title: [The resilience and health status of primary caregivers of schizophrenia patients].
abstract: BACKGROUND
  Resilience has been shown to have a positive effect on health status. However, little research has been conducted on the impact of resilience on the health of primary caregivers of schizophrenia patients.
  
  
  OBJECTIVE
  This study investigated the correlations between resilience and the health status of caregivers of schizophrenia patients.
  
  
  METHODS
  A cross-sectional, descriptive research design was used. Data collection was conducted using a set of questionnaires that included a demographic datasheet, the SOC-13 (Sense of Coherence), the DASS-21 (Depression Anxiety Stress Scales), and the SF-36 (short form). Seventy caregivers of schizophrenia patients were enrolled as participants at the psychiatric inpatient department of a medical center. SPSS 17.0 and SAS.9.2 statistical software packages were used to conduct descriptive analysis, the Sobel test, and Tobit model analysis.
  
  
  RESULTS
  (1) The mean QOL (quality of life) scale score was 67.46 (SD = 17.74). Nearly one-fifth (18.6%) of caregivers were classified in the low to high depression range; 17.1% were classified in the low to high anxiety level; and 10% were classified in low to high stress level. (2) Duration of the caring period correlated negatively with caregiver QOL; having a concomitant disease significantly impacted QOL and resilience; and number of patient hospitalization days correlated negatively with level of caregiver anxiety. (3) The numbers of incidents of patient violence and patient suicide attempts correlated negatively with caregiver resilience and QOL. (4) Resilience was a mediator between care-giver demographic data and QOL. (5) Caregiver resilience was a predictor of QOL, depression, anxiety, and stress.
  
  
  CONCLUSIONS
  The findings of the present study increase our understanding of the impact of resilience on the health status of caregivers of schizophrenia patients. The authors hope these finding may be referenced in the development of resilience-based nursing caring models in the future.
authors.affiliation: Department of Nursing, Taipei Veterans General Hospital, Taiwan, ROC.
authors.forename: Ya-Chi
authors.initials: YC
authors.lastname: Fan
authors.affiliation: Department of Nursing, Taipei Veterans General Hospital, Taiwan, ROC.
authors.forename: Mei-Bih
authors.initials: MB
authors.lastname: Chen
authors.affiliation: National Taipei University of Nursing and Health Sciences, Taiwan, ROC.
authors.forename: Kuan-Chia
authors.initials: KC
authors.lastname: Lin
authors.affiliation: Department of Psychiatry, Taipei Veterans General Hospital, Taiwan, ROC.
authors.forename: Ya-Mei
authors.initials: YM
authors.lastname: Bai
authors.affiliation: Department of Nursing, National Taipei University of Nursing and Health Sciences, Taiwan, ROC. zoe@ntunhs.edu.tw.
authors.forename: Shiow-Jing
authors.initials: SJ
authors.lastname: Wei
mesh_terms: D017028:Caregivers / Q000523:psychology*; D006304:Health Status; D006801:Humans; D011788:Quality of Life; D055500:Resilience, Psychological; D012559:Schizophrenia / Q000628:therapy*
keywords: caregivers; health status; resilience; schizophrenia