关键词: Conversion disorder coping pattern dissociative disorder family burden family environment stressor

来  源:   DOI:10.4103/ipj.ipj_42_23   PDF(Pubmed)

Abstract:
UNASSIGNED: Dissociative disorder is a stress-related disorder usually present in adolescents and younger age groups. It is also accompanied by significant impairment in activity of daily living and family relations. Family environment and use of dysfunctional coping strategies play important roles in the initiation and maintenance of symptoms and this puts a considerable burden on the family.
UNASSIGNED: This study aims to study the presence of stressors, the role of family environment, the role of family burden, and the use of coping mechanisms in persons with dissociative disorder.
UNASSIGNED: This was a descriptive cross-sectional study in which 100 persons with a dissociative disorder were included after fulfilling inclusion and exclusion criteria from the outpatient department (OPD) of psychiatry.
UNASSIGNED: In this study, the major part of the sample were women (87%), most were educated up to 12th standard or less than 12 years of formal education. According to stressors, 44% had family stress/problems. 77% (mostly women) had dissociative stupor. The dissociative disorder caused a considerable degree of burden on the other family members. There was a significant difference in financial burden among caregivers of persons who were married, belonging to rural areas, joint families, and from lower socio-economic classes. There was a significant difference in disruption of routine family activities, and burden in persons having a longer duration of illness. There was a significant difference found in conflict, achievement orientation, and dimensions of family environment between males and females. A significant difference in the venting of emotions, behavioral disengagement, and restraint as a coping strategy between males and females was found.
UNASSIGNED: Present study showed dissociative disorder patients cause a considerable degree of burden on family members in terms of leisure, physical, mental, financial, and routine family interrelationship domains. In personal growth and relationship dimensions, the use of dysfunctional coping strategies in the family environment has a causal effect on the symptoms of dissociative disorder patients.
摘要:
分离障碍是一种与压力有关的障碍,通常存在于青少年和年轻群体中。它还伴随着日常生活活动和家庭关系的严重损害。家庭环境和使用功能失调的应对策略在症状的开始和维持中起着重要作用,这给家庭带来了相当大的负担。
本研究旨在研究压力源的存在,家庭环境的作用,家庭负担的作用,以及在患有分离性障碍的人中使用应对机制。
这是一项描述性的横断面研究,其中100名患有分离障碍的人在符合精神病学门诊部(OPD)的纳入和排除标准后被纳入。
在这项研究中,样本的主要部分是女性(87%),大多数人接受的教育达到12标准或不到12年的正规教育。根据压力,44%的人有家庭压力/问题。77%(主要是女性)患有分离性昏迷。分离障碍对其他家庭成员造成了相当程度的负担。已婚人士的照顾者之间的经济负担存在显着差异,属于农村地区,联合家庭,来自较低的社会经济阶层。家庭日常活动的中断有显著差异,以及疾病持续时间较长的人的负担。在冲突中发现了显著的差异,成就导向,男女家庭环境的维度。情绪宣泄的显著差异,行为脱离接触,并发现克制作为男性和女性之间的应对策略。
目前的研究表明,分离障碍患者在休闲方面对家庭成员造成相当程度的负担,物理,心理,金融,和常规的家庭相互关系域。在个人成长和关系维度上,在家庭环境中使用功能失调的应对策略对分离障碍患者的症状有因果关系。
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