精神分裂症恢复期患者社会功能与精神症状的关系及自尊与自我效能的中介效应  

The relationship between social functioning and psychiatric symptoms with schizophrenia of the convalescent stage： Mediating roles of self-esteem and self-efficacy a

作　　者：焦亚辉[1] 王丽娜[2] 周郁秋[1] 李刚 

机构地区：[1]哈尔滨医科大学大庆校区护理学院,163319 [2]赤峰学院医学院护理系 [3]赤峰市安定医院

出　　处：《中国实用护理杂志》2013年第36期1-4,共4页Chinese Journal of Practical Nursing

基　　金：国家自然科学基金（71173065）;内蒙古自治区自然科学基金（2013MS1175）

摘　　要：目的探讨精神分裂症恢复期患者社会功能与精神症状的关系，以及自尊、自我效能在社会功能与精神症状间的中介效应。方法采用个人和社会功能量表（PSP）、简明精神病性量表（BPRS）、自尊量表（SES）及一般自我效能感量表（GSES），对门诊复查的精神分裂症恢复期患者进行调查。结果精神分裂症恢复期患者的社会功能可直接预测其精神症状，自尊及自我效能均可直接负向预测其精神症状；自尊和自我效能在恢复期患者社会功能与精神症状间起着部分中介效应。结论精神卫生工作人员对精神分裂症恢复期患者进行社会功能训练时，应同时重视自尊及自我效能的中介作用，在进行全面评估的基础上，给予针对性的心理社会干预措施，从而有效改善患者的精神症状。Objective To examine the relationship between social functioning and psychiatric symptoms, and the mediation effect of self-esteem and emotion between social functioning and psychiatric symptoms among schizophrenia patients of the convalescent stage. Methods The Personal and Social Performance Scale, Brief Psychiatric Rating Scale, Self-Esteem Scale, General Self-Efficacy Scale were used to investigate patients with schizophrenia of the convalescent stage of Chifeng. Results Social functioning for patients with schizophrenia of the convalescent stage cotdd predict psychiatric symptoms directly. Self-es- teem and self-efficacy could make a negative prediction for psychiatric symptoms. Self-esteem and self-efficacy played a mediating role between social functioning and psychiatric symptoms. Conclusions Mental health workers should pay close attention to the mediating roles of self-esteem and self-efficacy, and give compre- hensive assessment for the patients and provide continuous individualized psychosocial interventions, and thereby to alleviate psychiatric symptoms.

关 键 词：社会功能 自尊 自我效能 精神症状 

分 类 号：R473.74[医药卫生—护理学]