精神分裂症患者言语性幻听与其自杀观念的相关性研究  

A study on the correlation between speech hallucination and suicidal ideation in schizophrenic patients

作　　者：杨亚芳 张崇丽 陈策 YANG Ya-fang;ZHANG Chong-li;CHEN Ce(Department of Psychiatry of the Seventh People’s Hospital of Wenzhou City,Wenzhou 325000,China)

机构地区：[1]浙江省温州市第七人民医院精神科,325000

出　　处：《临床精神医学杂志》2024年第2期95-98,共4页Journal of Clinical Psychiatry

基　　金：浙江省基础公益研究计划项目(LGF21H090003)。

摘　　要：目的:研究和分析精神分裂症患者言语性幻听与其自杀观念的相关性。方法:纳入我院2021年2月至2022年1月78例精神分裂症患者,根据其是否存在言语性幻听分为言语性幻听组(42例)和无言语性幻听组(36例);根据患者有无自杀观念分为自杀观念组(45例)和无自杀观念组(33例),采用精神症状评定量表-幻听分量表(PSYRATS-AH)进行评估,对比两组患者的认知解释、情绪特征、权威信念、恶意信念、抵抗幻听等言语性幻听5个维度的分值,并分析其与自杀观念的相关性。结果:言语性幻听组患者有自杀观念率显著高于无言语性幻听组(P<0.05);自杀观念组患者认知解释、情绪特征、权威信念、恶意信念评分显著高于无自杀观念组,自杀观念组患者抵抗幻听评分显著低于无自杀观念组,差异均有统计学意义(P均<0.05);Pearson相关分析显示,精神分裂症患者言语性幻听与其自杀观念具有相关;多重线性回归分析显示,认知解释、情绪特征、权威信念、恶意信念4个维度的言语性幻听分值与自杀观念评分呈正相关(P=0.035、0.044、0.038、0.042)。结论:精神分裂症患者言语性幻听与其自杀观念具有密切的相关性,且精神分裂症患者言语性幻听的认知解释、情绪特征、权威信念、恶意信念等维度分值越高,其自杀观念越强烈。Objective:To study and analyze the correlation between speech auditory hallucinations and suicidal ideation in patients with schizophrenia.Method:Seventy-eight patients with schizophrenia in our hospital from February 2021 to January 2022 were selected as the research subjects,and were divided into the speech-based auditory hallucinations group(42 cases)and the non-verbal auditory hallucinations group(36 cases);the suicidal ideation group(45 cases)and the non-suicidal ideation group(33 cases).The cognitive interpretation,emotional characteristics,authoritative beliefs,malicious beliefs,and malicious beliefs between the two groups were compared.Resistance to auditory hallucinations and other verbal auditory hallucinations Psychiatric Symptom Rating Scale-Auditory Hallucinations Subscale(PSYRATS-AH)assessment scores in five dimensions,and analyze its correlation with suicidal ideation.Results:The rates of suicidal ideation in the speech auditory hallucinations group were significantly higher than those in the speechless auditory hallucinations group(P<0.05).The scores of patients in the suicidal ideation group were significantly lower than those in the non-suicidal ideation group,and the difference between the two groups was statistically significant(all P<0.05).Pearson correlation analysis showed that speech auditory hallucinations in schizophrenia patients were correlated with their suicidal ideation;multiple linear regression analysis showed that the scores of verbal auditory hallucinations in 4 dimensions of cognitive interpretation,emotional characteristics,authoritative beliefs and malicious beliefs were positively correlated with the scores of suicidal ideation(P=0.035,0.044,0.038,0.042).Conclusion:Verbal auditory hallucinations in patients with schizophrenia are closely correlated with their suicidal thoughts,and the higher the scores of cognitive interpretation,emotional characteristics,authoritative beliefs,and malicious beliefs of speech auditory hallucinations are,the stronger their suicidal thoughts wi

关 键 词：精神分裂症 言语性幻听 自杀观念 相关性 临床研究 

分 类 号：R749.3[医药卫生—神经病学与精神病学]