精神分裂症患者病耻感与生活质量的关系  

Relationship between stigma and quality of life in patients with schizophrenia

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

机构地区：[1]首都医科大学附属北京安定医院,100088

出　　处：《临床精神医学杂志》2013年第5期302-304,共3页Journal of Clinical Psychiatry

摘　　要：目的:探讨精神分裂症患者病耻感与生活质量的关系。方法:采用一般情况调查表、贬低-歧视感知量表及精神分裂症患者生活质量量表对95例住院及152例社区精神分裂症患者进行问卷调查。结果:住院患者的贬低-歧视感知量表评分与生活质量量表总分分别为(29.53±4.57)分、(26.02±14.16)分;社区患者分别为(28.03±3.48)分、(37.44±13.44)分;住院患者的贬低-歧视感知量表评分与生活质量总分(r=0.214)、动力与精力因子分(r=0.024)呈正相关(均P<0.05);社区患者贬低-歧视感知量表评分与生活质量总分(r=-0.255)、动力与精力因子分(r=-0.349)呈负相关(P均<0.01)。结论:生活质量越差,住院精神分裂症患者病耻感越强;社区精神分裂症患者生活质量越差,病耻感越少。Objective： To explore the relationship between stigma and quality of life in patients with schizophrenia. Method： The general questionnaire, perceived devaluation-discrimination scale, schizophrenia quality of life scale（ SQLS） were used to assess 95 inpatients and 152 outpatients with schizophrenia. Results： The scores of the perceived devaluation-discrimination scale and SQLS in inpatients were （29.53 ±4.57 ） and （ 26.02 ±14.16） respectively, while in outpatients were （ 28.03 --- 3.48 ） and （ 37.44 ± 13.44 ） respectively. The score of perceived devaluation-discrimination scale was positively correlated with the scores of SQLS （ r = 0. 214 ）, motivation and energy （ r = 0. 024 ） in inpatients （ all P 〈 0. 05 ）, while negatively correlated with scores of SQLS （r= -0.255）,motivation and energy （r= -0.349） in outpatients （all P〈0.01）. Conclusion： The worse the quality of life of schizophrenic inpatients, the stronger the stigma; while the lower in outpatients.

关 键 词：精神分裂症 病耻感 生活质量 

分 类 号：R749.3[医药卫生—神经病学与精神病学]