Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
Social Psychiatry and Psychiatric Epidemiology
Erschienen in: Social Psychiatry and Psychiatric Epidemiology 9/2008

01.09.2008 | ORIGINAL PAPER

Clinical correlates of the caregiving experience for Chinese caregivers of patients with schizophrenia

verfasst von: Victoria Wing Kay Tang, MRCPsych (UK), Siu Kau Leung, MRCPsych (UK), FHKCPsych, FHKAM (Psychiatry), Linda Chiu-Wa Lam, MRCPsych (UK), FHKCPsych, FHKAM (Psychiatry)

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 9/2008

Einloggen, um Zugang zu erhalten

Abstract

Objective

To assess the correlation between clinical characteristics and the caregiving experience of caregivers of patients with schizophrenia.

Patients and methods

Two hundred and one patients with schizophrenia and their caregivers were recruited from a psychiatric clinic. The involvement evaluation questionnaire (IEQ) and the general health questionnaire (GHQ) were administered to the caregivers. The patients were assessed by the Structured Clinical Interview, the positive and negative syndrome scale (PANSS) and the global assessment of functioning scale (GAF). Correlation analysis and regression analysis was performed to identify the best predictors of caregiver stress.

Results

The most important clinical predictor of caregiver stress as assessed using IEQ was the GAF, followed by PANSS-Pos and Neg scores and admission. Positive symptoms contributed more to overall caregiver stress than negative symptoms.

Discussion

Both symptom severity and patient function were important factors in the caregiver experience. Treatment should aim not only to reduce symptoms but also maximize function. Service planning should include psychosocial intervention involving caregivers.
Literatur
1.
American Psychiatric Association (1994) The diagnostic and statistical manual of mental disorders, 4th edn. American Psychiatric Association, Washington
2.
Barrowclough C, Tarrier N, Johnston M (1996) Distress, expressed emotion, and attributions in relatives of schizophrenia patients. Schizophr Bull 22:691–702PubMed
3.
Biegel DE, Milligan SE, Putnam PL, et al. (1994). Predictors of burden among lower socioeconomic status caregivers of persons with chronic mental illness. Community Ment Health J 30:473–494PubMedCrossRef
4.
Birchwood M, Cochrane R (1990) Family’s coping with schizophrenia: coping styles, their origins and correlates. Psychol Med 20:857–865PubMed
5.
Bulger MW, Wandersman A, Goldman C (1993) Burdens and gratifications of caregiving: appraisal of parental care of adults with schizophrenia. Am J of Orthopsychiatry 83:255–265CrossRef
6.
Census, Statistics Department (2001) 2001 population census. Government of the Hong Kong Special Administrative Region: Printing Department, Hong Kong Special Administrative Region
7.
Chan DW (1985) The Chinese version of the general health questionnaire: Does language make a difference? Psychol Med 15:147–155PubMed
8.
Chien WT, Chan SWC, Thompson DR (2006) Effects of a mutual support group for families of Chinese people with schizophrenia: 18-month follow-up. Br J Psychiatry 189:41–49PubMedCrossRef
9.
Fadden G, Bebbington P, Kuipers L (1987) The burden of care: the impact of functional psychiatric illness on the patient’s family. Br J Psychiatry 150:285–292PubMedCrossRef
10.
Falloon IRH, Graham-hole V, Woodroffe R (1993) Stress and health of informal carers of people with chronic mental disorders. J Ment Health 2:165–173CrossRef
11.
Gibbons JS, Horn SH, Powell JM, et al. (1984) Schizophrenic patients and their families: a survey in a psychiatric service based on a DGH unit. Br J Psychiatry 144:70–77PubMedCrossRef
12.
Goldberg D, Williams PA (1988) User’s guide to the general health questionnaire. NFER/Nelson, Windsor
13.
Gopinath PS, Chaturvedi SK (1992) Distressing behaviour of schizophrenics at home. Acta Psychiatr Scand 86:185–188PubMedCrossRef
14.
15.
Gubman GD, Tessler TC, Willis G (1987) Living with the mentally ill: factors affecting household complaints. Schizophr Bull 13: 727–736PubMed
16.
Hoenig J, Hamilton MW (1966) The schizophrenic patient in the community and his effect on the household. Int J Soc Psychiatry 12:165–176PubMedCrossRef
17.
Kay SR, Fiszbein A, Opler LA (1987) The positive and negative syndrome scale ( PANSS) for schizophrenia. Schizophr Bull 13:261–276PubMed
18.
Kung WW (2005) Cultural adaptations of family intervention for patients with schizophrenia in China. Int Soc Work 48:409–418CrossRef
19.
Laidlaw TM, Coverdale JH, Falloon IRH, et al (2002) Caregiver’s stresses when living together or apart from patients with chronic schizophrenia. Community Ment Health J 38:303–310PubMedCrossRef
20.
Li Z, Arthur D (2005) Family education for people with schizophrenia in Beijing, China. Br J Psychol 187:339–345CrossRef
21.
Li J, Lambert CE, Lambert VA (2007) Predictors of family caregivers’ burden and quality of life when providing care for a family member with schizohprenia in the People’s Republic of China. Nurs Health Sci 9:192–198PubMedCrossRef
22.
Liu M, Lambert CE, Lambert VA (2007) Caregiver burden and coping patterns of Chinese parents of a child with a mental illness. Int J Ment Health Nurs 16:86–95PubMedCrossRef
23.
Magliano L, Fadden G, Madianos M, et al (1998) Burden on the families of patients with schizophrenia: results of the BIOMED I study. Soc Psychiatry Psychiatr Epidemiol 33:405–412PubMedCrossRef
24.
Magliano L, Veltro F, Guarneri M, et al (1995) Clinical and socio-demographic correlates of coping strategies in relatives of schizophrenic patients. Eur Psychiatry 10:155–158CrossRefPubMed
25.
Martens L, Addington J (2001) The psychological well being of family members of individuals with schizophrenia. Soc Psychiatry Psychiatr Epidemiol 36:128–133PubMedCrossRef
26.
Oldridge ML, Hughes IC (1992). Psychological well-being in families with a member suffering from schizophrenia: an investigation into long-standing problems. Br J Psychiatry 161:249–251PubMed
27.
Östman M, Hansson L, Andersson K (2000) Family burden, participation in care and mental health—an 11-year comparison of the situation of relatives to compulsorily and voluntarily admitted patients 46:191–200
28.
Platt S (1985) Measuring the burden of psychiatric illness on the family: an evaluation of some rating scales. Psychol Med 15:383–393PubMedCrossRef
29.
Schene AH, van Wijngaarden B (2000) Caregiving in schizophrenia: development, internal consistency and reliability of the involvement evaluation questionnaire—European version EPSILON study 4. Br J Psychiatry 177:s21-s27CrossRef
30.
Schene AH (1990). Objective and subjective dimensions of family burden: towards an integrative framework for research. Soc Psychiatry Psychiatr Epidemiol 25:289–297PubMedCrossRef
31.
Schene AH, Tessler RC, Gamache GM (1994) Instruments measuring family or caregiver burden in severe mental illness. Soc Psychiatry Psychiatr Epidemiol 29:228–240PubMedCrossRef
32.
Schulze B, Rossler W (2005) Caregiver burden in mental illness: review of measurement, findings and interventions in 2004–2005. Curr Opin Psychiatry 18:684–691PubMedCrossRef
33.
So E, Kam I, Leung CM, et al (2003) The Chinese-bilingual SCID-I/P project: stage 1—reliability for mood disorders and schizophrenia. Hong Kong J Psychiatry 13:7–18
34.
Song LY, Biegel DE, Milligan SE (1997) Predictors of depressive symptomatology among lower class caregivers of persons with chronic mental illness. Community Ment Health J 33:269–286PubMedCrossRef
35.
Spaniol L, Zipple AM, Lockwood D (1992) The role of family in psychiatric rehabilitation. Schizophr Bull 18:341–348PubMed
36.
Szmuckler GI, Burgess P, Heman H, et al (1996) Caring for relatives with serious mental illness: the development of the experience of caregiving inventory. Soc Psychiatry Psychiatr Epidemiol 31:137–148CrossRef
37.
Tang VWK, Leung SK, Lam LCW (2008) Validation of the Chinese version of the involvement evaluation questionnaire. Hong Kong J Psychiatry 18:6–14
38.
Tarricone I, Leese M, Szmukler GI, et al (2006) The experience of carers of patients with severe mental illness: a comparison between London and Bologna. Eur Psychiatr 21:93–101CrossRef
39.
Thompson EH, Doll W (1982) The burden of families coping with the mentally ill: an invisible crisis. Fam Relat 31:379–388CrossRef
40.
Veltro F, Magliano L, Lobrace S, et al (1994) Burden on key relatives of patients with schizophrenia vs. neurotic disorders: a pilot study. Soc Psychiatry Psychiatr Epidemiol 29:66–70PubMed
41.
van Wijngaarden B, Schene AH, Koeter M, et al (2000) Caregiving in schizophrenia: development, internal consistency and reliability of the involvement evaluation questionnaire-European Version. EPSILON study 4. European psychiatric services: inputs linked to outcome domains and needs. Br J Psychiatry Suppl 39:s21–27PubMedCrossRef
42.
van Wijngaarden B, Schene AH, Koeter M, et al (2003) People with schizophrenia in five countries: conceptual similarities and intercultural differences in family caregiving. Schizophr Bull 29:573–586PubMed
43.
Williams JB, Gibbon M, First MB, et al. (1992) The structured clinical interview for DSM-III-R (SCID). II: multisite test–retest reliability. Arch Gen Psychiatry 49:630–636PubMed
44.
Winefield HR, Harvey EJ (1993) Determinants of psychological distress in relatives of people with chronic schizophrenia. Schizophr Bull 19:619–625PubMed
45.
Wong DF, Tsui HK, Pearson V, et al. (2004) Family burdens, Chinese health beliefs and the mental health of Chinese caregivers in Hong Kong. Transcult Psychiatry 41:497–513PubMedCrossRef
46.
World Health Organization (1993) The ICD 10 classification of mental and behavioural disorders: diagnostic criteria for research. World Health Organization, Geneva
Metadaten
Titel
Clinical correlates of the caregiving experience for Chinese caregivers of patients with schizophrenia
verfasst von
Victoria Wing Kay Tang, MRCPsych (UK)
Siu Kau Leung, MRCPsych (UK), FHKCPsych, FHKAM (Psychiatry)
Linda Chiu-Wa Lam, MRCPsych (UK), FHKCPsych, FHKAM (Psychiatry)
Publikationsdatum
01.09.2008
Verlag
D. Steinkopff-Verlag
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 9/2008
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-008-0357-6

Weitere Artikel der Ausgabe 9/2008

Social Psychiatry and Psychiatric Epidemiology 9/2008 Zur Ausgabe

ORIGINAL PAPER

Attempted suicide and associated risk factors among youth in urban Japan

ORIGINAL PAPER

What predicts illicit drug use versus police-registered drug offending?

ORIGINAL PAPER

Mental health problems and marital disruption: is it the combination of husbands and wives’ mental health problems that predicts later divorce?

ORIGINAL PAPER

Mental health and well-being in a 6-year follow-up of patients with depression

ORIGINAL PAPER

The development of needs in a group of severely mentally ill

ORIGINAL PAPER

Unemployment, social isolation, achievement–expectation mismatch and psychosis: findings from the ÆSOP Study

Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

23.04.2024 Depression antepartal oder postpartal Nachrichten

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

22.04.2024 DGIM 2024 Kongressbericht

Die Kombination aus Medikamenten und Psychotherapie gilt als effektivster Ansatz bei Depressionen. Das ist bei betagten Menschen nicht anders, trotz Besonderheiten.

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

22.04.2024 DGIM 2024 Nachrichten

Um Menschen nach der Flucht aus einem Krisengebiet bestmöglich medizinisch betreuen zu können, ist es gut zu wissen, welche Erkrankungen im jeweiligen Herkunftsland häufig sind. Dabei hilft eine Internetseite der CDC (Centers for Disease Control and Prevention).

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen
Bildnachweise