摘要
目的研究影响精神分裂症患者发病及预后的相关因素。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以及反应缺乏、思维障碍、偏执得分三项症状群评分都要低于住院组(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)。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。
Objective To analyze the related factors affecting the onset and prognosis of schizophrenia. Method 1.50 inpatients with schizophrenia and 51 cases of schizophrenia in community rehabilitation were randomly collected. The patient＇s background information was collected by using the self-edited general situation table.2. Using the PANSS scale and the Chinese version of the family adaptability and cohesion evaluation scales（FACES Ⅱ-CV）to assess the symptoms and the 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 as to the gross scores,positive scores,negative total scores,general psychiatric scors,lack of reaction scores,thinking obstacle scores and paranoid scores（P〈0.05）.3. In familial intimacy and adaptive assessment,the terms of actual adaptability,the family of the community rehabilitation group is better than those of the inpatient group（P〈0.05）. 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 are more 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,which are psychological and social,a comprehensive analysis of the onset of schizophrenia patients are more likely to be related with the mismatch between the individual internal demand and supply from the external environment ＂,which makes the individual suffer subjective experience of stress（hereinafter referred to as ＂ The degree of tension in the supply and demand conflict ＂）.
作者
肖艳红
廖力维
胡嘉
胡满基
安孝群
陈优
XIAO Yanhong;LIAO Liwei;HU Jia(Medical College of Tongji University,Shanghai200092,China)
出处
《国际精神病学杂志》
2018年第4期638-641,共4页
Journal Of International Psychiatry
基金
上海市杨浦区2016-2018年度医学重点学科(编号:YP16ZB09)
关键词
精神分裂症
发病
预后
家庭功能
供需冲突张力
Schizophrenia
Pathogenesis
Prognosis
Family function
The degree of tension in the supply and demand conflict
