologi MARA (UiTM), Sungai Buloh, Malaysia.

Department of Public Health Medicine, Faculty of Medicine, Universiti Teknologi MARA (UiTM), Sungai Buloh, Malaysia.

出版信息

Front Psychiatry. 2022 Sep 29;13:1004034. doi: 10.3389/fpsyt.2022.1004034. eCollection 2022.

Abstract

BACKGROUND

It is essential for caregivers of schizophrenia patients to have effective coping mechanisms to deal with their own mental health. However, research on the factors that contribute to the coping mechanisms of caregivers is limited. The purpose of this study is to investigate the use of coping strategies and their correlations to socio-demographic features, psychological distress, and social support among the caregivers of patients with schizophrenia.

METHOD

Through the convenience sampling method, 331 caregivers of patients with schizophrenia participated in this cross-sectional study. The respondents comprised caregivers who had attended an outpatient psychiatric clinic, providing the socio-demographic data. The study involves three instruments: the Kessler's Psychological Distress (K10); the Multidimensional Scale of Perceived Social Support (MSPSS); and the Brief-COPE.

FINDINGS

Using multivariable analysis, psychological distress was identified as a substantial independent predictor of emotion-focused, problem-focused, and avoidance coping strategies. Good social support was linked to the usage of problem-focused and emotion-focused coping strategies.

CONCLUSION

It has been demonstrated that good social support and psychological distress are associated with coping strategies. More prospective and qualitative research is required to determine how coping strategies will be able to assist Malaysian caregivers to develop a more holistic approach to treating patients with schizophrenia.

摘要

背景

精神分裂症患者的照料者拥有有效的应对机制以处理自身心理健康问题至关重要。然而,关于影响照料者应对机制的因素的研究有限。本研究旨在调查精神分裂症患者照料者应对策略的使用情况及其与社会人口学特征、心理困扰和社会支持之间的相关性。

方法

通过便利抽样法,331名精神分裂症患者的照料者参与了这项横断面研究。受访者包括曾前往精神科门诊就诊的照料者,他们提供了社会人口学数据。该研究涉及三种工具:凯斯勒心理困扰量表(K10);领悟社会支持多维量表(MSPSS);以及简易应对方式问卷(Brief-COPE)。

结果

通过多变量分析,心理困扰被确定为情感聚焦、问题聚焦和回避应对策略的一个重要独立预测因素。良好的社会支持与问题聚焦和情感聚焦应对策略的使用有关。

结论

研究表明,良好的社会支持和心理困扰与应对策略有关。需要更多的前瞻性和定性研究来确定应对策略如何能够帮助马来西亚的照料者制定更全面的方法来治疗精神分裂症患者。

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