家庭环境及家庭功能对精神分裂症患者自杀行为的影响  

Effect of family environment and family function on suicide behavior in Schizophrenic patients

作　　者：张金玲[1] 许振强[1] 王兴隆[1] 

机构地区：[1]汕头大学精神卫生中心精神科,汕头515000

出　　处：《中华行为医学与脑科学杂志》2013年第3期205-207,共3页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：汕头市重点科技计划项目

摘　　要：目的观察家庭环境及家庭功能对精神分裂症患者自杀行为的影响。方法人院前1个月内有自杀行为的精神分裂症患者53名作为自杀未遂组，一般情况与自杀未遂组相匹配的精神分裂症从未有自杀者53名作为无自杀组。对入组对象评估家庭环境量表及家庭功能量表。结果自杀未遂组家庭环境量表中亲密度、情感表达水平、娱乐性和控制性水平[分别为（5．70±1．29）分，（4．77±1．49）分，（3．94±1．63）分和（2．68±1．68）分]，低于无自杀组[分别为（6．62±1．23）分，（5．96±1．11）分，（5．68±1．98）分和（4．40±1．81）分]，差异有统计学意义（P〈0．05）；而矛盾性[（3．55±1．60）分]高于无自杀组[（2．81±1．52）分]，差异有统计学意义（P〈0．05）。自杀未遂组家庭功能量表中的情感反应、情感介入、行为控制水平[分别为（16．05±2．57）分，（19．13±4．09）分和（23．35±3．52）分]，低于无自杀组[分别为（14．53±3．38）分，（16．58±2．82）分和（21．60±3．25）分]，差异有统计学意义（P〈0．05）。多元线性回归模型分析显示，家庭环境量表中情感表达、娱乐性和控制性及家庭功能量表中的情感介入和行为控制是影响精神分裂症自杀的重要因素（F=21．583，P=0．000，校正R^2=0．519）。结论精神分裂症自杀未遂患者在家庭环境和家庭功能方面均有明显缺陷。Objective To examine the effect of family environment and family function on suicide behavior in schizophrenic patients. Methods 53 schizophrenic patients with suicidal behavior in the last month were selected for the schizophrenic suicide group. 53 schizophrenic patients and 53 normal controls matched with the schizophrenic suicide group were selected for the schizophrenic no suicide group and normal control group. All of them completed family environment scale and family assessment device. Results The cohesion factor, the expres- siveness factor, the active-recreational orientation factor and the control factor of family environment scale in the schizophrenic suicide group were significant lower than those in the schizophrenic without suicide group（ separately 5.70 ± 1.29 vs 6.62 ±1.23,4.77 ±1.49 vs 5.96 ± 1.11,3.94 ± 1.63 vs 5.68 ± 1.98,2.68 ± 1.68 vs 4.40 ± 1.81, P〈 0.05 ） ,but the conflict factor in the schizophrenic suicide group was higher than in the schizophrenic without suicide group（ 3.55 ± 1.60 vs 2.81 ± 1.52, P 〈 0.05 ）. The affective responsiveness factor, the affeetive involvement factor and the behavior control factor of family assessment device in the schizophrenic suicide group were significant lower than those in the schizophrenic without suicide group（ separately 16.05 ± 2.57 vs 14.53 ± 3.38,19.13 ±4.09 vs 16.58 ± 2.82,23.35 ± 3.52 vs 21.60 ± 3.25, P 〈 0.05 ）. Multiple liner regression analyses showed that the expressiveness factor, the active-recreational orientation factor, the control factor, the affective involvement factor and the behavior control factor were important factors for schizophrenic suicide（F= 21. 583, P= 0.000, adjusted R^ 2 = 0.519）. Conclusion Attempted suicide patients with schizophrenia have some deficiencies at family function and family environment.

关 键 词：精神分裂症 家庭功能 家庭环境 自杀未遂 

分 类 号：R74[医药卫生—神经病学与精神病学]