精神分裂症衰退期患者一级亲属述情障碍与社会支持、应对方式的关系

Relationship of alexithymia and social support, coping style in first-degree relative of recession schizophrenia patients

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2019, 46(5)
作者
作者单位

上海市民政第一精神卫生中心 ;
临沂市精神卫生中心 ;
上海市青浦区精神卫生中心 ;

摘要
探讨社会支持、应对方式对精神分裂症衰退期一级亲属的述请障碍影响。方法 对242人精神分裂症衰退期一级亲属和176人健康居民施测多伦多述情障碍量表、领悟社会支持量表、简易应对方式问卷。对收集数据进行χ2检验、独立样本t检验、相关分析、回归分析等统计学处理。结果 精神分裂症衰退期一级亲属中无述请障碍者显著少于对照组(P<0.01);中度和重度述请障碍者显著多于对照组(P<0.01)。家庭内支持、家庭外支持、积极应对与TAS-20各因子显著负相关;消极应对与TAS-20各因子显著正相关(P<0.01)。家庭内支持、家庭外支持、积极应对、消极应对对TAS-20总分有显著的预测作用(P<0.05),对TAS-20总分方差变异的解释率为61.9%。结论 精神分裂症衰退期一级亲属的述情障碍发生率较高,领悟社会支持水平、应对方式对其述情障碍有较好的预测作用。
Abstract
Objective To explore correlation of alexithymia and social support,coping style in first-degree relative of recession schizophrenia for providing solid scientific basis of alexithymia intervention. Methods 242 first-degree relative of recession schizophrenia were assigned into study group and randomly recruiting 176 health participants as control group, all participants were assessed by 20-item Toronto alexithymia scale(TAS-20), Perceived Social Support Scale(PSSS), simplified coping styles questionaire(SCSQ) . χ2-test,t-test, correlation analysis and regression analysis were employed for datum processing. Results In first-degree relative of recession schizophrenia who had no alexithymia was less than that of control group(P<0.01), but moderate and severe alexithymia was more than control group(P<0.01).Support from family, support out of family and positive coping negatively correlated to all three subscales of TAS-20 and negative coping had positive correlation with all three subscales of TAS-20(P<0.01). Regression analysis suggested support from family, support out of family, positive coping, negative coping had significant predictive effects for total score of TAS-20(P<0.05) and could account for 61.9% variance of alexithymia. Conclusions Alexithymia had higher prevalence rate in first-degree relative of recession schizophrenia, perceived Social Support, coping styles had significant predictive effects on alexithymia of first-degree relative of recession schizophrenia.
关键词
精神分裂症衰退期;一级亲属;社会支持;应对方式;述情障碍
KeyWord
Recession schizophrenia; First-degree relative; Social support; Coping style; Alexithymia
基金项目
页码 837-840
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高慧*,赵林,闫妍,陆如平. 精神分裂症衰退期患者一级亲属述情障碍与社会支持、应对方式的关系 [J]. 国际精神病学杂志. 2019; 46; (5). 837 - 840.

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