Bury L, Zaborowski B, Konieczyńska Z, Jarema M, Cikowska G, Kunicka A, Bartoszewicz J, Muraszkiewicz L
III Kliniki Psychiatrycznej IPiN w Warszawie.
Psychiatr Pol. 1998 May-Jun;32(3):275-85.
Caregiver burden was evaluated among family members of 90 schizophrenic patients from hospital psychiatric ward, day hospital or from community psychiatry unit. Psychopathology was evaluated with the use of PANSS while family burden with the use of Tessler's scale which allowed to differentiate between objective and subjective burden regarding assistance to the subject and patient's supervision. Schizophrenic symptoms were more severe in hospitalized patients than among patients from day hospital or patients treated in the community. Family burden, both subjective and objective was more severe among family members of hospitalized patients. There was no difference in the severity of family burden among family members of patients from day-hospital or from community psychiatry unit. The severity of positive and general schizophrenic symptoms (PANSS) correlated positively with the lack of patient's acceptance by a family member as well as with the global subjective family burden and with the necessity of taking control over patient. There was a positive correlation between the severity of schizophrenic negative symptoms and subjective family burden (dimension: assistance to the patient) and the sum of objective family burden.
对来自医院精神科病房、日间医院或社区精神科的90名精神分裂症患者的家庭成员进行了照顾者负担评估。使用阳性和阴性症状量表（PANSS）评估精神病理学，同时使用泰斯勒量表评估家庭负担，该量表能够区分在协助患者和监督患者方面的客观负担和主观负担。住院患者的精神分裂症症状比日间医院的患者或社区治疗的患者更严重。住院患者的家庭成员的家庭负担，无论是主观的还是客观的，都更严重。日间医院患者或社区精神科患者的家庭成员之间的家庭负担严重程度没有差异。阳性和一般性精神分裂症症状（PANSS）的严重程度与家庭成员对患者的接纳程度缺乏、总体主观家庭负担以及对患者进行控制的必要性呈正相关。精神分裂症阴性症状的严重程度与主观家庭负担（维度：协助患者）和客观家庭负担总和之间存在正相关。
