Beckham J C, Lytle B L, Feldman M E
Durham Veterans Affairs Medical Center, North Carolina 27705, USA.
J Consult Clin Psychol. 1996 Oct;64(5):1068-72. doi: 10.1037//0022-006x.64.5.1068.
Caregiver burden in 58 partners of Vietnam veterans with posttraumatic stress disorder (PTSD) was examined. The relationship between patient PTSD severity and caregiver burden, as well as the effect of several caregiver and patient variables on caregiver psychological status, was evaluated twice, an average of 8 months apart. Patient symptom severity was positively correlated with caregiver burden. Time 1 cross-sectional analysis indicated that greater caregiver burden was associated with greater caregiver psychological distress, dysphoria, and anxiety. Patient symptom severity also contributed to caregiver psychological distress; financial stress contributed to caregiver dysphoria and trait anxiety. Time 2 cross-sectional analyses essentially replicated the Time 1 findings. A third set of analyses examining change scores indicated that changes in caregiver burden for individuals in the sample positively predicted individual changes in caregiver psychological distress, dysphoria, and state anxiety.
对58名患有创伤后应激障碍（PTSD）的越南退伍军人的伴侣的照顾者负担进行了研究。对患者PTSD严重程度与照顾者负担之间的关系，以及几个照顾者和患者变量对照顾者心理状态的影响进行了两次评估，平均间隔8个月。患者症状严重程度与照顾者负担呈正相关。时间1的横断面分析表明，照顾者负担越大，照顾者的心理困扰、烦躁不安和焦虑程度越高。患者症状严重程度也导致了照顾者的心理困扰；经济压力导致了照顾者的烦躁不安和特质焦虑。时间2的横断面分析基本上重复了时间1的结果。第三组检查变化分数的分析表明，样本中个体照顾者负担的变化正向预测了照顾者心理困扰、烦躁不安和状态焦虑的个体变化。
