정신질환자 가족의 가족기능 평가

Abstract

Background : Psychiatric disorders have been known to occur by the interaction of biologic, psychologic and social factors. A family can affect the occurrence of psychiatric disorders as a primary social factor. On the other hand, psychiatric disorders can affect family function. Therefore, we studied to compare family function between the families of psychiatric inpatients and those of normal persons, using Family APGAR and FACES Ⅲ.

Methods : Between July 1, 1999 and August 31, 1999, we examined the subject group as 40 relatives to visit psychiatric inpatient and the control group as 40 persons whose family members did not have chronic diseases or psychiatric disorders, using questionnaire of socio-demographic factors and family function.

Results : Family APGAR scores in subject group were lower than those of control group, but not statistically different. But the degrees of ‘Partnership’ of the Family APGAR in subject group were significantly lower than those of control group.(P〈0.05) Adaptability scores of FACES Ⅲ in two groups were not different. Cohesion scores of FACES Ⅲ in subject group were lower than those of control group but not statistically different. The Family APGAR scores in the families of the schizophrenics were significantly lower than those of control group. The duration of psychiatric disorders did not affect family function.

Conclusion : The family function of subject group was worsened but not statistically different. But in the families of schizophrenics, the Family APGAR scores were significantly lower than those of control group. Therefore, we should consider serious family dysfunction in the families of schizophrenics.