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照顾者的照顾负担及人格特质对精神分裂症患者治疗依从性和功能的影响

Effect of Care Burden and Personality Traits of Caregivers on Treatment Compliance and Functionality of Patients With Schizophrenia.

作者信息

İzci Filiz, Bascavus Miray, Aslan Metin, Kamiloğlu Osman

机构信息

Department of Psychiatry, Faculty of Medicine, Sağlık Bilimleri University, Istanbul, Turkey.

Erenköy Mental Health and Diseases Training and Research Hospital, Erenköy, Istanbul, Turkey.

出版信息

Prim Care Companion CNS Disord. 2023 Nov 14;25(6):23m03522. doi: 10.4088/PCC.23m03522.

Abstract

To evaluate the effects of care burden and personality traits of caregivers on treatment compliance and social functionality of patients with schizophrenia. This cross-sectional study included 50 patients aged 18-65 years diagnosed with schizophrenia ( criteria) who were followed up in the hospital between December 2020 and June 2021. Fifty caregivers (ie, spouses, parents, siblings, and children) were also included in the study. All study participants completed a sociodemographic data form. Caregivers completed the Temperament and Character Inventory (TCI) and the Zarit Care Burden Scale (ZCBS). Patients completed the Social Functioning Scale (SFS), the Morisky Treatment Adherence Scale (MTAS), and the Positive and Negative Syndrome Scale (PANSS). There was a positive correlation between MTAS and PANSS scores ( = 0.293,  < .05) of patients with schizophrenia and a negative correlation between MTAS and SFS total scores ( = -0.468,  < .01). There was a positive correlation between MTAS and ZCBS-dependency subgroup scores ( < .05). A positive correlation was found between caregivers' TCI subdimensions, especially self-directedness total score and SFS total score ( < .01), as well as between self-transcendence total score and total ZCBS score ( < .05). Based on the study results, temperament and character characteristics of caregivers affect both the care burden of caregivers and the social functionality of patients; however, larger samples are required to measure the effects of caregivers' personality traits and care burden on patients' functioning and adherence to treatment. .

摘要

评估精神分裂症患者照料者的照料负担和人格特质对患者治疗依从性和社会功能的影响。这项横断面研究纳入了2020年12月至2021年6月期间在医院随访的50例年龄在18 - 65岁、诊断为精神分裂症(符合标准)的患者。50名照料者(即配偶、父母、兄弟姐妹和子女)也纳入了研究。所有研究参与者均填写了社会人口学数据表。照料者完成了气质与性格量表(TCI)和扎里特照料负担量表(ZCBS)。患者完成了社会功能量表(SFS)、莫利斯基治疗依从性量表(MTAS)和阳性与阴性症状量表(PANSS)。精神分裂症患者的MTAS与PANSS评分之间存在正相关(r = 0.293,P <.05);MTAS与SFS总分之间存在负相关(r = -0.4,68,P <.01)。MTAS与ZCBS - 依赖性亚组评分之间存在正相关(P <.05)。发现照料者的TCI子维度之间存在正相关,尤其是自我导向总分与SFS总分之间(P <.01),以及自我超越总分与ZCBS总分之间(P <.05)。基于研究结果,照料者的气质和性格特征既影响照料者的照料负担,也影响患者的社会功能;然而,需要更大的样本量来衡量照料者的人格特质和照料负担对患者功能和治疗依从性的影响。

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