[原著]Psychological trauma among family caregivers of individuals with schizophrenia in relation to their subjective care burden, distress and stress response

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The present study aimed to clarify which symptoms/behaviors in individuals with acute schizophrenia mainly cause psychological trauma in their family caregivers and how psychological trauma consequently induces subjective care burden, distress and stress response in family members. Psychological trauma as symptoms for post-traumatic stress disorder (PTSD) was assessed by the Impact of Event Scale-Revised (IES-R) while the Family Burden and Distress Scale (FBDS) and Stress Response Scale-18 (SRS-18) were used to evaluate secondary emotion reaction. The recovery of the questionnaires was 30.9% (117 out of 379). Among them, 78 cases, who completely replied to all the questions, were selected as the subjects, who were divided into two groups by the cut off value (24/25) for IES-R, i.e,. low-risk (n = 45) and high-risk (n = 33) groups for psychological trauma. Only agitation in patients significantly contributed to the increased proportion of the high-risk groups in family caregivers. Greater Burden (odds ratio = 5.12), Confusion (5.72) and stress response with depression/anxiety (2.94) were observed in the high-risk group. These suggest that patientʼs agitation has strong impact on traumatic stress in family caregivers, who may eventually show increased care burden and depressive/ anxious response as the secondary process.

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