Primary caregivers of schizophrenia outpatients: burden and predictor variables.
This article explores family burden in relation to relatives' coping strategies and social networks, as well as in relation to the patients' severity of positive and negative symptoms. Data on the severity of symptoms (Positive and Negative Syndrome Scale for Schizophrenia [PANSS]), social functioning (Social Functioning Scale [SFS]), caregivers burden (Interview on Objective and Subjective Family Burden or Entrevista de Carga Familiar Objetiva y Subjetiva [ECFOS]), coping skills (Family Coping Questionnaire [FCQ]), and social support (Social Network Questionnaire [SNQ]) were gathered from a randomized sample of 101 Chilean outpatients and their primary caregivers, mostly mothers. Low levels of burden were typically found, with the exception of moderate levels on general concerns for the ill relative. A hierarchical regression analysis with four blocks showed that clinical characteristics, such as higher frequency of relapses, more positive symptoms and lower independence-performance, together with lower self-control attributed to the patient, decrease in social interests, and less affective support, predict burden. The results support the relevance of psychoeducational interventions where families' needs are addressed.
Grandón
Pamela
P
Facultad de Psicologia Universidad del Desarrollo Ainavillo 456, Concepción, Chile. pamegrandon@udd.cl <pamegrandon@udd.cl>
Jenaro
Cristina
C
Lemos
Serafín
S
D000223:Adaptation, Psychological; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000553:Ambulatory Care; D001294:Attitude to Health; D017028:Caregivers / Q000523:psychology*; D015928:Cognitive Behavioral Therapy; D019260:Expressed Emotion; D005192:Family Health; D005260:Female; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D008875:Middle Aged; D009035:Mothers / Q000523:psychology; D011336:Probability; D011788:Quality of Life; D012008:Recurrence; D012044:Regression Analysis; D012559:Schizophrenia / Q000175:diagnosis / Q000628:therapy*; D012565:Schizophrenic Psychology; D020377:Self Efficacy; D012720:Severity of Illness Index; D012917:Social Adjustment; D012944:Social Support; D013315:Stress, Psychological / Q000175:diagnosis / Q000523:psychology*; D011795:Surveys and Questionnaires