精神分裂症患者应对方式现状及其与自尊、总体幸福感、病耻感的相关性分析  

Current situation of coping style in schizophrenic patients and its correlation with self-esteem,general well-being and stigma

作　　者：张淑娟 刘翠翠 冯玉韬 ZHANG Shujuan;LIU Cuicui;FENG Yutao(Daizhuang Hospital,Shandong Province,Jining 272000,China)

机构地区：[1]山东省戴庄医院,山东济宁272000

出　　处：《心理月刊》2025年第6期49-51,62,共4页

摘　　要：目的探究精神分裂症患者应对方式现状及其与自尊、总体幸福感、病耻感的相关性。方法选取2021年6月~2024年6月山东省戴庄医院收治的100例精神分裂症患者,采用基线资料调查表、简易应对方式问卷(SCSQ)、自尊量表(SES)、总体幸福感量表(GWBS)、精神疾病内在病耻感调查表(ISMI)调查患者的应对方式现状及自尊、总体幸福感、病耻感水平,采用Pearson相关性分析患者应对方式与自尊、总体幸福感、病耻感的相关性,采用Logistic回归分析该类患者应对方式的影响因素。结果100例患者的SCSQ评分积极应对得分为13.41±1.25分,消极应对得分为17.54±1.73分,患者更倾向于消极应对疾病。患者的SES得分为20.35±2.04分,自尊处于低水平。100例患者的GWBS得分为71.29±7.13分,处于中等水平。100例患者的ISMI得分为77.55±7.76分,病耻感为中度水平。Pearson相关性分析显示,100例患者的积极应对评分与SES得分、GWBS得分呈正相关(r=0.571、0.653,P<0.001),与ISMI得分呈负相关(r=-0.686,P<0.001)。患者消极应对得分与SES得分、GWBS得分呈负相关(r=-0.461、-0.616,P<0.001),与ISMI得分呈正相关(r=0.745,P<0.001)。消极应对的精神分裂症患者SES得分、GWBS得分低于积极应对患者,ISMI得分高于积极应对患者(P<0.05)。经Logistic回归分析显示,ISMI得分较高是精神分裂症患者消极应对的危险因素(OR>1,P<0.05),SES得分和GWBS得分较高是精神分裂症患者消极应对的保护因素(OR<1,P<0.05)。结论精神分裂症患者应对方式倾向于消极应对,其消极应对得分越高,患者的自尊、总体幸福感水平越差,病耻感越强。临床需采取措施引导患者积极应对疾病,以便提高其自尊、总体幸福感水平,降低其病耻感。Objective To explore the current status of coping strategies in patients with schizophrenia and their correlation with self-esteem,overall well-being,and shame.Methods A total of 100 patients with schizophrenia admitted to Daizhuang Hospital in Shandong Province from June 2021 to June 2024 were selected.Baseline data survey,simple coping style questionnaire(SCSQ),self-esteem scale(SES),general well-being schedule scale(GWBS),and internalized stigma of mental illness inventory(ISMI)were used to investigate the current status of patients'coping styles and their levels of self-esteem,overall happiness,and shame.Pearson correlation analysis was used to analyze the correlation between patients'coping styles and self-esteem,overall happiness,and shame,and Logistic regression analysis was used to investigate the influencing factors of coping styles in this group of patients.Results The SCSQ score of 100 patients was 13.41±1.25 points for positive coping and 17.54±1.73 points for negative coping,indicating that patients were more inclined to respond negatively to the disease.The patient's SES score is 20.35±2.04 and their self-esteem is at a low level.The GWBS score of 100 patients is 71.29±7.13 points,which is at a moderate level.The ISMI score of 100 patients was 77.55±7.76 points,and their sense of shame was at a moderate level.Pearson correlation analysis showed that the positive coping score of 100 patients was positively correlated with SES score and GWBS score(r=0.571,0.653,both P<0.001),and negatively correlated with ISMI score(r=-0.686,P<0.001).The negative coping score of patients was negatively correlated with SES score and GWBS score(r=-0.461,-0.616,both P<0.001),and positively correlated with ISMI score(r=0.745,P<0.001).The SES and GWBS scores of schizophrenia patients with negative coping were lower than those with positive coping,while the ISMI score was higher than those with positive coping(P<0.05).According to Logistic regression analysis,a higher ISMI score is a risk factor for negative coping in

关 键 词：精神分裂症 应对方式 自尊 总体幸福感 病耻感 相关性 

分 类 号：R749[医药卫生—神经病学与精神病学]