精神分裂症恢复期患者病耻感与焦虑和抑郁情绪的关系

发布时间：2018-05-08 08:57

本文选题：精神分裂症 + 抑郁情绪　；参考：《中国老年学杂志》2017年24期

【摘要】：目的探讨精神分裂症恢复期患者病耻感与焦虑和抑郁情绪的关系。方法选择136例恢复期精神分裂症患者,采用问卷调查的方式了解其病耻感、焦虑和抑郁情绪及其关系。结果 136例精神分裂症恢复期患者病耻感量表中文版(SSMI-C)总分(53.31±11.03)分,卡尔加里抑郁症状评定量表(CDSS)得分(13.38±4.34)分,焦虑自评量表(SAS)得分(57.08±7.21)分。不同年龄患者SSMI-C总分、歧视因子和病情掩饰因子得分差异有统计学意义(P0.05),不同性别、婚姻状况、文化程度、职业和病程间SSMI-C各因子得分及总分差异无统计学意义(P0.05);歧视因子、积极效应因子得分和SSMI-C总分在抑郁组和非抑郁组差异有统计学意义(P0.05);精神分裂症恢复期患者抑郁情绪发生率为29.4%,SSMI-C总分、歧视因子和病情掩饰因子得分与CDSS得分、SAS得分呈正相关(P0.05)。结论精神分裂症恢复期患者具有较高水平病耻感,且易发生抑郁情绪,应减少歧视对精神分裂症患者的影响,给予精神分裂症恢复期患者更多支持和关爱,预防焦虑和抑郁情绪的发生。
[Abstract]:Objective to investigate the relationship between stigma, anxiety and depression in patients with schizophrenia in convalescent stage. Methods 136 patients with convalescent schizophrenia were investigated by questionnaire. Results the total scores of 136 patients with schizophrenia in convalescent stage were 53.31 卤11.03, 13.38 卤4.34 and 57.08 卤7.21 respectively. The scores of Calgary Depression symptom rating scale and Self-Rating anxiety scale were 53.31 卤11.03, 13.38 卤4.34 and 57.08 卤7.21 respectively. There were significant differences in the total score of SSMI-C, discrimination factor and disease condition factor between patients of different ages (P 0.05). There was no significant difference in the scores and total scores of SSMI-C among different sexes, marital status, education level, occupation and course of disease, and there was no significant difference in the scores and total scores of SSMI-C among different age groups (P 0.05), and there was no significant difference in factors of discrimination. The positive effect factor score and the total score of SSMI-C were significantly different between the depression group and the non-depression group (P 0.05), the incidence of depression was 29.4% (P < 0.05), and the scores of discrimination factor and condition concealment factor were positively correlated with the score of CDSS score (P 0.05). Conclusion patients with schizophrenia in convalescent stage have a high level of shame and are prone to depression. The influence of discrimination on schizophrenic patients should be reduced, and more support and care should be given to the patients in convalescent stage of schizophrenia. Prevent anxiety and depression.
【作者单位】：武汉市精神卫生中心;
【基金】：武汉市卫生和计划生育委员会科研项目(No.WG16D09)
【分类号】：R749.3

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