摘要
目的探讨精神分裂症患者的心理社会危险因素。方法采用生活事件量表(LES)、社会支持评定量表(SSRS)及防御方式问卷(DSQ)对120例精神分裂症患者(病例组)以及121例正常志愿者(对照组)进行测查,并分析精神分裂症患者的心理社会危险因素。结果精神分裂症患者生活事件总频度和分值以及负性生活事件频度和分值均高于对照组(P<0.01),社会支持总分、主观社会支持因子分、客观支持因子分及社会支持利用度因子分均低于对照组(P<0.01),更多采用不成熟和中间型防御方式(P<0.01)。Logistic回归分析显示负性事件总分、社会支持利用度、不成熟防御机制和中间型防御机制是影响精神分裂症发病的重要因素。结论负性生活事件、社会支持利用度、不成熟防御机制及中间型防御方式与精神分裂症的发病密切相关。
Objective To explore the psychosocial risk factors of patients with schizophrenia.Methods 120 patients with schizophrenia（study group） and 121 normal volunteers（control group）were rated by life events scale（LES）,social support scale（SSRS） and defensive styles questionnaire（DSQ） to analyze the psychosocial risk factors of patients with schizophrenia.Results The number and score of negative and total life events were found to be significantly higher in schizophrenics as compared to normal controls.The total score of social support,objective social support,subjective social support and availability score of SSRS of patients with schizophrenia were found to be greatly lower than the normal controls.The score of immature and neurotic defense styles was higher in the schizophrenics.The Logistic regression analysis demonstrate that score of negative life events,availability score of SSRS,score of immature and neurotic defense styles have important effects in occurrence of schizophrenia.Conclusion The occurrence of schizophrenia is significantly related with negative life events,utilization of social support,the immature and neurotic defense styles.
出处
《四川精神卫生》
2012年第1期6-9,共4页
Sichuan Mental Health
