Family attitude toward the persons with negative symptoms of schizophrenia

ChanamthabamPadmini Roy, A. Baruah
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Abstract

Background: Negative symptoms of schizophrenia not only lead to poor interpersonal relationship, impaired social and work functioning of the clients but it also affects family members in various aspects. The present study aimed to assess the attitudes of the primary caregivers toward the clients with negative symptoms of schizophrenia. Materials and Methods: A cross-sectional study was conducted at tertiary care hospital of Assam. Through purposive sampling technique, 40 primary caregivers of clients with negative symptoms of schizophrenia were selected from the indoor setting of a tertiary mental care institute. Self-structured sociodemographic and clinical Proforma, Positive and Negative Syndrome Scale (PANSS), Scale for Assessment of Negative Symptoms (SANS), and Family Attitude Scale (FAS) were used to collect the data. Data were analyzed using the descriptive and inferential statistics. Results: Majority of the participants (87.5%) score <60 in the FAS which showed low expressed emotion toward the clients with negative symptoms of schizophrenia. A significant negative correlation was found between the SANS score and monthly income of the clients (r = -'0.446, P = 0.004). Conclusion: Attitude of the primary caregivers toward the patient may vary based on the symptoms of schizophrenia. Assessing their attitude in the form of expressed emotion may help to understand their perception during the care of patients with negative symptoms of schizophrenia. This may help to plan suitable psychosocial nursing care for the primary caregivers.
家庭对精神分裂症阴性症状者的态度
背景:精神分裂症的阴性症状不仅会导致患者人际关系不良,社会和工作功能受损,而且还会对家庭成员产生多方面的影响。本研究旨在评估主要照顾者对精神分裂症阴性症状病人的态度。材料和方法:在阿萨姆邦三级保健医院进行了横断面研究。采用目的抽样方法,从某三级精神病院室内环境中选取40名精神分裂症阴性症状患者的主要照顾者。采用自结构社会人口学和临床形式表、阳性和阴性综合征量表(PANSS)、阴性症状评估量表(SANS)和家庭态度量表(FAS)收集数据。数据分析采用描述性统计和推理统计。结果:绝大多数(87.5%)的被试对精神分裂症阴性症状患者的情绪表达低于60分。SANS得分与客户月收入呈显著负相关(r = - 0.446, P = 0.004)。结论:主要照顾者对精神分裂症患者的态度可能因症状而异。以表达情绪的形式评估他们的态度可能有助于了解他们在精神分裂症阴性症状患者护理期间的感知。这可能有助于为主要照顾者规划合适的心理社会护理。
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