頁籤選單縮合
題 名 | 精神病患照顧者之憂鬱程度與其相關因素探討=The Extent and Correlates of Depressive Symptomatology among Caregivers of Persons with Mental Illness |
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作 者 | 宋麗玉; | 書刊名 | 公共衛生 |
卷 期 | 25:3 1998.10[民87.10] |
頁 次 | 頁181-196 |
分類號 | 419.72 |
關鍵詞 | 精神病患照顧者; 憂鬱程度; 慢性精神疾病; Caregiver; Depressive symptomatology; Chronic mental illness; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究根據壓力因應理論試圖探討社區精神病患照顧者的長期結果之一-憂鬱程 度與其相關因素。研究樣本乃取自臺灣中部兩個精神醫療專科醫院與兩個綜合醫院的精神科 。 透過結構問卷以面訪之方式進行資料蒐集,共訪問 244 位精神病患照顧者。研究中依壓 力因應理論檢驗三組可能與照顧者憂鬱程度相關之因素,包括壓力源(病患人口特徵與疾病 變項)、照顧者背景變項(人口特徵、健康狀況、社會支持等)與照顧負荷。研究結果發現 有 45% 的照顧者落入可能有憂鬱問題之範圍。 所含括的自變項共解釋照顧者憂鬱程度變異 量的 62.1%; 經由複迴歸分析之模型比較發現控制了照顧負荷之後,有 21.2% 乃由壓力源 與照顧者背景變項單獨解釋;照顧負荷單獨解釋的變異量則為 3.6%;另外有 37.3% 則由壓 力源與背景變項以及照顧負荷聯合解釋。顯著的個別相關因素則有:病患行為問題、照顧者 之性別、婚姻、就業、健康狀況、照顧者之其他照顧責任、社會支持與照顧負荷程度。本研 究驗證了壓力因應理論對照顧者憂鬱程度之解釋力;文中討論研究發現之理論與實務意涵, 並提出對實務與未來研究之建議。 |
英文摘要 | According to Stress-Coping Model, one of the long-term negative outcomes resulting from caregiving to persons with mental illness ills is depressive symptomatology. In Taiwan, due to limited resources, about 86.3% of mentally ill comsumers in communities lives with their family members. However, there is paucity in the knowledge concerning the extent and c orrelates of depressive symptomatology among caregivers of persons with mental illness. This study aims to fill these gaps. Through in-person interview, data from 244 caregivers of persons with mental illness who are receiving outpatient services in two psychiatric hospitals and the psychiatric wards in two general hospitals were collected from October, 1996 to March, 1997. CES-D Scale was employed to measure depressive symptomatology. In accord with Stress-Coping Model, three sets of potential correlates of depressive symptomatology were examined, including stressors (consumer characteristics & illness variables), contextual variables (caregiver characteristics, health status, social support, etc.), and caregiver's burden. The amount of variance explained by each set of variables were computed via model comparisons using multiple regression analyses. The results revealed that 45% of the study subjects might have a problem of depression using 16 as the cutoff score. Sixty two percent of the variances in Depressive Symptomatology can be explained by the three sets of independent variables described above. The results of model comparisons indicated that among the variance explained, 21.2% was uniquely attributed to stressors and contextual variables, 3.6% was uniquely contributed by caregiver burden, and 37.3% was due to joint, contribution of stressor and contextual variables and caregiver burden. The specific significant correlates of the dependent variable were behavioral problems of patients, sex, marital, employment and health status of caregiver, other caregiving responsibility, social support and caregiver's burden. These findings suggest that the extent of caregiver's depressive symptomatplogy is worth noting. Intervention strategies for alleviating such problem are discussed. |
本系統中英文摘要資訊取自各篇刊載內容。