住院双相障碍与精神分裂症患者自知力水平的保护性因素  

Protective factors of insight of inpatients with bipolar disorder or schizophrenia

作　　者：苏敬华[1] 范誉 谭文艳 陈夕圆 杨宁[1] 陈晓东[1] Su Jinghua;Fan Yu;Tan Wenyan;Chen Xiyuan;Yan Ning;Chen Xiaodong(The Affiliated Brain Hospital of Guangzhou Medical University,Guangzhou 510370,China;Mental health Center of Guangdong Province,Guangzhou 510120,China)

机构地区：[1]广州医科大学附属脑科医院,广东广州510370 [2]广东省精神卫生中心,广东广州510120

出　　处：《四川精神卫生》2020年第5期436-439,共4页Sichuan Mental Health

基　　金：广东省医学科学技术研究基金(项目名称:严重精神障碍基本药物全额保障可行性研究,项目编号:C2018026)。

摘　　要：目的探讨住院双相障碍与精神分裂症患者自知力水平及其保护性因素。方法在广州市4家精神科住院部连续入组符合《国际疾病分类(第10版)》(ICD-10)双相障碍或精神分裂症诊断标准的患者465例。采用自编人口学及临床特征问卷、自知力与治疗态度问卷(ITAQ)进行调查,比较不同自知力水平患者的人口学和临床特征,采用两分类Logistic回归分析探讨自知力的保护因素。结果年龄小(OR=0.977)、男性(OR=1.705)、曾经结婚或同居(OR=1.677)、诊断为双相障碍(OR=2.185)、最近一个月有悲观厌世(OR=2.663)、每天睡眠时间≥7小时(OR=1.620)、每周运动1~2次(OR=1.770)是住院双相障碍和精神分裂症患者自知力的保护因素。结论住院双相障碍和精神分裂症患者自知力水平与多种人口学特征及临床特征相关。Objective To investigate the insight level and its protective factors in hospitalized patients with bipolar disorder or schizophrenia.Methods A total of 465 inpatients with bipolar disorder or schizophrenia in psychiatric department of 4 hospitals in Guangzhou who met the diagnostic criteria of the International Classification of Diseases(ICD-10)were enrolled.A self-designed questionnaire was used to collect their demographic and clinical features.Then the insight levels were assessed by Insight and treatment attitude questionnaire(ITAQ).Binary logistic regression analysis was performed to discuss the protective factors of insight.Results Young age(OR=0.977),male(OR=1.705),married or unmarried cohabitation(OR=1.677),bipolar disorder(OR=2.185),pessimistic mood in the last month(OR=2.663),sleep time no less than 7 hours a day(OR=1.620)and exercise frequency of 1 or 2 times a week(OR=1.770)were protective factors of insight for inpatients with bipolar disorder or schizophrenia.Conclusion The insight of patients with bipolar disorder or schizophrenia is associated with a variety of demographic and clinical features.

关 键 词：精神分裂症 双相障碍 自知力 睡眠 运动 

分 类 号：R749[医药卫生—神经病学与精神病学]