| 孙彬.基于结构方程模型的精神疾病患者照料者抑郁焦虑的影响因素研究[J].四川精神卫生杂志,2020,33(1):61-66.Sun Bin,Analysis of influencing factors of depression and anxiety status among caregivers of patients with mental illness based on structural equation model[J].SICHUAN MENTAL HEALTH,2020,33(1):61-66 |
| 基于结构方程模型的精神疾病患者照料者抑郁焦虑的影响因素研究 |
| Analysis of influencing factors of depression and anxiety status among caregivers of patients with mental illness based on structural equation model |
| 投稿时间：2019-10-18 |
| DOI：10.11886/scjsws20191018001 |
| 中文关键词: 患者照料者 照料负担 暴力行为 自杀 结构方程模型 |
| 英文关键词:Pantients caregivers Burden of care Violence behavior Suicide Structural equation model |
| 基金项目:广东省科技计划项目（项目名称：精神疾病生物样本库的建立及临床应用，项目编号：2019B030316001）；广州市科技计划项目创新平台建设计划（项目名称：广州市精神疾病临床转化实验室项目，项目编号：201805010009） |
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| 中文摘要: |
| 目的 基于结构方程模型，探讨精神疾病患者照料者抑郁焦虑的影响因素。 方法 采用便利抽样收集602例住院精神疾病患者的照料者，使用简化版家庭负担访谈量表（FEIS）评估患者照料者的抑郁焦虑状态、患者的暴力行为、自杀倾向、照料者日常生活受到的影响以及照料者感受的亲友关系，采用结构方程模型建模法分析照料者的抑郁焦虑状态及其影响因素。 结果 患者的暴力行为通过对照料者日常生活的影响，间接影响照料者抑郁焦虑状态（间接效应为0.059）；患者的自杀倾向直接影响照料者抑郁焦虑状态（直接效应为0.139），对照料者日常生活的影响部分间接作用于照料者抑郁焦虑状态（间接效应为0.014）；与来自患者症状的作用相比，照料者感知到的亲友关系对其抑郁焦虑状态影响更大（总效应为0.281）。 结论 患者的自杀倾向直接影响照料者抑郁焦虑状态，照料者日常生活受到的影响在其中仅起到部分中介作用。照料者日常生活受到的影响完全中介了患者的暴力行为对照料者抑郁焦虑状态的作用。照料者感受到较好的亲友关系可以降低自身的抑郁焦虑状态。 |
| 英文摘要: |
| Objective To explore the influencing factors of depression and anxiety status among caregivers of patients with mental illness based on the structural equation model. Methods A total of 602 caregivers of mental illness inpatients were enrolled by convenience sampling. The Brief Chinese version of the Family Experience Interview Schedule (FEIS) was used to assess caregivers' depression and anxiety state, patients' violent behavior, patients' suicidal tendency, disruption of caregivers' daily routines as well as the perceived relationship of caregivers. The depression and anxiety status among caregivers and influencing factors were analyzed by structural equation modeling. Results The patient's violent behavior indirectly affected the caregivers' depression and anxiety state through its impact on the caregivers' daily life (the indirect effect was 0.059). The suicidal tendency of patients directly affected the state of depression and anxiety of caregivers (the direct effect was 0.139).The disruption of caregivers' daily routines was partly indirectly related to the state of depression and anxiety of the caregivers (the indirect effect was 0.014). Compared with the effect from the patients' symptoms, the perceived relationship of the caregivers had a greater impact on the caregivers' depressive and anxious status (the total effect was 0.281). Conclusion The suicidal tendency of patients directly affects the state of depression and anxiety of caregivers, and the disruption of caregivers' daily routines only plays a partial mediating role, which completely mediates the effect of the patients' violent behavior on the caregivers' depressive and anxious, meanwhile, a good relationship with friends and family of caregivers can alleviate their depression and anxiety. |
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