精神分裂症患者的共情缺陷及其影响因素

发布时间：2018-05-21 15:16

本文选题：精神分裂症 + 共情　；参考：《吉林大学学报(医学版)》2014年06期

【摘要】：目的:探讨精神分裂症患者共情缺陷的特点,分析共情能力、临床症状以及社会功能的关联性。方法:以30例首发精神分裂症住院患者(精神分裂症患者组)和30名健康对照者(健康对照组)作为研究对象,采用《人际反应指针量表》(IRI-C)、《阳性和阴性症状评定量表》(PANSS)和《住院精神病人社会功能评定量表》(SSPI)分别评定患者的共情能力、精神症状和社会功能,比较2组共情能力测量总分和4个分量表得分,患者组共情能力量表总分分别与临床症状评分和社会功能评分进行相关性分析。结果:精神分裂症患者组共情测量总分显著低于健康对照组(P0.05);精神分裂症患者组中阴性症状较重的患者共情能力更差,存在更严重的共情缺陷,共情能力与阴性症状评分存在负相关关系(r=-0.572,P0.01)。精神分裂症患者组共情能力与社会功能无相关关系(r=0.166,P0.05)。结论:首发精神分裂症患者存在共情缺陷,患者的阴性症状严重程度对共情能力具有影响,阴性症状越严重共情能力越差。
[Abstract]:Objective: to explore the characteristics of empathy deficiency in schizophrenic patients, and to analyze the relationship among empathy ability, clinical symptoms and social function. Methods: thirty inpatients with first-episode schizophrenia (schizophrenia group) and 30 healthy controls (healthy control group) were studied. The empathy ability, mental symptoms and social function of the patients were assessed by the interpersonal reaction pointer scale (IRI-CU), the positive and negative symptom rating scale (PANSS) and the Social function rating scale (SSPI) of inpatients. The total scores of the two groups were compared with the scores of 4 subscales, and the correlation analysis between the total scores of the empathy ability scale and the clinical symptom score and the social function score were carried out. Results: the total score of empathy measurement in schizophrenia group was significantly lower than that in healthy control group (P 0.05), the empathy ability of patients with negative symptoms in schizophrenia group was lower than that of healthy control group, and there were more serious empathic defects in schizophrenia group. There was a negative correlation between the ability of empathy and the score of negative symptoms. There was no correlation between empathy ability and social function in schizophrenia group. Conclusion: the patients with first-episode schizophrenia have empathy defects, the severity of negative symptoms has an effect on the ability of empathy, the more serious the negative symptoms, the worse the ability of empathy.
【作者单位】：吉林大学第一医院心理卫生科;
【基金】：吉林省卫生厅科研基金资助课题(2013R016) 吉林省长春市科技局科研基金资助课题(2012Z147)
【分类号】：R749.3

【参考文献】