چکیده:
Objective: One of the principle of mental health programs is burden and coping of caregivers of chronically mental disorders patients. In this regard, the aim of present study was to measure the amount of burden and relationship between burden and their coping strategies of caregivers. Material and Method: One hundred of main caregivers of patients (50 schizophrenic patients, 50 bipolar patients) from both Razi psychiatric hospital and clinic were enrolled to the study. The instruments were FBIS (Family Burden Interview Schedule) as well as Weintraub coping strategies check list (COPE). Chisquare, Pearson correlation coefficient and t-test were used for data analysis. Results: The study showed that the mean of burden in caregivers of chronic schizophrenic patients was significantly (P<0.05) higher than that of bipolar patients (35.5 vs. 28.9). There was inverse correlation (but not statistically meaningful) between burden and problem focused coping strategy. Conclusion: There was also a direct correlation between burden and emotional-oriented and less benefit and not effective coping strategies, but was not meaningful. Regarding the higher burden in caregivers of chronic schizophrenic patients, social support and offering health services to them seems to be necessary. Training of caregivers for problem-focused copings can also reduce the burden. Khajavi M. (MD)1 Ardeshirzadeh M. (MD)2, Afghah S. (MD)3 Dolatshahi B.
خلاصه ماشینی:
Iranian Rehabilitation Journal, Vol. 9, No. 14, 2011 Original Article The impact of coping strategies on burden of care in chronic schizophrenic patients and caregivers of chronic bipolar patients Morteza Khajavi, MD; Mansoureh Ardeshirzadeh, MD; Susan Afghah*, MD; Behrooz Dolatshahi, PhD.
University of Social Welfare and Rehabilitation sciences, Tehran, Iran Objective: One of the principles of mental health programs is burden and coping of caregivers of chronically mental disorders patients.
Regarding the higher burden in caregivers of chronic schizophrenic patients, social support and offering health services to them seems to be necessary.
A study conducted in Japan indicated that educating coping strategies to the schizophrenic patients caregivers is useful for all caregivers particularly caregivers with high expressed emotion (3).
Therefore, by taking the listed cases into account the burden tolerated by caregivers of chronic mental disorders patients (Schizophrenia and bipolar disorders) may differ proportional to applied coping strategies.
Measurement Tools The following tools were applied for evaluating extent of burden and assessment of coping approaches applied by 50 schizophrenic and bipolar patients’ caregivers in this study: - Questionnaire concerning individual particulars (patient-caregiver), - Family burden interview schedule (FBIS) - Weinteraub coping strategies check list (COPE).
A study conducted in Chili indicated that the extent of mental burden arises by lacking social rehabilitation schedules for mental disorders patient caregivers (27).
The major hypotheses of the study was assessment of relationship between extent of burden with coping approaches that an invert but non-meaningful relation was recognized between problem-centered coping approaches and caregivers burden of both schizophrenic and bipolar patients groups in this research.