Informal Caregiving for Psychosocial Disability in the Time of the Post COVID Crisis of Welfare in Italy.

IF 2.7 4区 医学 Q2 PSYCHIATRY
Mauro Giovanni Carta, Giulia Cossu, Antonio Egidio Nardi, Oye Gureje, Viviane Kovess-Masfety, Elisa Cantone, Michela Atzeni
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引用次数: 0

Abstract

Background: Informal caregivers of individuals with psychosocial disabilities are at high risk of psychological distress, leading to depressive symptoms and reduced quality of life (QOL). The ongoing crisis in welfare systems, worsened by economic constraints and the COVID-19 pandemic, has further increased caregivers' burdens, especially in countries like Italy, where community-based care models are underfunded. This study aims to assess how this welfare crisis impacts informal caregivers who lack external support.

Methods: A study was conducted in Sardinia, Italy, comparing the mental health and QOL of family caregivers with matched controls from the general population. Depressive symptoms were assessed using the Patient Health Questionnaire (PHQ-9), and health-related QOL was measured with the SF-12 scale. Statistical analyses included ANOVA and odds ratio calculations.

Results: A sample of 70 caregivers showed a significantly higher prevalence of depressive symptoms (32.86%) compared to 280 controls (9.54%), with an odds ratio of 5.49. Their QOL scores were similar to those of individuals with severe chronic illnesses, reflecting substantial mental and emotional distress.

Conclusions: The findings highlight the severe impact of Italy's welfare crisis on caregivers and underscore the urgent need for policy measures to support informal caregiving networks and alleviate their psychological burden.

COVID - 19后意大利福利危机时期对社会心理残疾的非正式照顾
背景:社会心理残疾个体的非正式照料者有很高的心理困扰风险,导致抑郁症状和生活质量(QOL)下降。福利制度的持续危机,再加上经济制约和2019冠状病毒病大流行,进一步加重了护理人员的负担,特别是在意大利等社区护理模式资金不足的国家。本研究旨在评估这种福利危机如何影响缺乏外部支持的非正式照顾者。方法:在意大利撒丁岛进行了一项研究,将家庭照顾者的心理健康和生活质量与普通人群的匹配对照进行比较。使用患者健康问卷(PHQ-9)评估抑郁症状,使用SF-12量表测量与健康相关的生活质量。统计分析包括方差分析和优势比计算。结果:70名护理人员的抑郁症状患病率(32.86%)明显高于对照组280名(9.54%),优势比为5.49。他们的生活质量得分与患有严重慢性疾病的人相似,反映了严重的精神和情绪困扰。结论:研究结果强调了意大利福利危机对护理人员的严重影响,并强调了迫切需要采取政策措施来支持非正规护理网络并减轻其心理负担。
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来源期刊
CiteScore
12.30
自引率
1.30%
发文量
120
期刊介绍: The International Journal of Social Psychiatry, established in 1954, is a leading publication dedicated to the field of social psychiatry. It serves as a platform for the exchange of research findings and discussions on the influence of social, environmental, and cultural factors on mental health and well-being. The journal is particularly relevant to psychiatrists and multidisciplinary professionals globally who are interested in understanding the broader context of psychiatric disorders and their impact on individuals and communities. Social psychiatry, as a discipline, focuses on the origins and outcomes of mental health issues within a social framework, recognizing the interplay between societal structures and individual mental health. The journal draws connections with related fields such as social anthropology, cultural psychiatry, and sociology, and is influenced by the latest developments in these areas. The journal also places a special emphasis on fast-track publication for brief communications, ensuring that timely and significant research can be disseminated quickly. Additionally, it strives to reflect its international readership by publishing state-of-the-art reviews from various regions around the world, showcasing the diverse practices and perspectives within the psychiatric disciplines. This approach not only contributes to the scientific understanding of social psychiatry but also supports the global exchange of knowledge and best practices in mental health care.
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