精神分裂症患者生活质量与应对方式的关系  

Relationship between Quality of Life and Coping Style of Patients with Schizophrenia

作　　者：马云[1] 李占江[1] 徐子燕[1] 郭志华[1] 屈英[2] 王向群[3] KINGDON David 

机构地区：[1]首都医科大学附属北京安定医院(北京),中国100088 [2]北京回龙观医院精神医学研究中心 [3]北京大学精神卫生研究所,卫生部精神卫生学重点实验室(北京大学) [4]英国南安普顿大学

出　　处：《中国健康心理学杂志》2013年第4期496-497,共2页China Journal of Health Psychology

基　　金：北京市科委研发攻关项目(D0906001040391)

摘　　要：目的探讨精神分裂症患者生活质量与应对方式的关系。方法选取符合美国精神疾病诊断与统计手册第4版(DSM-IV)中精神分裂症诊断标准的医院门诊和住院患者共175例。采用世界卫生组织生存质量测定量表简表(WHOQOL-BREF)和应对方式问卷(CSQ)对患者进行评估。结果生活质量的生理、心理、社会关系、环境4个因子及总分与应对方式中的问题解决呈显著正相关(r=0.41,0.51,0.37,0.34,0.49;P<0.001),与自责呈显著负相关(r=-0.36,-0.44,-0.32,-0.21,-0.38;P<0.01),与回避呈显著负相关(r=-0.16,-0.19,-0.18,-0.16,-0.20;P<0.05);问题解决和自责两种应对方式能够很好地预测精神分裂症患者的生活质量(F=39.68,P=0.00)。结论精神分裂症患者的生活质量与应对方式关系密切,且问题解决和自责两种应对方式可作为生活质量的预测指标。Objective To explore the relationship between quality of life and coping style of patients with schizophrenia. Meth- ods A total of 175 patients met the Diagnostic and Statistical Manual of Mental Disorders,Fourth Edition（DSM--IV）criteria for schizophrenia were enrolled. The World Health Organization Quality of Life（WHOQOL--BREF）and Coping Style Questionnaire （CSQ）were used to assessment. Results Four factors scores and total score of quality of life had significantly positive correlation with the factor of problem solving （r= 0. 41,0. 51,0. 37,0. 34,0.49;P〈 0. 001 ）,and negative correlation with the factor of self-ac- cusation （r=-0.36 ,-0.44 ,-0.32 ,-0.21 ,-0.38 ;P〈0.01 ）and escape （r =-0.16, 0.19 ,-0.18 ,-0.16 ,-0.20 ;P〈0. 05） ,The factors of problem solving and self-accusation had positive forecasts on quality of life of patients（F=39.68,P=0.00）. Conclusion There are significant correlations between quality of life and coping style. Problem solving and self-accusation can predict quality of life of patients with schizophrenia.

关 键 词：精神分裂症患者 生活质量 应对方式 生活质量测定量表简表 

分 类 号：R749.3[医药卫生—神经病学与精神病学]