社区慢性精神分裂症家庭亲密度和适应性与患者精神症状的关系  

Relationship between family adaptability, cohesion and symptoms of outpatients with schizophrenia

作　　者：侯也之[1] 项玉涛[1] 李文咏 高亮[2] 陈国澜 翁永振[1] 

机构地区：[1]首都医科大学附属北京安定医院,北京100088 [2]北京市朝阳区第三医院,北京100025

出　　处：《中国康复理论与实践》2003年第7期424-425,共2页Chinese Journal of Rehabilitation Theory and Practice

基　　金：北京重点扶持学科基金资助项目【 (1 999)卫科扶字 1 0号】;首都医学发展科研基金资助项目 (ZD1 9981 6);首都医学发展科研基金资助项目 (首都TS199801;特色专业)。

摘　　要：目的探讨社区慢性精神分裂症家庭亲密度与适应性 ,及其与患者精神症状的相关性。方法应用家庭亲密度和适应性量表中文版 (FACESII CV)、阳性症状和阴性症状量表 (PANSS)对 5 1个社区精神分裂症家庭亲密度与适应性和患者的精神症状进行评定 ,与量表的正常参考值比较 ,进行多元相关分析。结果社区慢性精神分裂症患者家庭的适应性明显降低 (u <0 0 5或u <0 0 1) ;FACEII CV“拱极模式”中 ,平衡型比例明显减少 ,极端型比例增加 ,中间型比例无变化 ;实际亲密度得分与PANSS总分、阳性量表得分、一般精神病理量表得分呈负相关 (P <0 0 5 ) ;实际适应性得分与阳性量表得分呈负相关 (P <0 0 5 )。结论社区慢性精神分裂症家庭亲密度和适应性与患者精神症状密切相关 ,患者家庭的适应性降低。ObjectiveTo investigate the family adaptability, cohesion and their relationship with symptoms of chronic outpatients with schizophrenia.Methods51 outpatients with schizophrenia were assessed with Family Adaptability and Cohesion Scales, Second Edition, Chinese Version(FACE II-CV) and Positive and Negative Syndrome Scale(PANSS ).ResultsThe level of family adaptability of chronic outpatients with schizophrenia was lower than that of the normal control(u <0.05 or u <0.01);the ratio of the balance category of family decreased significantly and that of the extreme category of family increased significantly;the score of real cohesion negatively correlated with scores of PANSS, Positive Subscale and General Psychopathology Subscale (P<0.05);the score of real adaptability negatively correlated with score of Positive Subscale (P<0.05). ConclusionsFamily adaptability and cohesion of outpatients with schizophrenia close correlate to symptoms of chronic outpatients with schizophrenia and level of family adaptability decreases.

关 键 词：精神分裂症 家庭 亲密度和适应性 神经心理测查 

分 类 号：R749.3[医药卫生—神经病学与精神病学]