精神分裂症患者自我病耻感及其相关因素研究  

Study of self-stigma and its related factors in patients with schizophrenia

作　　者：徐韩[1] 王勇[1] 粟幼嵩[1] 陆光华[1] 

机构地区：[1]上海交通大学医学院附属精神卫生中心,20030

出　　处：《临床精神医学杂志》2014年第4期244-246,共3页Journal of Clinical Psychiatry

基　　金：上海交通大学医工交叉基金项目(YG2012MS52);上海市卫生局青年科研项目(20114y121)

摘　　要：目的:探讨精神分裂症患者自我病耻感及其相关因素。方法:采用精神疾病内在病耻感量表(ISMI)对384例精神分裂症患者进行评估,分析其与患者的人口学及临床资料的相关性。结果:80.2%患者有自我病耻感,7.3%为重度。女性患者歧视体验分(2.53±0.62)、价值否定分(2.34±0.47)明显高于男性患者(2.38±0.37,2.07±0.31;P<0.01或P<0.05);ISMI总分与受教育程度呈负相关(r=-0.186,P<0.01);与年龄(r=0.164,P=0.003)、总病程(r=0.172,P=0.002)、发病次数(r=0.214,P<0.001)、症状严重程度(r=0.257,P<0.001)呈正相关。结论:精神分裂症患者普遍存在自我病耻感,与一定的社会人口学特征和临床因素相关;女性歧视体验、价值否定更严重。To investigate the self-stigma and its related factors in schizophrenic patients. Method：Three hundred and eighty-four schizophrenic patients were assessed by internalized stigma of mental illness scale（ISMI）. The correlation between the self-stigma and their demographic and clinical data were ana-lyzed. Results：The self-stigma was existed in 80. 2± cases and 7. 3± in severe. In female patients,the scores of discrimination experience（2. 53 ± 0. 62）and alienation subscale（2. 34 ± 0. 47）were significantly higher than those in male（2. 38 ± 0. 37,2. 07 ± 0. 31;P ﹤ 0. 01 or P ﹤ 0. 05）. The total score of ISMI was nega-tively correlated to level of education（r = - 0. 186,P ﹤ 0. 01）,positively correlated to age（r = 0. 164,P =0. 003）,total course（r = 0. 172,P = 0. 002）,number of relapse（r = 0. 214,P ﹤ 0. 001）,symptom severity （r = 0. 257,P ﹤ 0. 001）. Conclusion：Self-stigma is widespread in schizophrenic patients,and associated with certain social demographic characteristics and clinical factors. The experience of discrimination and value of the negative are more serious in female patients.

关 键 词：精神分裂症 病耻感 

分 类 号：R749.3[医药卫生—神经病学与精神病学]