长沙、湘潭两地具有流浪行为的精神分裂症患者社会心理因素研究
发布时间：2019-03-01 18:13
【摘要】：目的： 研究具有流浪行为的精神分裂症患者的社会心理特征,并探索导致其流浪的风险因素,为精神分裂症患者流浪行为干预措施的制订提供依据。 研究方法： 本研究采用自制一般人口学调查表、家庭环境量表、艾克森人格问卷简式量表中国版、社会支持量表,应付方式量表对处于症状缓解期的116例具有流浪行为的住院精神分裂症患者和同期住院的108例未产生过流浪行为的精神分裂症患者进行独立样本对照研究、Logistic回归分析。 结果： 1、与对照组相比,流浪精神分裂症患者男性患者多与女性,农村患者相对较多,长沙、湘潭以外地区患者占较大比重,多数无固定职业,高中以上文化程度患者较少,平均年龄为35.1岁(p0.05)。 2、与对照组相比,流浪神分裂症患者的家庭矛盾较多、独立性、控制性更强,组织性较差(p≤0.015),社会支持分较低(p=0.000),精神质和神经质评分较高(p≤0.011),解决问题能力较差、容易自责和退避(p0.018)； 3、研究组以性别分组,组内分析发现：与女性组相比,男性组未婚、离婚的较多、以小学文化为主,情感表达较低(p≤0.011)；社会支持较差(p≤0.036),退避分较高(p=0.013)。 4、通过多因素logistic回归分析发现：精神分裂症患者流浪的危险因素为：籍贯、文化程度、性别、客观支持分、组织性、精神质等因素,其OR值分别为19.723、4.225、2.744、7.984、7.502、1.237。 结论： 1、具有流浪行为的精神分裂症患者多来源于农村、男性多于女性、以青壮年为主、文化水平较低。 2、具有流浪行为的精神分裂症患者家庭环境矛盾较多、组织性较差,个人独立性和控制欲望较强；社会支持较差,解决问题的能力欠佳,不愿接受别人的帮助,容易自责、退避。 3、具有流浪行为的精神分裂症患者存在性别差异,与女性相比,男性的婚姻状况较差,对社会支持的利用不高,不愿表达自己的内心情感、更易产生退避行为。 4、长沙、湘潭以外的地区,文化程度低下,婚姻状况差,男性,组织性差,独立性强,客观支持程度差,精神病特质等是精神分裂症患者产生流浪行为的影响因素。图1个,表13个,文献50篇。
[Abstract]:Aim: to study the psychosocial characteristics of schizophrenic patients with vagrant behavior and explore the risk factors leading to vagrancy, so as to provide a basis for the formulation of intervention measures of vagrant behavior in schizophrenic patients. Methods: self-made general demography questionnaire, family environment scale, Chinese version of Exxon personality questionnaire and social support scale were used in this study. An independent sample control study and Logistic regression analysis were conducted on 116 inpatients with vagrant behavior and 108 schizophrenic patients who had no vagrant behavior in the same period by coping style scale. Results: 1, compared with the control group, there were more male and female patients with vagrant schizophrenia, more rural patients, and most of the patients outside Changsha and Xiangtan accounted for a large proportion, most of whom had no fixed occupation. The average age was 35.1 years (p0.05). 2. Compared with the control group, the patients with vagrant schizophrenia had more family contradictions, more independence, stronger control, poor organization (p 鈮，
本文编号：2432678
[Abstract]:Aim: to study the psychosocial characteristics of schizophrenic patients with vagrant behavior and explore the risk factors leading to vagrancy, so as to provide a basis for the formulation of intervention measures of vagrant behavior in schizophrenic patients. Methods: self-made general demography questionnaire, family environment scale, Chinese version of Exxon personality questionnaire and social support scale were used in this study. An independent sample control study and Logistic regression analysis were conducted on 116 inpatients with vagrant behavior and 108 schizophrenic patients who had no vagrant behavior in the same period by coping style scale. Results: 1, compared with the control group, there were more male and female patients with vagrant schizophrenia, more rural patients, and most of the patients outside Changsha and Xiangtan accounted for a large proportion, most of whom had no fixed occupation. The average age was 35.1 years (p0.05). 2. Compared with the control group, the patients with vagrant schizophrenia had more family contradictions, more independence, stronger control, poor organization (p 鈮，
本文编号：2432678
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