儿童精神分裂症预后影响因素分析  

Prognosis and the Related Factors of Childhood Schizophrenia

作　　者：潘多[1] 李泽爱[2] 刘寰忠[2] 

机构地区：[1]安徽医科大学医学心理系 [2]安徽省精神卫生中心

出　　处：《中国健康心理学杂志》2011年第7期769-771,共3页China Journal of Health Psychology

基　　金：安徽省卫生厅临床医学科研资助项目(编号:09B130)

摘　　要：目的探讨儿童精神分裂症的预后及其影响因素。方法收集2005年8月1日-2007年7月31日在我院首次住院(年龄≤18岁)经CCMD-3诊断为精神分裂症的患者184例,采用临床总体印象量表(疾病严重程度CGI-S)、个人和社会功能量表(PSP)及自制调查表,随访与量表现场测评相结合的方法获得资料,最后完成随访的患者164例,脱落20例。结果经χ2检验分析得出女性患者的复发率较男性患者低(χ2=8.89,P<0.05),女性患者的社会功能恢复状况较男性患者好(χ2=10.62,P<0.05)。经多元回归分析显示,影响预后的主要因素有:CGI得分、居住地、自知力恢复程度、是否为独生子女。结论女性儿童精神分裂症预后较男性好,CGI得分越高的患者社会功能越差,居住在城市、自知力恢复好、是独生子女的患者预后较好。Objective To explore the prognosis and the related factors of childhood schizophrenia.Methods A total of 184 subjects with schizophrenia who were in first hospitalization from August 1,2005 to July 31,2007 were followed up until December,2009,they were junior to 18 years.The sujects were evaluated with Clinical Global Impression Scale（Disease severity CGI-S）,Personal and social function scale（PSP）and a self-compiled questionnaire.The data were obtained by follow-up and scale on-site evaluation.Finally 164 patients completed follow-up,and 20 patients.were lost.Results After chi-square analysis,the recurrence rate of the female patients was lower than the male patients（χ2=8.89,P0.05）.The state of social function recovering in the female patients was better than that in the male patients（χ2=10.62,P0.05）.By multiple regression analysis,the main factors affecting prognosis were：CGI score,residence,insight force recovery degree,whether being single child.Conclusion The prognosis of the female childhood schizophrenia patients is better than that of the male.The higher CGI score,the poorer the social function.The prognosis of the patients who live in cities,have good insight force recovering,and are the single child,is benign.

关 键 词：儿童 精神分裂症 预后 因素分析 回顾性调查 

分 类 号：R749.94[医药卫生—神经病学与精神病学]