关键词: 精神分裂症, 心理脱离, 照顾负担, 连带病耻感, 中介效应

Abstract: Objective: To explore the mediating role of psychological detachment between care burden and affiliate stigma in the primary caregivers of patients with schizophrenia, and to provide the basis for alleviating affiliate stigma. Methods: A total of 132 primary caregivers of patients with schizophrenia were selected as subjects by convenience sampling method. The general data questionnaire, Psychological Detachment Scale(PD), Zarit Caregiver Burden Interview(ZBI) and Perceived Devaluation-Discrimination Scale(PDD) were used to investigate, and the multiple regression mediating effect analysis and Bootstrap method were used to verify the results. Results: There was a negative correlation between the care burden of the primary caregivers and psychological detachment(r=-0.540,P＜0.05); There was a positive correlation between care burden and affiliate stigma(r=0.629,P＜0.05); Psychological detachment was negatively correlated with affiliate stigma(r=-0.688,P＜0.05); The mediating effect analysis showed that psychological detachment played a full mediating role between care burden and affiliate stigma, with an effect value of 78.42%. Conclusion: Psychological detachment is a mediating variable between care burden and affiliate stigma in the primary caregivers of patients with schizophrenia. Medical staff should pay more attention to the psychological situation of caregivers of patients with schizophrenia, take positive measures to improve the level of psychological detachment, so as to help caregivers to get rid of the heavy care work, and then promote their physical and mental health.

Key words: Schizophrenia, Psychological detachment, Care burden, affiliate stigma, Mediating effect