| 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 |
| Analysis of influencing factors of depression and anxiety status among caregivers of patients with mental illness based on structural equation model |
DOI：10.11886/scjsws20191018001 |
| English keywords:Pantients caregivers Burden of care Violence behavior Suicide Structural equation model |
| Fund projects: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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| 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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