主要精神病人主要照顾者的精神病理

A. Singh, Sanjay Kumar Nayak, S. Kumari, M. Jahan
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摘要

背景:主要照顾者在照顾患有重大精神疾病的家庭成员时所感受到的耻辱感和长期承受的各种负担可能影响其心理健康。本研究旨在了解主要精神病人的主要照顾者所经历的精神病理性质。材料与方法:选取兰契市兰契神经精神病学与联合科学研究所户外精神科的44名重症精神病人护理人员和来自兰契地区不同地点的41名正常对照。采用症状检查表-90 -修订版(SCL-90)和一般健康问卷-28 (GHQ-28)进行评估。采用SPSS (13.0 ver.)进行统计学分析。结果:主要照顾者在照顾患有重大精神疾病的家庭成员时,会出现躯体化、强迫症状、人际敏感、抑郁、焦虑、愤怒敌意、恐惧焦虑、偏执妄想和社交功能障碍等精神病理症状,而家庭中照顾者的人数对照顾者的精神病理严重程度有一定影响。患者总治疗时间和患者总患病时间也会影响照顾者的恐惧焦虑,患者住院次数也会影响照顾者的社交功能障碍。结论:研究结果提示,在制定重大精神障碍患者的管理方案时,护理人员的心理健康问题也应得到重视。
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Psychopathology among Primary Caregivers of Major Psychiatric Patients
Background:Perceived stigma and experiencing different kinds of burden for long time by primary caregivers during caring family member suffering from major psychiatric illness may affects their mental health. Present study was conducted to find out the nature of psychopathology experienced by primary caregivers of major psychiatric patients. Material & Method: Forty-four caregivers of major psychiatric patients were selected from outdoor psychiatric unit of Ranchi Institute of Neuro-Psychiatry and Allied Sciences, Ranchi and forty-one normal controls were selected from different location of Ranchi district. They were assessed on Symptoms Checklist–90–Revised (SCL-90) and General Health Questionnaire – 28 (GHQ-28). Statistical analysis was done using SPSS (13.0 ver.). Result: The result suggests that primary caregivers experience psychopathology, namely, somatization, obsessive compulsive symptoms, interpersonal sensitivity, depression, anxiety, anger hostility, phobic anxiety, paranoid ideation and social dysfunction while caring someone family member suffering from major psychiatric illness and the number of caregivers in family definitely has an impact on severity of the caregivers’ psychopathology. Total duration of patient’s treatment and total duration of patient’s illness also affect caregiver’s phobic anxiety and number of patient’s hospitalization affects caregivers’ social dysfunction as well. Conclusion:Findings suggest that mental health issues of caregivers should also be addressed while formulating management plan for patients suffering from major psychiatric disorders.
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