精神分裂症患者工作状态与精神症状等因素的关系研究  

Study about the relationship between employment status and psychiatric symptoms in schizophrenic patients

作　　者：施辉[1] 崔雪莲[1] 李宁[1] 

机构地区：[1]解放军102医院,江苏常州213003

出　　处：《精神医学杂志》2013年第2期119-121,共3页Journal of Psychiatry

摘　　要：目的探讨精神分裂症患者的工作状态与患者的精神症状、家庭情感表达、受教育水平等的相关关系。方法选取我院2010年1月～2012年1月经治疗后阳性和阴性综合征量表(PANSS)<60分出院的89例精神分裂症患者,统计半年后参加工作者37例,未参加工作者52例,对其进行个体和社会功能量表(PSP)、PANSS量表、家庭情感表达量表、受教育水平、病程等评定。结果已工作患者PANSS量表的阳性量表分与未工作者无显著性差异(P>0.05),其PANSS总分、阴性量表分和家庭情感表达分、病程显著低于未工作者(P<0.01,P<0.05),而受教育水平与PSP总分显著高于未工作组(P<0.01);Logistic回归分析结果显示,阴性症状、家庭情感表达、病程与受教育水平均进入回归方程。结论阴性症状及高家庭情感表达对精神分裂症患者工作影响较大,高教育水平、短病程对患者恢复工作有利,因此可从这些方面对其进行干预以利于工作的恢复。Objective To investigate the relationship between the employment status and psychiatric symptoms, family expressed emotion, education level, illness duration in performed in 89 schizophrenic patients discharged form the PLA schizophrenic patients. Methods A follow up was 102nd hospital, which had total score of Positive and Negative Syndrome Scale （PANSS） less than 60. There were 37 patients employed and 52 patients unemployed 6 months later. All patients were assessed with Personal and Social Performance Scale （PSP）, PANSS, Family Expressed Emotion Scale （FEE）. Results There was no significant difference in factor score of positive symptoms of PANSS between patients employed and unemployed （p 〉 0. 05 ）. Compared with patients employed, the unemployed had significant higher total score of PANSS, factor score of negative symptoms of PANSS, score of FEE, significant longer illness duration （P 〈0.01 or P 〈0.05）, and significant lower educational level and score of PSP （P 〈0.01 ）. Logistic regression analysis showed that negative symptoms, score of FEE, illness duration and educational level entered the regression equation. Conclusion Negative symptom and high FEE are harmful to schizophrenic patient＇s work status, while high educational level and short illness duration are beneficial to work status. So intervention measures should betaken in well - targeted manner, an effective and safe antidepressant as Paroxetine in the treatment of depression.

关 键 词：精神分裂症 工作状态 精神症状 家庭情感表达 

分 类 号：R749.3[医药卫生—神经病学与精神病学]