Knowledge and Expressed Emotions of Caregivers towards Schizophrenia

V. Jaikumar, N. Prabhu, M. Jessy
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Abstract

Schizophrenia is a severe mental disorder affecting 3-5 / 1000 of the general population at any given time in any society. In India, caregivers in the family play a vital role in providing care by attending to the physical and emotional needs of their ill relatives. It tends to affect young people during their most productive years and, if left untreated, the illness can continue till their end. The management of schizophrenia can be challenging. Hence, it is inevitable that the caregivers need to have knowledge about illness, treatment and available support for effective management. The aim of the study was to examine the level of knowledge about illness and expressed emotions among the caregivers of persons with schizophrenia. The total 120 caregivers who involved in providing care of persons with schizophrenia were samples. The caregivers of persons with schizophrenia diagnosed falling under International Classification of Disease 10 diagnostic criteria were selected using purposive sampling technique. Knowledge about Schizophrenia Interview (KASI) and Family Attitude Questionnaire (FAQ) were used for assessment. The findings revealed that male caregivers have better knowledge in diagnosis (t=2.05*, p<.05) while females have higher knowledge in course and prognosis (t=2.65**, p<.01). They have inadequate knowledge in other dimensions of KASI such as in symptomatology, etiology, medication and management of schizophrenia. They also had higher scores in their expressed emotions like critical comments, hostility, dissatisfaction and emotional over involvement and less score in warmth. The finding suggests need for psycho -educational intervention to enhance knowledge about schizophrenia and to improve positive emotional atmosphere.
照顾者对精神分裂症的认知与表达情绪
精神分裂症是一种严重的精神障碍,在任何社会的任何特定时间影响到3-5 / 1000的普通人口。在印度,家庭中的照顾者通过照顾患病亲属的身体和情感需求,在提供照顾方面发挥着至关重要的作用。它往往在年轻人最具生产力的时期影响他们,如果不加以治疗,这种疾病可能会持续到他们生命的尽头。精神分裂症的管理可能具有挑战性。因此,护理人员不可避免地需要了解疾病,治疗和有效管理的可用支持。这项研究的目的是检查精神分裂症患者的护理人员对疾病的知识水平和表达的情绪。共120名参与提供精神分裂症患者护理的护理人员为样本。采用有目的抽样方法,选取符合国际疾病分类10项诊断标准的精神分裂症患者的护理人员。采用精神分裂症知识访谈(KASI)和家庭态度问卷(FAQ)进行评估。结果显示,男性护理人员对诊断知识的了解程度较高(t=2.05*, p< 0.05),女性护理人员对病程和预后知识的了解程度较高(t=2.65**, p< 0.01)。他们在KASI的其他方面,如精神分裂症的症状学、病因学、药物和管理方面的知识不足。他们在表达情感方面的得分也更高,比如批评评论、敌意、不满和情绪过度投入,而在温暖方面的得分较低。这一发现提示有必要进行心理教育干预,以提高对精神分裂症的认识,并改善积极的情绪氛围。
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