精神分裂症患者与正常人应对方式的对照研究  

Control study about coping style between patients with schizophrenia and healthy controls

作　　者：殷爱华[1] 张敬悬[2] 李馨[1] 

机构地区：[1]山东大学医学院,济南250012 [2]山东省精神卫生中心

出　　处：《精神医学杂志》2012年第4期261-264,共4页Journal of Psychiatry

基　　金：山东省医学科研基金(编号:2005HZ074);美国中华医学基金会(编号:Small Grants program #02-777)

摘　　要：目的探讨精神分裂症患者与正常人应对方式的不同,以及精神分裂症患者应对方式的特点。方法以山东省18岁及以上人群精神障碍流行病学调查数据库中筛查出的151例精神分裂症患者作为研究组,按同性别、同年龄组(相差±3岁)、同村1∶1配对选择151名无任何精神科疾病诊断者作为对照组,全部患者用SCID-I-P进行诊断。研究工具有一般资料调查问卷、简易应对方式问卷。结果 (1)精神分裂症患者的积极应对因子评分明显低于正常人的评分(P<0.01),消极应对评分显著高于正常人的评分(P<0.05)。(2)所有受试者不同职业之间积极应对因子和消极应对因子评分的差异有统计学意义(P<0.05)。(3)瓦解型精神分裂症患者的消极应对评分最高,而偏执型患者的消极应对评分最低,差异有统计学意义(P<0.01)。结论精神分裂症患者的应对方式与正常人有明显不同。Objective To study the characteristics of coping style in patients with schizophrenia and to explore its differences between schizophrenic patients and healthy controls. Methods A total of 151 schizophrenic patients in study group and 151 healthy subjects well matched in gender, age and district in control group were enrolled in this study. All individuals were diagnosed with SCID-I-P and were assessed with Simplified Coping Style Questionnaire （SCSQ） and self-designed information questionnaire. Results Score of positive factors of SCSQ in study group was significantly lower than those in control group and the score of negative factors of SCSQ in study group was significantly higher than those in control group （P 〈 0.05 ）. Both positive factors and negative factors showed significant differences among different types of work （ P 〈 0.05 ）. Patients with disorganized schizophrenia showed the highest score of negative factor of SCSQ, while patients with paranoid schizophrenia showed the lowest. There was significant difference in the score of negative factor of SCSQ among all types of schizophrenia （ P 〈 0.01 ）. Conclusion The coping style of patients with schizophrenia is different from that of healthy subjects.

关 键 词：精神分裂症 应对方式 

分 类 号：R749.3[医药卫生—神经病学与精神病学]