Despite its merits, the Western-style psychiatric community rehabilitation model is not well accepted by caregivers in Taiwan.
We examined factors affecting the utilization of community rehabilitation programs in Taiwan.
Our stepwise logistic regression revealed that psychoeducation regarding the biological cause of schizophrenia emerged as the major factor for increasing utilization treatment modality.
Eighty-nine pairs of schizophrenic patients (who had been recommended for rehabilitation) and their relatives were divided into two groups, the rehabilitation group and the nonrehabilitation group.
Both groups were surveyed on help-seeking behavior scales and mental function measurements.
The results showed no significant differences in patients'psychopathology, though the rehabilitation group had higher employment rates.
As for caregivers, the rehabilitation group scored significantly better on some cognitive appraisals, whereas the nonrehabilitation group was more inclined to institutionalize the patients for life.
No significant differences were noticed on rejection attitude, subjective care burden, or expressed emotion measures.
Improving caregiver's knowledge about the disease, providing activities that lend emotional, physical, and financial support and thereby reduce the burden and increase the satisfaction of caregivers may be useful. (...)
Mots-clés Pascal : Schizophrénie, Aidant, Recherche aide, Programme thérapeutique, Réadaptation sociale, Service santé, Utilisation, Communauté, Education santé, Santé mentale, Environnement social, Milieu culturel, Taiwan, Asie, Homme, Psychose
Mots-clés Pascal anglais : Schizophrenia, Caregiver, Help seeking, Therapeutic schedule, Social rehabilitation, Health service, Use, Community, Health education, Mental health, Social environment, Cultural environment, Taiwan, Asia, Human, Psychosis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0488260
Code Inist : 002B18I11. Création : 22/03/2000.