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KMID : 0897520130180010034
Journal of Korean Association of Social Psychiatry
2013 Volume.18 No. 1 p.34 ~ p.41
Factors Influencing Family Burden of the Patientswith Organic Mental Disorder after Head Trauma
Bang Young-Rong

Kim Chul-Kwon
Abstract
Objectives: The purpose of this study is to evaluate the family burden in the primary caregivers of organic mental disorder patients after head trauma, and to investigate the factors influencing family burden.

Methods: A total 50 primary caregivers of organic mental disorder patients after head trauma due to traffic or industrial accidents were participated in this study. All patients have attended the psychiatric outpatient clinic or inpatient ward of Dong-A university hospital. We collected data from the caregivers about socio-demographic characteristics, family burden (Family Burden Scale), family depression (BAI) and anxiety (BDI), family perceived social support (MSPSS), patients¡¯ behavior and symptoms (BASIS-32) under several measures. For data analysis, all collected data were considered explanatory variables for burden, then multicollinearity was examined.

Results: Total mean score of the family burden in the primary caregivers was 58.7 (SD 28.2). Each score of family depression and anxiety was 26.4 (SD 11.8) and 24.7 (SD 141), and measured up to 52% and 48% of total caregivers. Among several variables influencing the family burden, 6 variables (patients¡¯ age, patients¡¯ sex, patients¡¯ smoking, patients¡¯ alcohol drinking, family perceived social support and patients¡¯ behavior and symptoms) accounted for 80% of the family burden. In particular, patients¡¯ behavior and symptoms turned out to be the highest explanatory ability (49%). When dividing the patients¡¯ behavior and symptoms into five subareas: Personal relationship, Depression and Anxiety, Impulsivity or Addiction behaviors, Daily-life function and Psychotic symptoms, we could see all the subareas were connected with the family burden in a statistically meaningful way.

Conclusions: Primary caregivers of organic mental disorder patients after head trauma bore the considerable burden of caring for the patients and felt depressed and anxious. Factors influencing the family burden were patients¡¯ behavior and symptoms, patients¡¯ alcohol drinking, patients¡¯ smoking, patients¡¯ age, family perceived social support and patients¡¯ sex. If we try to figure out the variable factors and improve them, we can decrease family burden effectively.
KEYWORD
Burden, Family, Head Trauma, Organic mental disorder
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