Objectives:The purpose of this study was to evaluate the relationship between subjective insight of patients with schizophrenia and burden of care in relatives of patients with schizophrenia.
Methods:73 patients with DSM-IV-TR diagnosis of schizophrenia were assessed for subjective insight by self-reported Korean version of the revised Insight Scale for Psychosis (KISP). 73 relatives who were living with these patients were assessed for relatives’ burden by self-reported Family Burden Scale. Additional clinical and demographic variables were obtained from patients and relatives. We analyzed relationship between KISP score and Family Burden Scale score.
Results:There was a negative correlation between the KISP score and Family Burden score (p<0.01). In other words, the more poor subjective insight in schizophrenic patients, the more family burden existed in relatives of schizophrenic patients. Relatives living with patients with poor insight had higher mean scores for family burden than relatives living with patients with good insight (69.27 vs 56.08, respectively, p<0.05). There were also some significant differences in scores for family burden among groups distinguished by kinds of antipsychotics and total spent time with patients.
Conclusion:Our results give supports to the relationship between subjective insight level in patients with schizophrenia and burden of care in their relatives, and thus to the necessity of special intervention for relatives living with schizophrenic patients who had poor insight. (Schizophrenia Clinics 2005;8:10-16)
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