精神分裂症康复期患者病耻感与家庭亲密度、应对方式及自尊的相关性分析  

Correlation analysis of stigma,family intimacy,coping strategies,and self-esteem in patients with schizophrenia during the rehabilitation period

作　　者：赵姣 张艳丽 秦丽 ZHAO Jiao;ZHANG Yanli;QIN Li(Department of Psychiatry,Rongjun Hospital,Heze 274000,China;Department of Internal Medicine,Rongjun Hospital,Heze 274000,China;Jining Rongjun Special Care Hospital InfectionControlOffice,Jining272100,China)

机构地区：[1]菏泽市荣军医院精神科,山东东菏泽274000 [2]菏泽市荣军医院内科,山东东菏泽274000 [3]济宁市荣军优抚医院院感办,山东济宁2272100

出　　处：《心理月刊》2025年第4期45-47,共3页

摘　　要：目的评估精神分裂症康复期患者病耻感与家庭亲密度、应对方式及自尊的相关性。方法选取2023年7月~2024年7月医院收治的精神分裂症康复期患者80例,所有患者均接受精神疾病内在病耻感调查表(ISMI)、家庭亲密度与适应性量表(FACESⅡ-CV)、采用简易应对方式问卷(SCSQ)、自尊量表(SES)、基线资料调查,线性回归分析精神分裂症康复期患者病耻感的影响因素,分析精神分裂症康复期患者病耻感与家庭亲密度、应对方式及自尊的关系。结果经调查显示,80例精神分裂症康复期患者病耻感评分74.51±8.58分,FACESⅡ-CV评分105.78±11.45分,SES评分25.35±3.47分;文化程度初中及以下、病程≤3年精神分裂症康复期患者ISMI评分较文化程度高中及以上、病程>3年,差异有统计学意义(P<0.05);经双变量Pearson直线相关性检验,精神分裂症康复期患者病耻感与家庭亲密度、积极应对、自尊关系呈负相关(r=-0.958、-0.977、-0.978,P<0.001),与消极应对呈正相关(r=0.963,P<0.001);线性回归分析结果显示,文化程度、病程是精神分裂症康复期病耻感的影响因素(P<0.05)。结论精神分裂症康复期患者病耻感水平普遍较高,与家庭亲密度、应对方式、自尊关系之间存在关联。Objective To evaluate the correlation between stigma and family intimacy,coping strategies,and self-esteem in patients with schizophrenia during the rehabilitation period.Methods Eighty patients with schizophrenia in the rehabilitation period admitted to the hospital from July 2023 to July 2024were selected.All patients received the stigma scale of intrinsic diseases in mental disorders(ISMI),family intimacy and adaptability scale(FACES II-CV),simplified coping style questionnaire(SCSQ),self esteem scale(SES),and baseline data survey.Linear regression analysis was conducted to investigate the influencing factors of stigma in schizophrenia rehabilitation patients,and to analyze the relationship between stigma and family intimacy,coping styles,and self-esteem in schizophrenia rehabilitation patients.Results According to the investigation,80 patients with schizophrenia in the rehabilitation period had a stigma score of 74.51±8.58,a FACES II-CV score of 105.78±11.45,and an SES score of 25.35±3.47.The ISMI score of schizophrenia rehabilitation patients with a middle school education level or below and a disease duration of≤3 years was significantly higher than that of patients with a high school education level or above and a disease duration of>3 years(P<0.05).According to the bivariate Pearson linear correlation test,the sense of stigma in schizophrenia rehabilitation patients is negatively correlated with family intimacy,positive coping,and self-esteem(r=-0.958,-0.977,-0.978,P<0.001),and positively correlated with negative coping(r=0.963,P<0.001).The results of linear regression analysis showed that educational level and disease duration were the influencing factors of stigma during the rehabilitation period of schizophrenia(P<0.05).Conclusion Patients with schizophrenia in the rehabilitation period generally have a higher level of stigma,which is associated with family intimacy,coping strategies,and self-esteem.

关 键 词：精神分裂症 康复期 家庭亲密度 应对方式 自尊 相关性 

分 类 号：R74[医药卫生—神经病学与精神病学]