Семейная обременённость родственников больных депрессией и шизофренией: сравнительный анализ
Рекомендуемое оформление библиографической ссылки:
Лутова Н.Б., Макаревич О.В. Семейная обременённость родственников больных депрессией и шизофренией: сравнительный анализ // Российский психиатрический журнал. 2022. №2. С. 61-69.
В сравнительно-аналитическом исследовании с целью изучения показателей обременённости родственников депрессивных больных, выявления их взаимосвязей с различными параметрами пациентов и опекающих лиц, а также проведения сравнения среди семей больных шизофренией участвовало 22 родственника пациентов с депрессией и 70 – с шизофренией. Использовался опросник бремени ухаживающего лица (ZBI). Обнаружены преобладание субъективных параметров в структуре семейного бремени родственников пациентов с депрессией; более низкая интенсивность бремени семьи в сравнении со значением обременённости у лиц, опекавших больных шизофренией (p≤0,05); взаимосвязь бремени семьи депрессивных больных с количеством госпитализаций. Полученные данные демонстрируют нуждаемость семей психически больных в поддержке специалистов психиатрического здравоохранения.
Ключевые слова семейное бремя; субъективное и объективное бремя; депрессия; шизофрения
1. Sharma R, Sharma SCh, Pradhan SN. Assessing Caregiver Burden in Caregivers of Patients with Schizophrenia and Bipolar Affective Disorder in Kathmandu Medical College. J Nepal Health Res Counc. 2017;15(37):258–63. DOI: https://doi.org/10.3126/jnhrc.v15i3.18851 2. Magliano L, Fiorillo A, Malangone C, et al. Patient functioning and family burden in a controlled, real-word trial of family psychoeducation for schizophrenia. Psychiatr Serv. 2006;57(12):1784–91. DOI: https://doi.org/10.1176/ps.2006.57.12.1784 3. Lutova NB, Makarevich OV. Osobennosti struktury` trevozhny`x perezhivanij v sem`yax bol`ny`x shizofreniej i podxody` k ix korrekcii. Obozrenie psixiatrii i medicinskoj psixologii [Review of psychiatry and medical psychology]. 2015;(4):62–6. (In Russ.) 4. Treudley MB. Mental illness and family routins. Ment Hygiene. 1946;15:407–18. 5. Korman TA, Bocharov VV, Maslovskij SYu. Bremya, kotoroe nesut chleny` semej bol`ny`x shizofreniej (“semejnoe bremya”). Zh Nevrol Psihiatr Im SS Korsakova. 2012;112(12):80–5. (In Russ.) 6. Gebel` KM. Vozmozhnosti prakticheskoj pomoshhi NKO sem`yam potrebitelej psixiatricheskoj pomoshhi. Grantovaya politika, kak variant resheniya chastny`x i sistemny`x problem. In: NG Neznanov, editor. XVII S``ezd Psixiatrov Rossii sovmestno s mezhdunarodny`m Kongressom Vsemirnoj psixiatricheskoj associacii “Interdisciplinarny`j podxod k komorbidnosti psixicheskix rasstrojstv na puti k integrativnomu lecheniyu”, 15–18 maya 2021 g., Sankt-Peterburg. Saint-Petersburg: NMICz PN im. VM Bextereva, 2021. 2440 р. (In Russ.) URL: www.psychiatr.ru/events/833 (accessed on: 08.01.2022). 7. Conde-Sala JL, Turró-Garriga O, Calvó-Perxas L, et al. Three-Year Trajectories of Caregiver Burden in Alzheimer's Disease. J Alzheimer's Dis: JAD. 2014;42:623–33. DOI: https://doi.org/10.3233/JAD-140360 8. Gantman MV. Depressivny`e i kognitivny`e rasstrojstva u licz pozhilogo vozrasta, uxazhivayushhix za pacientami s bolezn`yu Al`czgejmera [PhD thesis]. [Moscow (Russia)]: FGBU “NCzPZ” [Mental Health Research Center]; 2015. 171 р. (In Russ.) 9. Koutra K, Triliva S, Roumeliotaki T, et al. Family Functioning in First-Episode and Chronic Psychosis: The Role of Patient's Symptom Severity and Psychosocial Functioning. Community Ment Health J. 2016;52(6):710–23. DOI: https://doi.org/10.1007/s10597-015-9916-y 10. Lutova NB, Makarevich OV. Bremya sem`i i vovlechyonnost` rodstvennikov v process lecheniya pacientov s shizofrenij. Social`naya i klinicheskaya psixiatriya [Social and Clinical Psychiatry]. 2020;(2):31–6. (In Russ.) 11. Koren` EV, Kupriyanova TA. Semejnoe bremya kak mishen` psixosocial`noj reabilitacii detej i podrostkov s psixicheskimi rasstrojstvami. Zh Nevrol Psihiatr Im SS Korsakova. 2013;113(5–2):61–8. (In Russ.) DOI: https://doi.org/10.1111/j.1399-5618.2007.00365.x 12. Perlick DA, Rosenheck RA, Miklowitz DJ, et al. STEP-BD Family Experience Collaborative Study Group. Prevalence and correlates of burden among caregivers of patients with bipolar disorder enrolled in the Systematic Treatment Enhancement Program for Bipolar Disorder. Bipolar Disord. 2007;9(3):262–73. DOI: https://doi.org/10.1111/j.1399-5618.2007.00365.x 13. Wijngaarden B, Schene A, Koeter M. Family caregiving in depression: Impact on caregivers' daily life, distress, and help seeking. J Affect Disord. 2004;81:211–22. DOI: https://doi.org/10.1016/S0165-0327(03)00168-X 14. Soltaninejad A. Family caregivers’ quality of life: the case of schizophrenia and affective disorders (A mixed method study). Humboldt-Universität zu Berlin; 2017. 144 p. 15. Gania AM, Kaur H, Suhaff AA, et al. Coping among caregivers of patients suffering from bipolar affective disorder. J Ment Health Human Behaviour. 2019;24(2):139–43. DOI: https://doi.org/10.1177/0020764011419054 16. Grover S, Chakrabarti S, Aggarwal M, et al. Comparative study of the experience of caregiving in bipolar affective disorder and schizophrenia. Int J Soc Psychiatry. 2012;58(6):614–22. DOI: https://doi.org/10.1177/0020764011419054 17. Koujalgi S, Patil S. Family Burden in Patient with Schizophrenia and Depressive Disorder: A Comparative Study. Indian J Psychol Med. 2013;35(3):251–5. DOI: https://doi.org/10.4103/0253-7176.119475 18. Lopez A, Murray C. The global burden of disease, 1990–2020. Nature Medicine. 1998;4(11):1241–43. DOI: https://doi.org/10.1038/3218; PMID: 9809543 19. Rasprostranennost` psixicheskix rasstrojstv v naselenii Rossijskoj Federacii v 2011 godu. Analiticheskij obzor. VS Yastrebov, editor. Moscow: FGBU “FMICzPN” Minzdrava Rossii; 2014. 43 p. (In Russ.) 20. Hilton MF, Scuff ham PA, Vecchio N, Whiteford HA. Using the interaction of mental health symptoms and treatment status to estimate lost employee productivity. Aust N Z J Psychiatry. 2010;44(2):151–61. DOI: https://doi.org/10.3109/00048670903393605 21. Shmatova YuE. Dinamika statisticheskix i sociologicheskix pokazatelej sostoyaniya psixicheskogo zdorov`ya naseleniya Rossii. Problemy` razvitiya territorii. 2019;3(101):76–96. (In Russ.) 22. Gurovich IYa, Lyubov EB, Chapurin SA, et al. Bremya depressivny`x rasstrojstv v otechestvenny`x psixiatricheskix sluzhbax. Zh Nevrol Psihiatr Im SS Korsakova. 2010;110(3):77–82. (In Russ.) 23. Kulikov AYu, Dedyurina YuM. Analiz stoimosti bolezni lecheniya pacientov, stradayushhix depressivny`mi rasstrojstvami v usloviyax zdravooxraneniya RF. Farmakoe`konomika [Pharmacoeconomics]. 2011;4(1):24–33. (In Russ.) 24. Gvozdetckii AN, Petrova NN, Akulin IM. [Pharmacological-economic analysis of the standards of treatment for patients with recurrent depressive disorder in Russia]. Rossiiskii psikhiatricheskii zhurnal [Russian Journal of Psychiatry]. 2020;(4):77–84. (In Russ.) DOI: https://doi.org/10.24411/1560-957Х-2020-10410 25. Yazici E, Karabulut Ü, Yildiz M, et al. Burden on Caregivers of Patients with Schizophrenia and Related Factor. Noro Psikiyatr Ars. 2016;53(2):96–101. DOI: https://doi.org/10.5152/npa.2015.9963 26. Ahson A, Mohammad M, Horunur R, et al. Burden among caregivers of patients with mood disorders: a cross sectional study in a tertiary hospital. Journal of National lnstitute of Mental Health, Dhaka. 2018;1(1):14–22. 27. Chakrabarti S, Raj L, Kulhara P, et al. Comparison of the extent and pattern of family burden in affective disorders and schizophrenia. Indian J Psychiatry. 1995;37(3):105–12. PMID: 21743729; PMCID: PMC2971492 28. Chadda RK, Singh TB, Ganguly KK. Caregiver burden and coping. Soc. Psychiatry Psychiatr Epidemiol. 2007;42(11):923–30. DOI: https://doi.org/10.1007/s00127-007-0242-8 29. Vasudeva S, Sekhar KV, Rao P. Caregivers Burden of Patients with Schizophrenia and Bipolar Disorder: A Sectional Study. Indian J Psychol Med. 2013;35(4):352–7. DOI: https://doi.org/10.4103/0253-7176.122224 30. von Kardorff E, Soltaninejad A, Kamali M, Eslami Shahrbabaki M. Family caregiver burden in mental illnesses: The case of affective disorders and schizophrenia – a qualitative exploratory study. Nord. J Psychiatry. 2015;70(4):248–54. DOI: https://doi.org/10.3109/08039488.2015.1084372 31. Ayalew M, Workicho A, Tesfaye E, et al. Burden among caregivers of people with mental illness at Jimma University Medical Center, Southwest Ethiopia: a cross-sectional study. Ann Gen Psychiatry. 2019;18:10. DOI: https://doi.org/10.1186/s12991-019-0233-7 32. Lutova NB, Makarevich OV. Ob``ektivnoe i sub``ektivnoe bremya sem`i: vzaimosvyaz` s demograficheskimi i klinicheskimi xarakteristikami pacientov s shizofreniej. Social`naya i klinicheskaya psixiatriya [Social and Clinical Psychiatry]. 2021;34:21–8. (In Russ.)
DOI: http://dx.doi.org/10.47877/1560-957Х-2022-10207
Метрики статей
Metrics powered by PLOS ALM