PMID- 34921397
OWN - NLM
STAT- MEDLINE
DCOM- 20221215
LR  - 20230106
IS  - 1545-5300 (Electronic)
IS  - 0014-7370 (Linking)
VI  - 61
IP  - 4
DP  - 2022 Dec
TI  - Longitudinal impact of caregiver transition and family caregiving on psychiatric 
      symptoms and psychosocial functioning among persons with schizophrenia in rural 
      China.
PG  - 1663-1680
LID - 10.1111/famp.12743 [doi]
AB  - This study examines the 21-year longitudinal impacts and predictive effects of 
      family caregiver transition and the presence of family caregiving on the clinical 
      status of persons with schizophrenia (PwSs) in a rural area of China. Using panel 
      data derived from the Chengdu Mental Health Project (CMHP), 250 dyads of PwSs and 
      their family caregivers were investigated in 1994 and 2015. The Positive and 
      Negative Syndrome Scale (PANSS) and the Global Assessment of Functioning (GAF) 
      were utilized. The generalized linear model (GLM) approach was used. The results 
      of this study showed that more severe symptoms in PwSs were found to be 
      significantly predicted by older age and nonmarried status at baseline. Compared 
      with "spousal caregiving in two waves," the PANSS score was significantly higher 
      in the "transition into sibling caregiving" group. A higher degree of 
      psychosocial functioning was found to be significantly predicted by marital 
      status, shorter duration of illness, and better mental status. Compared with 
      "spousal caregiving in two waves," the GAF score was significantly lower in the 
      "transition into parental caregiving" group. The presence of family caregiving 
      was not a significant predictor of the severity of symptoms or psychosocial 
      functioning in the PwSs. In conclusion, this study shows the 21-year predictive 
      effects of family caregiver transition on the mental status of PwSs but not the 
      presence of family caregiving. Psychosocial interventions and specific guidance 
      should be provided to family caregivers to enhance their quality of caregiving 
      and improve the prognosis of PwSs during long periods of home care.
CI  - (c) 2021 Family Process Institute.
FAU - Peng, Man-Man
AU  - Peng MM
AD  - Institute of Advanced Studies in Humanities and Social Sciences, Beijing Normal 
      University at Zhuhai, Zhuhai, China.
FAU - Ma, Zhiying
AU  - Ma Z
AD  - Crown Family School of Social Work, Policy, and Practice, The University of 
      Chicago, Chicago, Illinois, USA.
FAU - Luo, Wei
AU  - Luo W
AD  - Chengdu Xinjin Second People's Hospital, Xinjin, Chengdu, Sichuan, China.
FAU - Hu, Shi-Hui
AU  - Hu SH
AD  - Chengdu Mental Health Center, Chengdu, China.
FAU - Yang, Xin
AU  - Yang X
AD  - Guangyuan Mental Health Center, Guangyuan, China.
FAU - Liu, Bo
AU  - Liu B
AD  - Jingzhou Mental Health Center, Jingzhou, China.
FAU - Lai-Wan Chan, Cecilia
AU  - Lai-Wan Chan C
AD  - Department of Social Work and Social Administration, University of Hong Kong, 
      Hong Kong SAR, China.
FAU - Ran, Mao-Sheng
AU  - Ran MS
AUID- ORCID: 0000-0001-7343-3729
AD  - Department of Social Work and Social Administration, University of Hong Kong, 
      Hong Kong SAR, China.
AD  - Mental Health Center, West China Hospital, Sichuan University, Chengdu, China.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20211218
PL  - United States
TA  - Fam Process
JT  - Family process
JID - 0400666
SB  - IM
MH  - Humans
MH  - *Caregivers
MH  - *Schizophrenia
MH  - China
OTO - NOTNLM
OT  - cuidado a largo plazo
OT  - esquizofrenia
OT  - family caregiver transition
OT  - funcionamiento psicosocial
OT  - long-term care
OT  - psychosocial functioning
OT  - schizophrenia
OT  - symptoms
OT  - sintomas
OT  - transicion de los cuidadores familiares
OT  - 家庭照顾者变化
OT  - 症状
OT  - 社会心理功能
OT  - 精神分裂症
OT  - 长期照护
EDAT- 2021/12/19 06:00
MHDA- 2022/12/15 06:00
CRDT- 2021/12/18 06:11
PHST- 2021/10/27 00:00 [revised]
PHST- 2020/02/07 00:00 [received]
PHST- 2021/11/12 00:00 [accepted]
PHST- 2021/12/19 06:00 [pubmed]
PHST- 2022/12/15 06:00 [medline]
PHST- 2021/12/18 06:11 [entrez]
AID - 10.1111/famp.12743 [doi]
PST - ppublish
SO  - Fam Process. 2022 Dec;61(4):1663-1680. doi: 10.1111/famp.12743. Epub 2021 Dec 18.