精神病高危综合征患者心理和社会支持与社会功能的相关研究

Psychosis risk syndrome related study on psychological and social support and social function

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(5)
作者
作者单位

内江市中医医院精神科 ;

摘要
【摘要】目的:探讨精神病高危综合征患者社会功能与心理和社会影响因素的相关性。方法:运用美国精神病前驱期综合征标准(COPS),对我院收治的精神病患者一级亲属300例做为精神病高危人群进行筛选,共筛选出符合COPS标准的患者104例为研究组,筛选出与研究组患者年龄、性别、学历等相匹配的高危人群正常人士138例为对照组,运用功能大体评定量表(GAF)评估两组社会功能,并对两组家庭亲密度与适应性量表中文版(FACESⅡ-CV)、领悟社会支持量表(PSSS)和卢森堡自尊量表(SES)评分差异进行观察比较,统计分析精神病高危综合征患者心理与社会影响因素的关系。结果:研究组FACESⅡ-CV亲密度和适应性评分均明显低于对照组,比较差异有统计学意义(P<0.05),患者实际家庭亲密度与实际适应性和阳性症状呈正相关;PSSS家庭支持、其他支持和支持总分明显低于对照组,比较差异有统计学意义(P<0.05),患者朋友支持、家庭支持和支持总分与GAF呈正相关;SES总分明显低于对照组,比较差异有统计学意义(P<0.05),患者的自尊水平与阳性症状呈负相关。结论:精神病高危患者的家庭亲密度、社会支持水平和自尊水平相对偏低,其中,自尊水平与精神症状,社会支持与社会功能存在关联性。
Abstract
【Abstract】 Objective: To evaluate the psychiatric syndrome patients at high risk of social function and the relationship between psychological and social factors. Method: Using United States psychiatric precursor period integrated levy standard (COPS), on I hospital admitted of psychiatric patients a level relatives 300 cases do for psychiatric high-risk crowd for filter, total filter out meet COPS standard of patients 104 cases for research group, filter out and research group patients age, and gender, and degree, phase match of high-risk crowd normal people 138 cases for control group, using function General evaluation volume table (GAF) assessment two group social function, And two sets of family cohesion and adaptability of scale-Chinese version (FACES II-CV), perceived social support scale (PSSS) and Luxembourg the self-esteem scale (SES) score differences observed, statistical analysis of psychosis risk syndrome relationship between psychological and social factors. Results: The study group FACES II-CV adaptability and scores were significantly lower than the control group, a statistically significant difference (P<0.05), and practical family cohesion and adaptability in patients with positive symptoms were positively correlated;PSSS family support and other support and scores significantly lower than the control group, a statistically significant difference (P<0.05), patient support, family support, and support from friends scores were positively correlated with GAF;SES score was significantly lower than the control group, a statistically significant difference (P<0.05), negatively correlated with the patients self-esteem and positive symptoms. Conclusion: The psychiatric patients at high risk for family cohesion, social support and self-esteem levels are relatively low, in which self-esteem and psychiatric symptoms, social support and social function there is a correlation.
关键词
【关键词】精神病;高危综合征;心理;社会因素
KeyWord
【Key words】 Mental disorders;High risk syndrome;Psychology;Social factors
基金项目
页码 777-780
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袁有才*,张晓丽,李忠英,李莎娟,陈陶. 精神病高危综合征患者心理和社会支持与社会功能的相关研究 [J]. 国际精神病学杂志. 2016; 43; (5). 777 - 780.

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