农村社区精神障碍患者的病耻感及相关因素  

Self-stigma and related factors in people with mental illness in rural areas

作　　者：张天明 刘昱君[2] 刘波 罗伟 冉茂盛[5] ZHANG Tianming;LIU Yujun;LIU Bo;LUO Wei;RAN Maosheng(Department of Social Work,School of Sociology and Political Science,Shanghai University,Shanghai 200444,China;Department of Social Work,School of Social and Behavioral Science,Nanjing University,Nanjing 210023,China;Jingzhou Mental Health Center,Jingzhou 434000,Hubei Province,China;Chengdu Xinjing Second People's Hospital,Chengdu 611430,China;Department of Social Work and Social Administration,University of Hong Kong,Hong Kong SAR,China)

机构地区：[1]上海大学社会学院社会工作系,上海200444 [2]南京大学社会学院社会工作系,南京210023 [3]湖北荆州精神卫生中心,湖北荆州434000 [4]成都市新津区第二人民医院,成都611430 [5]香港大学社会工作及社会行政学系,中国香港

出　　处：《中国心理卫生杂志》2021年第8期617-622,共6页Chinese Mental Health Journal

基　　金：Randomized controlled trial of Enhancing Contact Model on reducing stigma of mental illness in family caregivers of persons with schizophrenia in rural China,香港特区政府研究基金(GRF:17605618)。

摘　　要：目的:了解农村社区不同精神障碍患者的自我病耻感水平及其相关因素。方法:对成都市新津区453例农村社区精神障碍(精神分裂症和情感障碍)患者,采用自编一般资料表、自我病耻感量表、杜克社会支持量表,以及整体功能评估进行调查,用logistic回归模型分析患者病耻感的相关因素。结果:患者自我病耻感有较高的检出率(44.8%)。Logistic回归模型显示,家庭收入水平低于当地平均水平(OR=0.49)、丧失工作能力(OR=0.46)、住院次数越多(OR=1.17)、社会支持和社会功能水平较低的患者(OR=0.97;OR=0.97)更倾向出现较高的自我病耻感。结论:农村社区精神障碍患者具有较高的自我病耻感,并与家庭收入水平、工作能力、住院次数、社会支持水平以及社会功能等因素相关。Objective:To explore the rates of self-stigma in persons with mental illness in rural area and the related factors.Methods:A total of 453 persons with mental illness(schizophrenia and mood disorders)were selected in this study.Social-demographic and illness-related data were collected.Also,the participants completed the measures of self-stigma,social support,and social functioning.Results:The rate of self-stigma in this sample was44.8%.Logistic regression analyses showed that lower levels of family income(OR=0.49),poorer work ability(OR=0.46),more hospitalizations(OR=1.17),lower level of social support(OR=0.97)and social functioning(OR=0.97)were significantly associated with higher levels of self-stigma.Conclusion:It suggests that self-stigma is prevalent among persons with mental illness in rural area and is related to family income level,working ability,numbers of hospitalization,social support,and social functioning.

关 键 词：精神障碍患者 自我病耻感 相关因素 农村社区 

分 类 号：R749.0[医药卫生—神经病学与精神病学]