دوره 4، شماره 2 - ( 1-1397 )                   جلد 4 شماره 2 صفحات 63-57 | برگشت به فهرست نسخه ها


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Yousefzadeh-Chabok S, Emamhadi M, Alijani B, Cheragh Sepehr M, Khodadadi- Hassankiadeh N. Psychopathological Symptoms in Caregivers of Patients With Vegetative State. Caspian J Neurol Sci 2018; 4 (2) :57-63
URL: http://cjns.gums.ac.ir/article-1-144-fa.html
Psychopathological Symptoms in Caregivers of Patients With Vegetative State. مجله علوم اعصاب کاسپین. 1397; 4 (2) :57-63

URL: http://cjns.gums.ac.ir/article-1-144-fa.html


چکیده:   (2895 مشاهده)

Background: Taking care of patients in a vegetative state is a great challenge and affects the mental health of the caregivers.
Objectives: This study aimed to determine the psychopathological symptoms in caregivers of patients with Vegetative State (VS) and determine the demographic and social predictors of the common symptoms.
Materials & Methods: This cross-sectional study was conducted in an educational hospital in the north of Iran from 2012 to 2013. The psychopathological symptoms of 80 caregivers of VS patients were evaluated by Symptom Checklist-Revised (SCL-90-R) questionnaire. Results were analyzed using SPSS (Version 18) by the Mann-Whitney U test. Finally, the predictors of psychopathological symptoms were determined through a simple regression model.
Results: The highest scores of the psychological symptoms were of the depression subscale (2.88±0.86) and somatoform subscale (2.85±0.83). The psychopathological symptoms including somatoform (P=0.012), obsessive-compulsive (P=0.032), depression (P=0.035), anxiety (P=0.027), phobia (P=0.015), and paranoid ideations (P=0.027) were significantly higher in women than in men. However, there was no significant relationship between these symptoms and marital status. The simple regression model showed that none of the sociodemographic variables could predict psychopathological symptoms in the caregivers.
Conclusion: A significant number of caregivers had psychopathological symptoms, especially depression and somatoform complaints.

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نوع مطالعه: پژوهشي | موضوع مقاله: تخصصي
دریافت: 1395/12/18 | پذیرش: 1396/10/11 | انتشار: 1397/1/12

فهرست منابع
1. Guarnerio C, Prunas A, Della Fontana I, Chiambretto P. Prevalence and comorbidity of prolonged grief disorder in a sample of caregivers of patients in a vegetative state. Psychiatr Q. 2012; 83(1):65-73. [DOI:10.1007/s11126-011-9183-1] [DOI:10.1007/s11126-011-9183-1]
2. Kuehlmeyer K, Borasio GD, Jox RJ. How family caregivers' medical and moral assumptions influence decision making for patients in the vegetative state: A qualitative interview study. J Med Ethics. 2012; 38(6):332-7. [DOI:10.1136/medethics-2011-100373] [DOI:10.1136/medethics-2011-100373]
3. Chiambretto P, Ferrario SR, Zotti AM. Patients in a persistent vegetative state: Caregiver attitudes and reactions. Acta Neurol Scand. 2001; 104(6):364-8. [DOI:10.1034/j.1600-0404.2001.00107.x] [PMID] [DOI:10.1034/j.1600-0404.2001.00107.x]
4. Leonardi M, Sattin D, Giovannetti AM, Pagani M, Strazzer S, Villa F, et al. Functioning and disability of children and adolescents in a vegetative state and a minimally conscious state: Identification of ICF-CY-relevant categories. Int J Rehabil Res. 2012; 35(4):352-9. [DOI:10.1097/MRR.0b013e328356425d] [PMID] [DOI:10.1097/MRR.0b013e328356425d]
5. Giovannetti A, Pagani M, Sattin D, Covelli V, Raggi A, Strazzer S, et al. Children in vegetative state and minimally conscious state: Patients' condition and caregivers' burden. Sci World J. 2012; 232149. [DOI:10.1100/2012/232149] [DOI:10.1100/2012/232149]
6. Boly M, Sanders RD, Mashour GA, Laureys S. Consciousness and responsiveness: Lessons from anaesthesia and the vegetative state. Curr Opin Anaesthesiol. 2013; 26(4):444-9. [DOI:10.1097/ACO.0b013e3283628b5d] [PMID] [DOI:10.1097/ACO.0b013e3283628b5d]
7. McGuire DB, Grant M, Park J. Palliative care and end of life: the caregiver. Nursing Outlook. 2012; 60(6):351-6.e20. [DOI:10.1016/j.outlook.2012.08.003] [DOI:10.1016/j.outlook.2012.08.003]
8. Du B, Shan A, Zhang Y, Zhong X, Chen D, Cai K. Zolpidem arouses patients in vegetative state after brain injury: Quantitative evaluation and indications. Am J Med Sci. 2014; 347(3):178-82. [DOI:10.1097/MAJ.0b013e318287c79c] [DOI:10.1097/MAJ.0b013e318287c79c]
9. Yousefzadeh-Chabok S, Emamhadi M, Alijani B, Cheragh Sepehr M, Khodadadi-Hassankiadeh N. [Investigation of the relationship between individual-social characteristics of patients in vegetative state and psychological symptoms in family caregivers (Persian)]. Iran J Rehabil Res Nurs. 2016; 3(1):49-56.
10. Arango-Lasprilla JC, Nicholls E, Cabrera TV, Drew A, Jimenez-Maldonado M, Martinez-Cortes ML. Health-related quality of life in caregivers of individuals with traumatic brain injury from Guadalajara, Mexico. J Rehabil Med. 2011; 43(11):983-6. [DOI:10.2340/16501977-0883] [DOI:10.2340/16501977-0883]
11. Im K, Belle SH, Schulz R, Mendelsohn AB, Chelluri L. Prevalence and outcomes of caregiving after prolonged (≥48 hours) mechanical ventilation in the ICU. Chest. 2004; 125(2):597-606. [DOI:10.1378/chest.125.2.597] [PMID] [DOI:10.1378/chest.125.2.597]
12. Findeis A, Larson JL, Gallo A, Shekleton M. Caring for individuals using home ventilators: An appraisal by family caregivers. Rehabil Nurs. 1994; 19(1):6-11. [DOI:10.1002/j.2048-7940.1994.tb01295.x] [PMID] [DOI:10.1002/j.2048-7940.1994.tb01295.x]
13. Stern J, Sazbon L, Becker E, Costeff H. Severe behavioural disturbance in families of patients with prolonged coma. Brain Inj. 1988; 2(3):259-62. [DOI:10.3109/02699058809150951] [PMID] [DOI:10.3109/02699058809150951]
14. Van Erp WS, Lavrijsen JC, Vos PE, Bor H, Laureys S, Koopmans RT. The vegetative state: Prevalence, misdiagnosis, and treatment limitations. J Am Med Dir Assoc. 2015; 16(1):85.e9–85.e14. [DOI:10.1016/j.jamda.2014.10.014] [DOI:10.1016/j.jamda.2014.10.014]
15. Derogatis LR. SCL-90: Administration, scoring and procedures manual-II for the revised version and other instruments of the psychopathology rating scale series. Baltimore: Clinical Psychometric Research; 1983.
16. van der Laan L, van Spaendonck K, Horstink MW, Goris RJA. The Symptom Checklist-90 Revised questionnaire: No psychological profiles in complex regional pain syndrome–dystonia. J Pain Symptom Manage. 1999; 17(5):357-62. [DOI:10.1016/S0885-3924(99)00009-3] [DOI:10.1016/S0885-3924(99)00009-3]
17. Bagheriyazdi S, Bolhari J, Shahmohammadi D. [An epidemiological study of psychological disorders on a rural area (Meibod, Yazd) in Iran (Persian)]. Iran J Psychiat Clin Psychol. 1994; 1(1):32-41.
18. Rezaei S, Taramian S, Kafie SM. Psychopathological dimensions in substance abusers with and without HIV/AIDS and healthy matched group. Addict Health. 2013; 5(3-4):115-25. [PMID] [PMCID] [PMID] [PMCID]
19. Hemmati H, Chabok SY, Dehnadimoghadam A, Melksari HM, Dafchahi MA, Shabani S. Trauma in Guilan (North of Iran): An epidemiologic study. Acta Medica Iranica. 2009; 47(5):403-8.
20. Ågren S, Evangelista L, Strömberg A. Do partners of patients with chronic heart failure experience caregiver burden. Eur J Cardiovasc Nurs. 2010; 9(4):254-62. [DOI:10.1016/j.ejcnurse.2010.03.001] [DOI:10.1016/j.ejcnurse.2010.03.001]
21. Bartolo M, De Luca D, Serrao M, Sinforiani E, Zucchella C, Sandrini G. Caregiver burden and needs in community neurorehabilitation. J Rehabil Med. 2010; 42(9):818-22. [DOI:10.2340/16501977-0612] [DOI:10.2340/16501977-0612]
22. Conde Sala JL, Garre Olmo J, Turró Garriga O, Vilalta-Franch J, López-Pousa S. Differential features of burden between spouse and adult-child caregivers of patients with Alzheimer's disease: An exploratory comparative design. Int J Nurs Stud. 2010; 47(10):1262-73. [DOI:10.1016/j.ijnurstu.2010.03.001] [DOI:10.1016/j.ijnurstu.2010.03.001]
23. Löckenhoff CE, Duberstein PR, Friedman B, Costa PT Jr. Five-factor personality traits and subjective health among caregivers: The role of caregiver strain and self-efficacy. Psychol Aging. 2011; 26(3):592-604. [DOI:10.1037/a0022209] [DOI:10.1037/a0022209]
24. Calderón C, Gómez-López L, Martínez-Costa C, Borraz S, Moreno-Villares JM, Pedrón-Giner C. Feeling of burden, psychological distress, and anxiety among primary caregivers of children with home enteral nutrition. J Pediatr Psychol. 2011; 36(2):188-95. [DOI:10.1093/jpepsy/jsq069] [DOI:10.1093/jpepsy/jsq069]
25. Macneil G, Kosberg JI, Durkin DW, Dooley WK, DeCoster J, Williamson GM. Caregiver mental health and potentially harmful caregiving behavior: The central role of caregiver anger. Gerontol. 2010; 50(1):76-86. [DOI:10.1093/geront/gnp099] [DOI:10.1093/geront/gnp099]
26. Pedrón-Giner C, Calderón C, Martínez-Costa C, Borraz Gracia S, Gómez-López L. Factors predicting distress among parents/caregivers of children with neurological disease and home enteral nutrition. Child Care Health Dev. 2014; 40(3):389-97. [DOI:10.1111/cch.12038] [DOI:10.1111/cch.12038]
27. Chiu YW, Huang CT, Yin SM, Huang YC, Chien CH, Chuang HY. Determinants of complicated grief in caregivers who cared for terminal cancer patients. Support Care Cancer. 2010; 18(10):1321-7. [DOI:10.1007/s00520-009-0756-6] [DOI:10.1007/s00520-009-0756-6]
28. Sanyal J, Das S, Ghosh E, Banerjee T, Bhaskar L, Rao VR. Burden among Parkinson's disease care givers for a community based study from India. J Neurol Sci. 2015; 358(1):276-81. [DOI:10.1016/j.jns.2015.09.009] [DOI:10.1016/j.jns.2015.09.009]
29. Shin JY, Lim JW, Shin DW, Kim SY, Yang HK, Cho J, et al. Underestimated caregiver burden by cancer patients and its association with quality of life, depression and anxiety among caregivers. Eur J Cancer Care (Engl). 2018; 27(2):e12814. [DOI:10.1111/ecc.12814] [DOI:10.1111/ecc.12814]
30. Pinquart M, Sörensen S. Differences between caregivers and noncaregivers in psychological health and physical health: A meta-analysis. Psychol Aging. 2003; 18(2):250-67. [DOI:10.1037/0882-7974.18.2.250] [PMID] [DOI:10.1037/0882-7974.18.2.250]
31. Chang HY, Chiou CJ, Chen NS. Impact of mental health and caregiver burden on family caregivers' physical health. Arch Gerontol Geriatr. 2010; 50(3):267-71. [DOI:10.1016/j.archger.2009.04.006] [DOI:10.1016/j.archger.2009.04.006]
32. Bergander B, Erdur L, Kallenbach-Dermutz B, Deter HC. Younger and older chronic somatoform pain patients in psycho-diagnostics, physician-patient relationship and treatment outcome. Biopsychosoc Med. 2013; 7(1):4. [DOI:10.1186/1751-0759-7-4] [DOI:10.1186/1751-0759-7-4]
33. Garlo K, O'leary JR, Van Ness PH, Fried TR. Burden in caregivers of older adults with advanced illness. J Am Geriatr Soc. 2010; 58(12):2315-22. [DOI:10.1111/j.1532-5415.2010.03177.x] [DOI:10.1111/j.1532-5415.2010.03177.x]
34. Ullman SE, Peter-aHagene L. Social reactions to sexual assault disclosure, coping, perceived control, and PTSD symptoms in sexual assault victims. J Community Psychol. 2014; 42(4):495-508. [DOI:10.1002/jcop.21624] [DOI:10.1002/jcop.21624]
35. Rahmani Anaraki H, Mahmoodi GR, Rouhi G, Asayesh H, Nasiri H, Rakhshani H. [General health status of neurologic patients' caregivers and the related factors (Persian)]. J Res Dev Nurs Midwifery. 2013; 9(2):49-55.
36. Moretta P, Estraneo A, De Lucia L, Cardinale V, Loreto V, Trojano L. A study of the psychological distress in family caregivers of patients with prolonged disorders of consciousness during in-hospital rehabilitation. Clin Rehabil. 2014; 28(7):717-25. [DOI:10.1177/0269215514521826] [DOI:10.1177/0269215514521826]
37. White-Koning M, Arnaud C, Dickinson HO, Thyen U, Beckung E, Fauconnier J, et al. Determinants of child-parent agreement in quality-of-life reports: A European study of children with cerebral palsy. Pediatr. 2007; 120(4):e804-e14. [DOI:10.1542/peds.2006-3272] [DOI:10.1542/peds.2006-3272]
38. Pahlavanzadeh S, Navidian A, Yazdani M. [The effect of psycho-education on depression, anxiety and stress in family caregivers of patients with mental disorders (Persian)]. J Kermanshah Univ Med Sci. 2010; 14(3):228-36.
39. Leonardi M, Sattin D, Raggi A. An Italian population study on 600 persons in vegetative state and minimally conscious state. Brain Inj. 2013; 27(4):473-84. [DOI:10.3109/02699052.2012.750758] [PMID] [DOI:10.3109/02699052.2012.750758]
40. Brodaty H, Green A, Koschera A. Meta-analysis of psychosocial interventions for caregivers of people with dementia. J Am Geriatr Soc. 2003; 51(5):657-64. [DOI:10.1034/j.1600-0579.2003.00210.x] [PMID] [DOI:10.1034/j.1600-0579.2003.00210.x]

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