Investigation on mental health status among guardians of patientswith severe mental disorders
LI Jun1, JIANG Yan1, CHEN Jingyi1, WANG Wenjing2,3
1. Department of Science and Education, Zhujing Community Health Service Center of Jinshan District,Shanghai 201599, China; 2. Center for Clinical Research and Translation Medicine, Yangpu District CentralHospital (Yangpu Hospital Affiliated to Tongji University), Shanghai 200090, China; 3. Shanghai Center for Disease Control and Prevention, Shanghai 200336, China
Abstract：Objective To investigate the mental health status and its influencing factors among guardians of patients with severe mental disorders, so as to provide the evidences for improving mental health services among guardians. Methods The first guardians of patients with severe mental disorders registered and managed in Zhujing Township, Jinshan District, Shanghai Municipality were enrolled. Participants' demographics, economic status, health status and relationships with patients were collected using self-designed questionnaires from January to June 2021. Participants' mental health was assessed with twelve-item General Health Questionnaire (GHQ-12), and factors affecting guardians' mental health were identified with a multivariable logistic regression model. Results A total of 650 questionnaires were allocated, and 606 valid questionnaires were recovered, with an effective recovery rate of 93.23%. The participants included 356 men (58.75%), and had a mean age of (59.61±12.61) years. Among all participants, 256 were patients' spouse (42.24%), and 516 lived with patients (85.15%). The mean GHQ-12 score was (3.18±2.48), and there were 171 participants with mental health problems (28.22%). Multivariable logistic regression analysis identified educational level of junior high school and below (OR=2.715, 95%CI: 1.076-6.850), married (OR=0.374, 95%CI: 0.184-0.761), patients' parents (OR=0.303, 95%CI: 1.114-0.806), living with patients (OR=0.481, 95%CI: 0.237-0.974), having basic medical insurance for urban employees (OR=0.489, 95%CI: 0.254-0.942), receiving government subsidy (OR=3.788, 95%CI: 1.734-8.276), self-rated health status (good, OR=0.105, 95%CI: 0.037-0.299; average, OR=0.126, 95%CI: 0.049-0.325), considering that caring patients has an impact on family (OR=3.689, 95%CI: 1.807-7.531), being hopeful about the patient's future (OR=0.372, 95%CI: 0.139-0.994) and patients' need for accompanying/surrogate care (OR=1.606, 95%CI: 1.006-2.565) as factors affecting mental health among guardians of patients with severe mental disorders. Conclusion Mental health problems are found among 28.22% of guardians of patients with severe mental disorders, and the development of mental health problems is affected by educational level, economic status, health status and patient's need of caring.
李俊, 江雁, 陈婧怡, 王文静. 严重精神障碍患者监护人心理健康状况调查[J]. 预防医学, 2022, 34(12): 1267-1272.
LI Jun, JIANG Yan, CHEN Jingyi, WANG Wenjing. Investigation on mental health status among guardians of patientswith severe mental disorders. Preventive Medicine, 2022, 34(12): 1267-1272.
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