Song L Y, Biegel D E, Milligan S E
Center for Practice Innovations, Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, Ohio 44106-7164, USA.
Community Ment Health J. 1997 Aug;33(4):269-86. doi: 10.1023/a:1025090906696.
This study examined the predictors of depressive symptomatology among caregivers of persons with chronic mental illness. Data were collected through in-person interviews with family caregivers of 103 adults with chronic mental illness who were served by mental health case management agencies. The results indicated that insufficiency of overall social support was the most powerful predictor of caregiver depressive symptomatology. In addition, caregiver burden had a significant unique contribution to caregiver depressive symptomatology, with higher levels of burden associated with greater levels of caregiver depressive symptomatology. Higher levels of client behavioral problems and insufficient support from family members and mental health professionals related to the caregiving role were associated with higher levels of caregiver depressive symptomatology through their associations with caregiver burden. Caregiver race was not significantly related to caregiver burden or to caregiver depressive symptomatology after controlling for other variables. Over two-fifth of White caregivers and over one-quarter of Black caregivers were at risk for clinical depression. Implications for practice and research are discussed.
本研究调查了慢性精神疾病患者照料者抑郁症状的预测因素。通过对由心理健康个案管理机构服务的103名患有慢性精神疾病的成年患者的家庭照料者进行面对面访谈来收集数据。结果表明，总体社会支持不足是照料者抑郁症状最有力的预测因素。此外，照料者负担对照料者抑郁症状有显著的独特影响，负担水平越高，照料者抑郁症状越严重。较高水平的患者行为问题以及家庭成员和心理健康专业人员在照料角色方面提供的支持不足，通过与照料者负担的关联，与较高水平的照料者抑郁症状相关。在控制其他变量后，照料者的种族与照料者负担或照料者抑郁症状没有显著关联。超过五分之二的白人照料者和超过四分之一的黑人照料者有临床抑郁症风险。文中讨论了对实践和研究的启示。
