精神分裂症康复期患者心理状态调查及与服药信念、社会功能、精神状态的相关性  

Investigation on psychological state in patients with convalescent schizophrenia and analysis of its correlation with medication belief,social function and psychiatric state

作　　者：杨蔚蔚 房茂胜[1,2] 李彪 向东方 YANG Weiwei;FANG Maosheng;LI Biao;XIANG Dongfang(Department of Psychiatry,Wuhan Mental Health Center,Wuhan 430012,China;Department of Depression,Wuhan Hospital for Psychotherapy)

机构地区：[1]湖北省武汉市精神卫生中心精神科,430012 [2]武汉市心理医院抑郁病区

出　　处：《中国健康心理学杂志》2023年第2期168-172,共5页China Journal of Health Psychology

基　　金：国家自然科学基金资助项目(编号:81771445)。

摘　　要：目的:了解精神分裂症康复期患者心理状态,并分析心理状态与患者服药信念、社会功能、精神状态相关性。方法:通过便利抽样法对2021年1-12月收治的184例精神分裂症康复期患者展开问卷调查,采用中文版卡尔加里精神分裂症抑郁量表(CDSS-C)调查心理状态,药物信念问卷(BMQ)评价服药信念,精神障碍患者社会功能缺损评定量表(SSFD-MD)评价社会功能,简明精神病量表(BPRS)评价精神状态。结果:184例患者CDSS-C评分≥6分者共53例(28.80%);抑郁组BMQ评分中服药顾虑性得分显著高于非抑郁组(t=4.369,P<0.05),SSFD-MD评分中自我照料、家庭生活、理解交流、与人相处、社会参与各维度得分及总分均显著高于非抑郁组(t=5.867,7.793,7.338,7.082,6.491,7.895;P<0.05),BPRS评分中焦虑忧郁、缺乏活力、思维障碍、敌对猜疑维度得分及总分显著高于非抑郁组(t=5.948,7.020,4.914,4.928,8.052,P<0.05)。Pearson相关分析法显示,患者服药顾虑性与抑郁体验、自我评价及CDSS-C总分均呈正相关(r=0.246,0.284,0.277;P<0.05),SSFD-MD中自我照料与自我评价、CDSS-C总分均呈正相关(r=0.306,0.286;P<0.05),家庭生活、理解交流、与人相处、社会参与及SSFD-MD总分分别与抑郁体验、自我评价及CDSS-C总分均呈正相关(r=0.282,0.291,0.288,0.295,0.331,0.301,0.448,0.327,0.409,0.406,0.357,0.395,0.396,0.342,0.381;P<0.05);BPRS评分中焦虑忧郁、缺乏活力、思维障碍、敌对猜疑及BPRS总分分别与抑郁体验、自我评价及CDSS-C总分均呈正相关(r=0.588,0.362,0.417,0.512,0.401,0.455,0.327,0.304,0.315,0.238,0.252,0.242,0.414,0.375,0.382;P<0.05)。结论:精神分裂症康复期患者抑郁检出率较高,且可给患者服药信念、社会功能及精神状态带来不良影响。Objective:To understand the psychological state of patients with convalescent schizophrenia,and to analyze the correlation between psychological state and medication belief,social function and psychiatric state of patients.Methods:A questionnaire survey was conducted on 184 patients with convalescent schizophrenia who were treated in the hospital between January 2021 and December 2021 by the convenience sampling method.Chinese Version of Calgary Depression Scale for Schizophrenia(CDSS-C)was used to investigate the psychological state,and Beliefs about Medical Questionnaire(BMQ)was adopted to evaluate the medication belief.Scale of Social Function Deficit for Mental Disorders(SSFD-MD)was applied to assess the social function,and Brief Psychiatric Rating Scale(BPRS)was used for psychiatric state evaluation.Results:There were 53 cases(28.80%)of 184 patients with CDSS-C score≥6 points.The medication apprehension score of BMQ in depression group was significantly higher than that in non-depression group(t=4.369,P<0.05),and the scores of dimensions of self-care,family life,understanding and communication,getting along with others and social participation and total score of SSFD-MD were significantly higher than those in non-depression group(t=5.867,7.793,7.338,7.082,6.491,7.895;P<0.05),and the scores of dimensions of anxiety and depression,lack of energy,thinking disorder and hostile suspicion and total score of BPRS were significantly higher than those in non-depression group(t=5.948,7.020,4.914,4.928,8.052;P<0.05).Pearson correlation analysis showed that medication apprehension of patients was positively correlated with depression experience,self-evaluation and total score of CDSS-C(r=0.246,0.284,0.277;P<0.05),and self-care of SSFD-MD was positively correlated with self-evaluation and total score of CDSS-C(r=0.306,0.286;P<0.05),and the family life,understanding and communication,getting along with others,social participation and total score of SSFD-MD were positively correlated with depression experience,self-evalu

关 键 词：精神分裂症 康复期 心理状态 服药信念 社会功能 精神状态 

分 类 号：R749.3[医药卫生—神经病学与精神病学]