精神分裂症患者配偶的心理状况调查及其抑郁情绪的多因素分析  

A Survey on Psychological State and a Multiple Factor Analysis of Depression of Schizphrenic Patient’s Spouse

作　　者：戴俊平[1] 赵振环[1] 麦桂英[1] 薛立庆[1] 

机构地区：[1]广州市精神病医院,广东广州510370

出　　处：《中国康复》2004年第4期254-255,共2页Chinese Journal of Rehabilitation

摘　　要：目的 :了解精神分裂症患者配偶的心理状况并对其抑郁情绪进行多因素分析。方法 :采用症状自评量表 (SCL 90 )、ZUNG抑郁自评量表 (SDS)及自制的调查问卷对 16 0例精神分裂症患者配偶进行调查。结果 :精神分裂症患者配偶的整体心理状况较差 ,其中躯体化、抑郁、焦虑、偏执、精神病性高于国内常模 (P <0 .0 1) ,在上述因子分中女性配偶高于男性配偶 (P <0 .0 5 ) ,抑郁的发生率为 30 .6 % ;影响配偶抑郁状态的 5项因素依次是配偶的健康状况、性格、年龄、与患者的感情、患者是否发病等。结论 :精神分裂症患者的配偶有发生抑郁的心理倾向 ;其抑郁倾向与若干因素相关 ,应重视由此引发的心理健康问题 。Objective: To investigate the psychological state of schizphrenic patient’s spouse and to analyze the factor of depression. Methods: By using SCL 90, SDS and self designed questionnaire, 160 schizphrenic patient’s spouse were studied. Results: The mental health of schizphrenic patient’s spouse such as somatization, depression, anxiety, paranoia and psychotic was worse than normal people ( P <0.01). All above patient’s wives were worse than husbands ( P <0.05). The positive rate of depression symptom was 30.63 %. Multiple regression analysis showed that the 5 factors influencing depression were health status, personality character, personality age, intimacy with patient, the condition with attacks or relaxes. Conclusion: The schizphrenic patient’s spouse have worse psychological status and trend to be depressed. Clinical physicians and nurses should pay attention to their psychological issues and provide corresponding mental interventional measures.

关 键 词：精神分裂症 配偶 心理状况 抑郁情绪 

分 类 号：R749.3[医药卫生—神经病学与精神病学]