精神分裂症一级亲属心理健康、社会支持与应对方式相关性调查  

Relationship of mental health,social support and coping styles in first-degree relatives of schizophrenia

作　　者：王长奇[1] 马文有[1] 乔小芬[1] 侯建春[1] 陈允恩 郭金刚[1] 

机构地区：[1]华北理工大学附属开滦精神卫生中心三病区,河北唐山063001 [2]华北理工大学心理学院精神病学教研室,河北唐山063300

出　　处：《河北医科大学学报》2015年第10期1134-1138,共5页Journal of Hebei Medical University

基　　金：唐山市科学技术研究与发展计划(13130229b)

摘　　要：目的探讨精神分裂症一级亲属心理健康、社会支持与应对方式相关性。方法诊断明确的精神分裂症患者一级亲属96例为研究组,选择某企业、医院及中学在职员工105例作为对照组,且对照组一级亲属无各类精神疾病患者。2组采用症状自评量表(Symptom Check-List 90,SCL-90)、社会支持量表(Social Support Rate Scale,SSRS)及简易应对方式问卷(Simplified Coping Style Questionnaire,SCSQ)进行问卷调查及分析。结果在SCL-90中,研究组躯体化、人际关系、抑郁、焦虑、恐怖、偏执、精神病性因子评分高于对照组,差异有统计学意义(P<0.05或<0.01);在SSRS中,研究组主观支持、客观支持、支持利用度和总分低于对照组(P<0.01);在SCSQ中,研究组积极应对评分低于对照组(均P<0.01),消极应对评分高于对照组(P<0.01);研究组SCL-90中各因子躯体化、强迫、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执和精神病性与SSRS中主观支持、客观支持、支持利用度(躯体化除外)、积极应对各维度均呈显著负相关(r=-0.164^-0.357,P<0.01);与积极应对呈显著负相关(r=-0.225^-0.374,P<0.01)与消极应对呈显著正相关(r=0.285~0.462,P<0.01)。结论精神分裂症一级属心理健康水平较低,社会支持少,应对方式简单消极;心理健康与社会支持及应对方式有相关性。Objective To explore the correlation among mental health,social support and coping styles in first-degree relatives of schizophrenia.Methods The experimental group comprised 96 cases of first-degree relatives of patients with schizophrenia,the control group contained 105 cases of employees from businesses,hospitals and secondary schools,whose firstdegree relatives did not have various types of mental illness.The Symptom Check-List 90（SCL-90）,Social Support Rate Scale（SSRS）and Simplified Coping Style Questionnaire（SCSQ）were used to perform questionnaire survey and analysis.Results In SCL-90,somatization,interpersonal relationship,depression,anxiety,terror,paranoia and psychosis factor score of experimental group were significantly higher than those of control group（P〈0.05 or 0.01）;In SSRS,subjective support,objective support,support utilization degree and total score of experimental group were lower than those of control group（P〈0.01）;The positive response scores in experimental group were statistically lower than those in control group（P〈0.01）,negative response scores in experimental group were statistically higher than those in control group（P〈0.01）;Each factor of experimental group in SCL-90,somatization,force,interpersonal sensitivity,depression,anxiety,hostility,terror,paranoia and psychoticism combined with subjective support,objective support,support utilization degree（except somatization）,coping with different dimensions in SSRS were significantly negative correlated（r=-0.164 to-0.357,P 0.01）.Those factors had signifucantly negative correlation with positive response（r=-0.225to-0.374,P〈0.01）,and positive correlation with negative response（r=0.285 to 0.462,P〈0.01）.Conclusion The firstdegree relatives of schizophrenia had low mental health level,less social support,negtive coping styles;there were correlation among mental health,social support and coping styles.

关 键 词：精神分裂症 一级亲属 心理健康 

分 类 号：R749.3[医药卫生—神经病学与精神病学]