Research on Family Burden of Depression Inpatients and Its Correlation with Family Social Support_Chinese Journal of Evidence-Based Medicine

Authors：

LI Zhe ,  SUN Xueli , ZHANG Bo , DENG Xiaojuan

Mental Health Center, West China Hospital, Sichuan University, Chengdu 610041, China;

Corresponding author：

SUN Xueli, Email: sunxueli@tom.com

Keywords：

Depression; Family burden; Social support

DOI：

10.7507/1672-2531.20110089

Video：

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Objective 　To investigate the family burden of depression inpatients, analyze the influencing factors and explore the approach to reduce the family burden.
Methods 　On-the-spot investigation was conducted for the family members of 200 depression inpatients in Mental Health Center of West China Hospital of Sichuan University from January to December, 2008. Following questionnaires used for investigation were all self-scale and filled out by the family members: “Basic Information Scale of Patients and Family Members”, “Family Burden Scale of Patients with Depression” revised from Pai’s scale of “Burden on the Family of Disease” (scoring 0-48 points and covering 24 items under 6 dimensions, namely, financial burden, disruption of routine family activities, disruption of family leisure, disruption of family interactions, effect on physical health of family members, and effect on mental health of family members; rating each item on a 3-class scale, namely, zero for no burden, one for moderate burden, and two for severe burden) , and Xiao Shuiyuan’s “Social Support Scale” (10 items in total, a higher score indicates a better social support). SPSS 13.0 software was adopted to perform statistical analyses.
Results 　The total score of family burden was 26.3±12.6, the positive answer rate of family burden was 100.0%, and the positive answer rate of the every dimension was above 80%. The score of family burden for parents and spouse was higher than that of children (P lt;0.05). The total score of social support was 40.22±9.06, and the correlation coefficient between family burden and family social support was –0.485 (P lt;0.001).
Conclusion 　It is common for family members of depression patients to get family burden at different levels. The more social support family members get, the less the family burden is.

Citation： LI Zhe,SUN Xueli,ZHANG Bo,DENG Xiaojuan. Research on Family Burden of Depression Inpatients and Its Correlation with Family Social Support. Chinese Journal of Evidence-Based Medicine, 2011, 11(5): 500-504. doi: 10.7507/1672-2531.20110089 Copy

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2.	3 Pai S, Kapur RK. The burden on the family of a psychiatric patient: development of a interview schedule. Brit J Psychiat , 1981, 138: 332-335.
3.	12 Olsen EH. The impact of serious illness on the family system. Postgrad Med , 1970, 47(2): 169-174.
4.	13 McWhinney IR. Beyond diagnosis-An approach to the integration of behavioral science and clinical medicine. N Engl J Med , 1972, 287(8): 384-387.
5.	15 Greenberg PE, Birnbaum HG. The economic burden of depression in the US: societal and patient perspectives. Expert Opin Pharmacother , 2005, 6(3): 369-376.
6.	17 Belasco AG, Sesso R. Burden and quality of life of caregivers for hemodialysis patients. Am J Kidney Dis , 2002, 39(4): 805-812.
7.	18 Alonso Babarro A, Garrido Barral A, Díaz Ponce A, et al . Profile and burden of care in caregivers of patients with dementia included in the ALOIS program. Aten Primaria , 2004, 33(2): 61.
8.	19 Navaie-Waliser M, Feldman PH, Gould DA. When the caregiver needs care: the plight of vulnerable caregivers. Am J Public Health , 2002, 92(3): 409-413.
9.	21 Magliano L, Fiorillo A, De Rosa C, et al . Family burden in long-term diseases: a comparative study in schizophrenia vs . physical disorders. Soc Sci Med , 2005, 61(2): 313-322.
10.	23 von dem Knesebeck O, Lüschen G, Cockerham WC, et al . Socioeconomic status and health among the aged in the United States and Germany: a comparative cross-sectional study. Soc Sci Med , 2003, 57(9): 1643-1652.
11.	杨红红, 吕探云, 徐禹静. 脑卒中病人居家主要照顾者负荷水平与社会支持度的相关性研究. 中国实用护理杂志, 2005, 21(3): 6-9.
12.	宋立升, 王善澄, 任国倩, 等. 精神分裂症患者的家庭负担. 上海精神医学, 1991, 3(4): 216-218.
13.	李洁, 向孟泽, 高德九, 等. 精神病患者家庭负担会谈量表的信度和效度测试报告. 华西医学, 1997, 12(1): 11-13.
14.	陈辉, 杜玉开, 贾桂珍. 因子分析在家庭负担量表结构效度检验中的应用. 中国卫生统计, 2003, 20(2): 93-94.
15.	郭珍, 张明园, 李柔冰. 神经症和情感障碍患者的家庭照料负担. 上海精神医学, 1997, 新(2): 169-172.
16.	郭珍, 李春波, 吴文源, 等. 抑郁症和躁狂症患者的家庭照料者负担调查. 上海精神医学, 2003, 15(21): 120-122.
17.	何琼娜, 赵宝龙, 沈静静, 等. 城乡社区精神分裂症患者家属的家庭负担对照研究. 临床精神医学杂志, 1997, 7(50): 274-276.
18.	杜玉开, 陈辉, 贾桂珍, 等. 伤害患者的家庭负担及其影响因素分析. 华中科技大学学报(医学版), 2003, 32(6): 662-664.
19.	汪向东. 心理卫生评定量表手册. 中国心理卫生杂志, 1993, 7(增刊): 44-45.
20.	杨菊贤, 杜勤. 全科医学与家庭医学. 中国行为医学科学, 2000, 9(1): 73-74.
21.	翟金国, 赵靖平, 陈敏, 等. 山东省某地区抑郁症患者的经济花费调查. 中国神经精神疾病杂志, 2008, 34(3): 165-168.
22.	王云仙, 田红琴. 住院精神病患者家属社会支持度的调查分析与护理. 解放军护理杂志, 2006, 23(5): 50-51.
23.	梁宝勇, 黄盈, 马丽莉. 中学生生活应激评定量表的初步编制. 中国心理卫生杂志, 2002, 16(5): 313-316.
24.	.

1. 1 Maglinao L, Maraso C, Fiorill A, et al . The impact of professional and social network support on the burden of families of patients with schizophrenia in Italy. Acta Psychiatr Scand , 2002, 106(4): 291-298.
2. 3 Pai S, Kapur RK. The burden on the family of a psychiatric patient: development of a interview schedule. Brit J Psychiat , 1981, 138: 332-335.
3. 12 Olsen EH. The impact of serious illness on the family system. Postgrad Med , 1970, 47(2): 169-174.
4. 13 McWhinney IR. Beyond diagnosis-An approach to the integration of behavioral science and clinical medicine. N Engl J Med , 1972, 287(8): 384-387.
5. 15 Greenberg PE, Birnbaum HG. The economic burden of depression in the US: societal and patient perspectives. Expert Opin Pharmacother , 2005, 6(3): 369-376.
6. 17 Belasco AG, Sesso R. Burden and quality of life of caregivers for hemodialysis patients. Am J Kidney Dis , 2002, 39(4): 805-812.
7. 18 Alonso Babarro A, Garrido Barral A, Díaz Ponce A, et al . Profile and burden of care in caregivers of patients with dementia included in the ALOIS program. Aten Primaria , 2004, 33(2): 61.
8. 19 Navaie-Waliser M, Feldman PH, Gould DA. When the caregiver needs care: the plight of vulnerable caregivers. Am J Public Health , 2002, 92(3): 409-413.
9. 21 Magliano L, Fiorillo A, De Rosa C, et al . Family burden in long-term diseases: a comparative study in schizophrenia vs . physical disorders. Soc Sci Med , 2005, 61(2): 313-322.
10. 23 von dem Knesebeck O, Lüschen G, Cockerham WC, et al . Socioeconomic status and health among the aged in the United States and Germany: a comparative cross-sectional study. Soc Sci Med , 2003, 57(9): 1643-1652.
11. 杨红红, 吕探云, 徐禹静. 脑卒中病人居家主要照顾者负荷水平与社会支持度的相关性研究. 中国实用护理杂志, 2005, 21(3): 6-9.
12. 宋立升, 王善澄, 任国倩, 等. 精神分裂症患者的家庭负担. 上海精神医学, 1991, 3(4): 216-218.
13. 李洁, 向孟泽, 高德九, 等. 精神病患者家庭负担会谈量表的信度和效度测试报告. 华西医学, 1997, 12(1): 11-13.
14. 陈辉, 杜玉开, 贾桂珍. 因子分析在家庭负担量表结构效度检验中的应用. 中国卫生统计, 2003, 20(2): 93-94.
15. 郭珍, 张明园, 李柔冰. 神经症和情感障碍患者的家庭照料负担. 上海精神医学, 1997, 新(2): 169-172.
16. 郭珍, 李春波, 吴文源, 等. 抑郁症和躁狂症患者的家庭照料者负担调查. 上海精神医学, 2003, 15(21): 120-122.
17. 何琼娜, 赵宝龙, 沈静静, 等. 城乡社区精神分裂症患者家属的家庭负担对照研究. 临床精神医学杂志, 1997, 7(50): 274-276.
18. 杜玉开, 陈辉, 贾桂珍, 等. 伤害患者的家庭负担及其影响因素分析. 华中科技大学学报(医学版), 2003, 32(6): 662-664.
19. 汪向东. 心理卫生评定量表手册. 中国心理卫生杂志, 1993, 7(增刊): 44-45.
20. 杨菊贤, 杜勤. 全科医学与家庭医学. 中国行为医学科学, 2000, 9(1): 73-74.
21. 翟金国, 赵靖平, 陈敏, 等. 山东省某地区抑郁症患者的经济花费调查. 中国神经精神疾病杂志, 2008, 34(3): 165-168.
22. 王云仙, 田红琴. 住院精神病患者家属社会支持度的调查分析与护理. 解放军护理杂志, 2006, 23(5): 50-51.
23. 梁宝勇, 黄盈, 马丽莉. 中学生生活应激评定量表的初步编制. 中国心理卫生杂志, 2002, 16(5): 313-316.
24. .

Chinese Journal of Evidence-Based Medicine

Research on Family Burden of Depression Inpatients and Its Correlation with Family Social Support

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