Abstract:Objective To investigate the influencing factors for the psychological burden of depressive patients' caregivers. Methods We enrolled the chief caregivers of depressive patients who were hospitalized in Sir Run Run Shaw Hospital as our subjects. We investigated them by Caregiver Burden Inventory, Social Support Revalued Scale(SSRS),Hamilton Depression Scale(HAMD)and Suicide Risk Assessment Scale,and learned influencing factors for the psychological burden of these caregivers by multiple linear regression analysis. Results We totally enrolled 101 subjects and collected 96 questionnaires (95.04%). The 96 respondents scored (24.88±12.94)points in the psychological burden and 54 of which scored more than 20 points, accounted for 56.25%. The positive rate of mental pressure was 65.63%, which was the lowest; the positive rate of social burden was 93.75%, which was the highest. Multiple linear regression analysis showed that the objective support(β=-1.856,P=0.002),subjective support(β=0.526,P=0.008) and high suicidal score of depressive patients(β=0.290,P=0.048)were the influencing factors for the psychological burden of depressive patients' caregivers. Conclusion More than half of the caregivers have psychological burden, which is associated with objective support, subjective support and high suicidal score of depressive patients.
[1] FRIEDRICH M J. Depression is the leading cause of disability around the world[J]. JAMA, 2017,317(15):1517. [2] 周茜,陈凤娇,罗珊霞,等. 抑郁症住院病人家庭照顾者负担现状及影响因素[J]. 护理研究,2015,29(3):1115-1117. [3] 江爱玉,陈爱学,苏雅芳,等. 精神病患者照料人心理健康状况与文化程度的关系[J]. 浙江预防医学,2015,27(10):1031-1033. [4] 杨冬林,李遵清,张婧,等. 家庭经济负担与抑郁症患者家庭照料者心理压力的关系[J]. 山东医药,2016,56(29):93-95. [6] 何红波,周燕玲,孙彬,等. 家庭负担访谈问卷中文简化版评估精神障碍患者家庭成员的照料负担[J]. 上海精神医学,2015, 27(1): 55-61. [7] 岳鹏,付艺,尚少梅,等.照顾者负担问卷的信度和效度检验[J].中国心理卫生杂志,2011,20(8):562-564. [8] 肖水源. 社会支持评定量表[J]. 中国心理卫生杂志,1999,13(增刊):127-133. [9] HAMILTOM M. A rating scale for depression[J]. J Neurol. Neurosurg Psychiat,1960,23:56-62. [10]朱昌明,霍克钧,张慧开,等. 抑郁严重程度的评定[J]. 中华神经精神科杂志, 1985, 18(5): 295- 297. [11]BOLTON J M, GUNNELL D, TURECKI G. Suicide risk assessment and intervention in people with mental illness[J]. BMJ, 2015, 351(11): h4978. [12]HEREDIA M A, RAPP M A, TEMUR-ERMAN S, et al. The influence of stigma on depression, overall psychological distress, and somatization among female Turkish migrants[J]. Eur Psychiatry,2012,27(Suppl 2): S22-S26. [13]曾龙武,唐漫漫,聂华林,等. 照顾者的照顾负担、应对方式与焦虑抑郁情绪相关性分析[J]. 现代预防医学,2015,42(17):3185-3187. [14]赵春阳. 住院精神病患者家属生活质量及其影响因素的研究[D]. 广州:广州医科大学,2013:5. [15]江云,王朔. 抑郁症患者经济负担和家庭负担调查分析[J]. 临床心身疾病杂志,2015,21(3):54-56,62. [16]KUMAR K,GUPTA M.Clinical and socio-demographic determinants of psychological health and burden in family caregivers of patients with unipolar depression[J].Asian J Psychiatr,2014,9:51-56. [17]徐素珍,韩鹏. 社会支持对精神病患者家庭照料者的影响[J]. 中国民康医学,2017,29(2):54-57. [18]THIELEMANN P A ,CONNER N E.Social support as a mediator of depression in Caregivers of patients with end stage cancer[J].J Hospice Palliative Nurs,2009, 11(2) :82-90. [19]程程. 大学生归因方式与自尊的关系:以社会支持为中介[J]. 现代职业教育,2016(7):64-65. [20]吴芳,冯冬燕. 城市空巢老人社会支持、应对方式与主观幸福感的关系[J]. 浙江大学学报(理学版),2015,42(4):483-488. [21]谢国建,卢殿军,吴胜,等. 慢性精神分裂症家庭照料者心理健康及生活质量分析[J]. 现代医药卫生,2017,33(24):3704-3706. [22]赵世苗,秦国兴,陈军良,等. 基于评估的治疗管理模式对抑郁症患者的疗效研究[J]. 浙江预防医学,2016,28(5):469-472. [23]孙芸,张勇辉,徐庆迎,等. 抑郁症患者照料者心理负担及其影响因素研究[J]. 医学理论与实践,2014,27(16):2015- 2016,2116. [24]OLAWALE K O, MOSAKU K S, FATOYE 'O,et al. Caregiver burden in families of patients with depression attending Obafemi Awolowo University teaching hospitals complex Ile-Ife Nigeria[J]. Gen Hosp Psychiatry, 2014,36(6):743-747.