家庭动力对精神分裂症患者病耻感的影响研究

Investigation the influence of family dynamics on stigma in schizophrenics

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2021, 48(2)
作者
作者单位

上海市浦东新区精神卫生中心 ;
同济大学附属精神卫生中心 ;

摘要
目的:对康复期精神分裂症患者家庭动力与病耻感的研究,为临床上改善患者病耻感,促进康复提供实践参考。方法:研究采用问卷法,评估精神分裂症患者的家庭动力特征及病耻感。结果:住院与社区精神分裂症患者在首发年龄、住院次数上差异均有统计学意义(P1=0.018),(P2=0.00)。 住院与社区精神分裂症患者在病耻感总量表得分及分量表分(P1=0.000;P2=0.002;P3=0.001;P4=0.000),家庭动力总分及疾病观念因子(P5=0.012;P6=0.006)上都有显著差异。精神分裂症患者病耻感所有因子均与家庭动力量表中家庭氛围、个性化因子程中度正相关。结论:精神分裂症患者减少住院次数,选择在社区康复,有利于减轻病耻感。临床实践中,引导改善患者的家庭氛围,提升家庭成员个性化程度也能够减轻病耻感,有利于患者的康复进程。
Abstract
Abstract: Objective: To study the family dynamics and stigma in schizophrenics in order to provide practical reference for improving stigma and promoting rehabilitation. Methods: Questionnaires were used to assess family dynamics and stigma in schizophrenics. Results: There were statistically significant differences in the age of first episode and the number of hospitalizations between hospitalized and community schizophrenics (P1=0.018), (P2=0.00).Scores and subscales of total stigma in hospitalized and community schizophrenics (P1=0.000; The P2 = 0.002; P3 = 0.001; P4=0.000), There were significant differences in the total score of family dynamics and the factor of disease concept; (P5=0.012;P6=0.006),All factors of stigma in schizophrenics were moderately positively correlated with family atmosphere and personality factors in the family dynamics scale. Conclusions: Schizophrenia patients reduce the number of hospital admissions, the choice of community rehabilitation, is conducive to reducing stigma. In clinical practice, guidance to improve the patients family atmosphere and enhance the degree of individuation of family members can also reduce stigma, which is conducive to the patients recovery process
关键词
精神分裂症;家庭动力;病耻感
KeyWord
schizophrenia; family dynamics; stigma
基金项目
页码 229-232
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秦虹云,胡承平*. 家庭动力对精神分裂症患者病耻感的影响研究 [J]. 国际精神病学杂志. 2021; 48; (2). 229 - 232.

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