病耻感与精神症状关系初步研究  

Relationship between Stigma and Mental Symptoms of People with Schizophrenia

作　　者：范晨晓[1] 肖乐[1] 张国富[1] 谢侃侃[1] 李亚琼[1] 阎锴娟[1] 李艳[1] 罗小年[1] 

机构地区：[1]中国.首都医科大学附属北京安定医院,100088

出　　处：《中国健康心理学杂志》2013年第5期659-661,共3页China Journal of Health Psychology

基　　金：首都医学发展科研基金(2007-3088)

摘　　要：目的调查精神分裂症患者的病耻感状况,探讨病耻感与精神症状的关系。方法取北京安定医院住院治疗的精神分裂症患者95例,北京东城区社区精神分裂症患者152例,采用贬低-歧视感知量表、阳性与阴性症状量表(PANSS)对患者进行评估和测查。结果研究对象"贬低-歧视感知量表"平均得分为(2.38±0.33)分,显著低于量表中点2.50分(t=-5.507,P<0.01);患者的贬低-歧视感知量表评分与阳性因子分(r=-0.136,P<0.05)、PANSS总分(r=-0.152,P<0.05)、BPRS分(r=-0.185,P<0.01)均呈负相关。结论①精神分裂症患者未强烈感知到他人的贬低和歧视态度;②精神分裂症患者的精神症状越明显,感知到的病耻感就越少。Objective To describe the status of stigma of people with schizophrenia and its correlation with mental symptoms. Methods Convenient sampling was used to recruit 116 inpatients in Beijing An＇ding Hospital,and 152 outpatients in Dongcheng district,Beijing. The Perceived Devaluation--Discrimination scale and Positive and Negative symptom scale（PANSS）were used to assess patients. Results （1）The mean score of perceived devaluation-discrimination was （2.38±0.33） and significant lower than the 2.50 midpoint. （3）There were negative correlations between stigma and positive symptoms（r=-0. 136,P〈0.05） ,PANSS（r= -0. 152,P〈0.05）and BPRS（r=-0. 185,P〈0.01）. Conclusion （3） Patients with schizophrenia have low level of stigma. （2） Low- er stigma is associated with higher positive symptom.

关 键 词：精神分裂症 病耻感 精神症状 贬低-歧视感知量表 阳性与阴性症状量表 

分 类 号：R749.3[医药卫生—神经病学与精神病学]