精神分裂症患者照料者的家庭负担与其抑郁和焦虑情绪的相关研究

Study on the relationship between family burden and depression and anxiety of caregivers in patients with schizophrenia

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2023, 50(4)
作者
作者单位

广州医科大学 ;
广州医科大学附属脑科医院 ;

摘要
目的:探讨精神分裂症患者照料者的家庭负担与其抑郁和焦虑情绪的相关性。方法:选取251例精神分裂症患者的照料者为对象进行研究,使用广泛性焦虑量表(GAD-7)和病人健康问卷抑郁量表(PHQ-9)评估其焦虑抑郁情绪水平,以GAD-7或PHQ-9≥5分别纳入焦虑组抑郁组,其余为无焦虑组与无抑郁组,使用家庭负担访谈问卷(FEIS)评估其家庭负担,采用多重线性回归分析进行统计分析。结果:251名精神分裂症患者照料者,其中157名(62.55%)有焦虑情绪,141名(56.18%)有抑郁情绪。相比无焦虑的照料者,焦虑组家庭负担在对照料者日常生活的影响、照料者的精神压力与焦虑感、与其他亲友的亲疏感、患者的暴力行为、患者的自杀倾向方面更加突出;相比无抑郁的照料者,抑郁组家庭负担在对照料者日常生活的影响、照料者的精神压力与焦虑感、患者的暴力行为、患者的自杀倾向方面更加突出。进一步回归分析发现,照料者焦虑情绪的影响因素包括照料者日常生活受到的影响、与其他亲友的亲近感、患者的暴力行为;抑郁情绪的影响因素包括照料者年龄、照料者日常生活受到的影响、患者的暴力行为、患者的自杀倾向。结论:精神分裂症患者照料者焦虑和抑郁情绪较显著,照料者日常生活受到的影响、与其他亲友的亲近感、患者的暴力行为、照料者年龄、患者的自杀倾向等是重要的的影响因素。
Abstract
objective: to explore the correlation between family burden and depression and anxiety of caregivers in patients with schizophrenia.Methods: the caregivers of 251schizophrenic patients were selected for the study. The generalized anxiety scale (GAD-7) and the patient health questionnaire depression scale (PHQ-9) were used to evaluate their anxiety and depression levels. GAD-7 or PHQ-9 ≥ 5 were included in anxiety group , depression group , non-anxiety group and non-depression group. Family burden interview questionnaire (FEIS) was used to evaluate the family burden, and multiple linear regression analysis was used for statistical analysis.Results: among the 251 caregivers of schizophrenic patients, 157 (62.55%) had anxiety and 141 (56.18%) had depression.Compared with the caregivers who were not anxious, the family burden of the anxiety group was more prominent in the aspects of the influence of the daily life of the caregivers, the mental stress and anxiety of the caregivers, the sense of intimacy and intimacy with other relatives and friends, the violent behavior of the patients and the suicidal tendency of the patients.Compared with the non-depressed caregivers, the family burden of the depression group was more prominent in the influence of the daily life of the control carers, the mental stress and anxiety of the caregivers, the violent behavior of the patients and the suicidal tendency of the patients.Further regression analysis showed that the influencing factors of anxiety included the influence of caregivers daily life, the sense of closeness with other relatives and friends, and the violent behavior of patients.The influencing factors of depression include the age of the caregiver, the impact on the daily life of the caregiver, the violent behavior of the patients, and the suicidal tendency of the patients.Conclusion: the anxiety and depression of the caregivers of schizophrenic patients are significant. The important influencing factors are the influence of the caregivers daily life, the sense of closeness with other relatives and friends, the patients violent behavior, the caregivers age, the patients suicide tendency and so on.
关键词
精神分裂症;照料者;家庭负担;焦虑抑郁情绪
KeyWord
schizophrenia; caregivers; family burden; anxiety and depression
基金项目
页码 760-764
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刘忠发,孙彬,林晓鸣,张杰,马亚荣,何红波*. 精神分裂症患者照料者的家庭负担与其抑郁和焦虑情绪的相关研究 [J]. 国际精神病学杂志. 2023; 50; (4). 760 - 764.

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