从“供需冲突张力”新视角研究精神分裂症发病机制

Study the pathogenesis of schizophrenia from the new perspective of

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(4)
作者
作者单位

同济大学医学院 ;

摘要
【摘要】对比精神分裂症患者住院组与社区康复组的症状严重程度、家庭功能等,研究患者发病、预后与家庭功能等因素的相关性。方法 1.随机收集住院精神分裂症患者50例,社区康复精神分裂症患者51例,采用自编一般情况表收集患者背景资料。2.使用“阳性与阴性症状量表(PANSS)”、“家庭亲密度和适应性量表中文版(FACESⅡ-CV)”测评精神分裂症患者的症状及家庭功能。结果 1.社区康复组患者疾病发作次数、住院次数少于住院组(P<0.05)。2.社区康复组患者的PANSS粗分、阳性总分、阴性总分、一般精神病理学量表分都要低于住院组(P<0.05);社区康复组的反应缺乏、思维障碍、偏执得分三项症状群分值也均低于住院组(P<0.05)。3.家庭亲密度和适应性测评,在实际适应性上,社区康复组家庭的适应性要优于住院组(P<0.05);社区康复组与住院组在家庭实际亲密度、期望亲密度、亲密度不满意程度和期望适应性、适应性不满意度上的数据差异无统计学意义。结论 1、与既往研究结果一致的结论:(1)精神分裂症患者的婚姻关系支持不足。(2)住院组精神分裂症患者的精神症状严重程度、发作、住院频率普遍都比社区康复组患者严重。(3)相对较好的家庭功能对精神分裂症患者的康复是一种保护性因素。2、本研究新观点:从心理、社会综合角度看精神分裂症患者的发病,更可能和“个体内在需求与个体的内外环境供给”不匹配让个体主观体验到的压力程度(简称“供需冲突张力”)有关。
Abstract
Abstracts:Objective To compare the symptom severity of schizophrenia inpatients and community rehabilitation groups, and to study the relationship between patients onset, prognosis and family function.Method 1. Random collection of 50 inpatients with schizophrenia, 51 cases of schizophrenia in community rehabilitation, The patients background information is collected using the self-edited general situation table. 2. Using the PANSS scale and the Chinese version of the family adaptability and cohesion evaluation scales(FACESⅡ-CV)to assess the symptoms & Family function of schizophrenia patients. Results 1. The number of disease attacks and hospitalizations in the community rehabilitation group were less than those in the hospital(P<0.05).2. The panss of the patients in the community rehabilitation group were lower than those in the inpatient group for the gross score, positive scores, negative total scores and general psychiatric scale(P<0.05); Symptom group score evaluation, lack of reaction, thinking obstacle, paranoid score,the community rehabilitation group are lower than inpatient group(P<0.05).3. Familial intimacy and adaptive assessment, In terms of actual adaptability, the family of community rehabilitation group is better than the inpatient group(P<0.05);In the actual family density, expected affinity density,density dissatisfaction degree and expectation adaptability, adaptability dissatisfaction degree,there is no statistically significant difference in the data between inpatient and community rehabilitation groups. Conclusion 1. Consistent conclusion with previous research results:(1)Lack of support in the marital relationship of schizophrenic patient.(2)The severity, number of attacks and hospitalization frequency of the patients in the inpatient group were more severe than those in the community rehabilitation group.(3)Relatively good family function is a protective factor for patients with schizophrenia. 2 The innovation viewpoint of this paper: From two angles, psychological and social, a comprehensive analysis of the onset of schizophrenia patients are more likely to individual "internal demand and supply the internal and external environment of" do not match, let the individual subjective experience of stress level (hereinafter referred to as " The degree of tension in the supply and demand conflict ").
关键词
关键词:精神分裂症;发病;预后;家庭功能;供需冲突张力
KeyWord
Key words:Schizophrenia;Pathogenesis;The prognosis;Family function; The degree of tension in the supply and demand conflict
基金项目
页码 638-641
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肖艳红,胡嘉,胡满基,安孝群*,陈优. 从“供需冲突张力”新视角研究精神分裂症发病机制 [J]. 国际精神病学杂志. 2018; 45; (4). 638 - 641.

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