精神分裂症患者家庭功能和婚姻质量研究  

Family functions and marital quality in schizophrenic patients

作　　者：徐逸 黄楠[1] 刘娜[1] 周卉[1] 李清伟[2] 陆峥[2] XU Yi;HUANG Nan;LIU Na;ZHOU Hui;LI Qing-wei;LU Zheng(Shanghai Mental Health Center, Shanghai 200030, China;Dept, of Psychiatry, Tongji Hospital, Tongji University, Shanghai 200065, China)

机构地区：[1]上海市精神卫生中心,上海200030 [2]同济大学附属同济医院临床精神科,上海200065

出　　处：《同济大学学报（医学版）》2017年第5期102-107,共6页Journal of Tongji University(Medical Science)

基　　金：国家自然科学基金(81471359);上海市科委中西医引导项目(14411963400)

摘　　要：目的评估已婚精神分裂症患者家庭婚姻状况,探讨家庭婚姻质量与患者康复情况的关系。方法采用家庭功能评定(FAD)、Olson婚姻质量问卷(ENRICH)评估59例精神分裂症患者及其配偶的家庭婚姻情况。结果精神分裂症患者在沟通、角色、情感反应、情感介入、行为控制及总的家庭功能得分均明显高于常模(P<0.001),情感反应(P<0.05)、情感介入(P<0.01)、行为控制(P<0.05)分量表得分在不同文化程度分组中差异存在统计学意义。女性患者(P<0.01)及男性配偶(P<0.001)性格相容性低于常模。个人与社会表现量表(PSP)得分与家庭功能中的角色(P<0.05)、情感反应(P<0.01)、情感介入(P<0.05)的影响呈负相关。结论患者家庭功能在6个维度存在障碍。女性患者及其配偶婚姻质量较差。患者的社会功能亦与家庭婚姻状况关系密切,提高患者家庭婚姻质量也能改善社会功能,有利于疾病控制。ObjectiveTo assess the family and marital status of schizophrenic patients,and the relationship between family marriage quality and the recovery of patients.MethodsThe family and marriage condition were evaluated with Family Assessment Device(FAD)and Olson marital quality questionnaire(ENRICH)in59schizophrenic patients and their spouses.ResultsThe scores of communication,roles,affective responsiveness,affective involvement,behavior control and general family function in patients were higher than norm(P<0.001).There were significant differences in affective responsiveness(P<0.05),affective involvement(P<0.01),behavior control(P<0.05)among patients with different education levels.The scores of personality compatibility of female patients(P<0.01)and their male spouses(P<0.001)were lower than norm.The Personal and Social Performance Scale(PSP)scores were negatively correlated with roles(P<0.05),affective responsiveness(P<0.01)and affective involvement(P<0.05).ConclusionThere are dysfunctions in6dimensions of family functioning in schizophrenic patients.The education level has an influence on family functions.The marital quality of the female patients and their spouses is poorer than norm.The social function of patients are closely related to family and marital status,thus to enhance family and marital quality may improve the social function and disease control in schizophrenic patients.

关 键 词：精神分裂症 家庭功能 婚姻质量 

分 类 号：R749[医药卫生—神经病学与精神病学]