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Impact of living with bipolar patients: Making sense of caregivers' burden

World Journal of Psychiatry 2014年第1期4卷 1-12页

作者： Maurizio Pompili désirée harnic Xenia Gonda Alberto Forte Giovanni dominici Marco Innamorati Konstantinos N Fountoulakis Gianluca Serafini Leo Sher Luigi Janiri Zoltan Rihmer Mario Amore Paolo Girardi department of Neurosciences Mental Health and Sensory Organs Suicide Prevention Center Sant’Andrea Hospital Sapienza University of Rome 00189 Rome Italy department of Psychiatry Catholic University Medical School 00189 Rome Italy department of Clinical and Theoretical Mental Health and department of Pharmacodynamics Semmelweis University H-1086 Budapest Hungary Neuropsychopharmacology and Neurochemistry Research Group National Academy of Sciences and Semmelweis University H-1086 Budapest Hungary National Institute of Psychiatry and Addictions Laboratory for Suicide Research and Prevention H-1135 Buda-pest Hungary 3rd department of Psychiatry Aristotle University of Thessaloniki GR-54006 Thessaloniki Greece department of Psychiatry Icahn School of Medicine at Mount Sinai New York NY 10029 United States department of Clinical and Theoretical Mental Health Semmelweis University H-1125 Budapest Hungary department of Neuroscience Rehabilitation Ophthalmology Genetics Maternal and Child Health Section of Psychiatry University of Genova I-16146 Genova Italy

The aim of the present review was to examine objective and subjective burdens in primary caregivers(usually family members) of patients with bipolar disorder(Bd) and to list which symptoms of the patients are considered more burdensome by the caregivers. In order to provide a critical review about caregiver's burden in patients with bipolar disorder, we performed a detailed Pub Med, Bio Med Central, ISI Web of Science, Psyc INFO, elsevier Science direct and Cochrane Library search to identify all papers and book chapters in english published during the period between 1963 and November 2011. The highest levels of distress were caused by the patient's behavior and the patient's role dysfunction(work, education and social relationships). Furthermore, the caregiving role compromises other social roles occupied by the caregiver, becoming part of the heavy social cost of bipolar affective disorder. There is a need to better understand caregivers' views and personal perceptions of the stresses and demands arising from caring for someone with Bd in order to develop practical appropriate interventions and to improve the training of caregivers.

关键词： Bipolar disorder Caregivers Burden Prevention

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