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精神分裂症患者照料者的照料负担及应对策略中的性别差异。

Gender differences in burden of care and coping strategies among caregivers of schizophrenia patients.

作者信息

Kumar Santosh, Dixit Vidhata, Ali Ramjan, Chaudhury Suprakash

机构信息

Department of Psychiatry, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.

Department of Psychology, J.D. Womens College, Patna, Bihar, India.

出版信息

Ind Psychiatry J. 2023 Jan-Jun;32(1):78-85. doi: 10.4103/ipj.ipj_44_22. Epub 2022 Sep 14.

Abstract

BACKGROUND

Caregivers of patients with schizophrenia have a considerable burden of care and develop different coping strategies to deal with the caregiving burden.

AIM

The aim of this article is to assess gender differences in the burden of care and coping strategies used among caregivers of clinically stable patients with schizophrenia.

METHODS

In this cross-sectional study, a total of 57 caregivers (33 males and 24 females) of the patients with schizophrenia attending a psychiatric outpatient setting were included by purposive sampling. The caregivers were assessed with the Burden Assessment Schedule 20 items (BAS-20) and Brief Approach/Avoidance Coping Questionnaire (BACQ) to assess the burden of care and coping strategies, respectively.

RESULTS

Average BAS-20 score was comparable between the male and female caregivers. If the patient was a spouse, the male caregivers had a significantly higher burden of the marital relationship than the female caregivers. On the BACQ, the socio-emotional approach subscale was significantly higher in female caregivers. The avoidance-oriented coping score and socio-emotional avoidance subscale were significantly higher in male caregivers. A significant positive correlation was found between BAS-20 score and avoidance-oriented coping scores in all caregivers except the females where a significant negative correlation was found between BAS score and socio-emotional avoidance type of coping.

CONCLUSION

There are no gender differences in the burden of care in caregivers of clinically stable patients with schizophrenia except the male caregivers have a higher burden in the domain of marital relationship. The socio-emotional approach type of coping is higher in females while the socio-emotional avoidance type of coping is lower in male caregivers.

摘要

背景

精神分裂症患者的照料者承受着相当大的照料负担,并会制定不同的应对策略来应对这种负担。

目的

本文旨在评估临床稳定的精神分裂症患者照料者在照料负担及所采用的应对策略方面的性别差异。

方法

在这项横断面研究中,通过立意抽样纳入了共57名在精神科门诊就诊的精神分裂症患者的照料者(33名男性和24名女性)。分别使用20项照料负担评估量表(BAS - 20)和简易趋近/回避应对问卷(BACQ)对照料者进行评估,以分别评估照料负担和应对策略。

结果

男性和女性照料者的BAS - 20平均得分相当。如果患者是配偶,男性照料者在婚姻关系方面的负担显著高于女性照料者。在BACQ上,女性照料者在社会情感趋近子量表上得分显著更高。男性照料者在回避导向应对得分和社会情感回避子量表上得分显著更高。在所有照料者中,除了女性照料者的BAS得分与社会情感回避型应对之间存在显著负相关外,BAS - 20得分与回避导向应对得分之间均存在显著正相关。

结论

临床稳定的精神分裂症患者照料者在照料负担方面不存在性别差异,只是男性照料者在婚姻关系领域的负担更高。女性照料者的社会情感趋近型应对方式更多,而男性照料者的社会情感回避型应对方式较少。

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