节点文献

精神疾病患者家属焦虑抑郁状况及病耻感、家庭负担研究

Anxiety and depression, stigma and family burden of caregivers of patients with mental illness

  • 推荐 CAJ下载
  • PDF下载
  • 不支持迅雷等下载工具,请取消加速工具后下载。

【作者】 黄妙兰伍思渝程焯永袁婷陈佩珊廖嘉仪何彦刘泳佩王敏瑶梁鑫淼马亚荣何红波

【Author】 HUANG Miao-lan;WU Si-yu;CHENG Zhuo-yong;YUAN Ting;CHEN Pei-shan;LIAO Jia-yi;HE Yan;LIU Yong-pei;WANG Min-yao;LIANG Xin-miao;MA Ya-rong;HE Hong-bo;Guangzhou Medical University;

【通讯作者】 何红波;

【机构】 广州医科大学精神卫生学院广州医科大学附属脑科医院

【摘要】 目的:探讨精神疾病患者家属的焦虑、抑郁状况及病耻感、家庭负担。方法:采用广泛性焦虑量表(GAD-7)及9项患者健康问卷(PHQ-9)评估125名精神疾病患者家属的焦虑及抑郁水平,以GAD-7或PHQ-9评分≥5分别纳入焦虑组(n=62)与抑郁组(n=64),其余为非焦虑组(n=63)与非抑郁组(n=61)。采用精神疾病患者公众恐惧和行为倾向问卷(FABI)及家庭负担访谈问卷(FEIS)评估两亚组病耻感及家庭负担,并进行比较。结果:焦虑与非焦虑组、抑郁与非抑郁组间FABI评分差异无统计学意义。焦虑组FEIS总分及家属的抑郁、焦虑、被孤立感因子分、家属感知的患者自杀倾向因子分明显高于非焦虑组(P<0.05或P<0.01);抑郁组FEIS总分及家属感知的患者暴力行为因子分、家属的抑郁、焦虑、被孤立感因子分明显高于非抑郁组(P<0.05或P<0.01)。结论:精神疾病患者家属出现焦虑、抑郁的比率明显高于一般人群。不论是否有焦虑、抑郁,均存在明确的病耻感;有焦虑、抑郁情绪的患者家属感知的家庭负担水平更重。

【Abstract】 Objective: To explore the level of anxiety, depression, stigma and family burden in the caregivers of patients with mental illness. Method:Generalized Anxiety Disorder(GAD-7) and Patient Health Questionnare(PHQ-9) were used to assess anxiety and depression levels among 125 caregivers.The subjects were classified into anxiety group(n=62) or depression group(n=64) if the total score of GAD-7 or PHQ-9 score ≥5 and others in non-anxiety(n=63) or non-depression groups(n=61).The level of stigma and family burden were assessed and compared by Public Fear and Behavioral Tendency Questionnaire(FABI) and Family Experience Interview Schedule(FEIS) in two subgroups respectively. Results:There were no statistically significant differences in FABI scores between both subgroups.FEIS total score and factor scores of depression, anxiety, social isolation and patients’ suicidal tendency were significantly higher in the anxiety group than those in the non-anxiety group(P<0.05 or P<0.01).The total score of FEIS,factor scores of patients’ violent behavior, depression, anxiety and social isolation were significantly higher in the depression group than those in the non-depression group(P<0.05 or P<0.01). Conclusion: The caregiver of patients with mental illness are more likely to have anxiety and depression than general populations, with definite sense of stigma whether there is anxiety or depression and the caregivers with anxiety or depression symptoms perceive higher level of family burden.

  • 【文献出处】 临床精神医学杂志 ,Journal of Clinical Psychiatry , 编辑部邮箱 ,2021年03期
  • 【分类号】R749
  • 【下载频次】235
节点文献中: 

本文链接的文献网络图示:

本文的引文网络