摘要
目的:探讨双相障碍(BD)患者感知病耻感情况,分析感知病耻感与社会支持的相关性。方法:采用自编问卷收集362例BD患者的社会人口学资料及临床特征资料,运用Link贬低-歧视感知量表(perceived devaluation discrimination,PDD)评估患者感知病耻感程度,使用社会支持评定量表评定患者社会支持情况,比较不同社会人口学或临床特征患者的PDD评分,探索感知病耻感与社会支持的相关性。结果:362例BD患者PDD评分为(2.89±0.34)分,社会支持评定量表评分为(32.82±7.41)分;女性、未婚、高文化程度、低龄、居住于城镇和城市、起病年龄早、病程短及首发临床相为抑郁相的BD患者PDD评分更高;社会支持评定量表总分、主观支持评分及对社会支持的利用度评分与PDD评分均呈负相关。结论:BD患者普遍存在高病耻感和低社会支持情况,除了给予科学有效的治疗外,还需要来自社会的关心、支持、鼓励和包容。
Objective:To explore the perceived stigma in patients with bipolar disorder(BD)and analyze the correlation between perceived stigma and social support.Method:The data of sociodemographic and clinical features of 362 patients with BD were investigated with a self-designed questionnaire,and the degree of perceived stigma was evaluated by perceived devaluation discrimination(PDD)scale,and the social support condition of patients was evaluated by social support scale.The scores of PDD of patients with different sociodemographic and clinical features were compared to explore the correlation between perceived stigma and social support.Result:The score of PDD of 362 BD patients was(2.89±0.34)points,and score of social support scale was(32.82±7.41)points.Those who were female,unmarried,highly educated,younger,living in towns and cities,with earlier onset,with shorter course of disease and with first onset of depression had higher scores of PDD.The total scores of social support scale,subjective support scores and utilization of social support scores were negatively correlated with the score of PDD.Conclusion:BD patients generally have high perceived stigma and low social support.In addition to scientific and effective treatment,they also need more social care,support,encouragement and inclusion.
作者
吴廷娟
李春阳
许志平
凌开
叶健夫
刘俊贤
WU Tingjuan;LI Chunyang;XU Zhiping;LING Kai;YE Jianfu;LIU Junxian(Shunde Wuzhongpei Memorial Hospital,Foshan City,Foshan 528300,China;不详)
出处
《中外医学研究》
2020年第20期8-11,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
佛山市卫生和计划生育局医学科研课题项目(20190355)。
关键词
双相障碍
病耻感
社会支持
Bipolar disorder
Stigma
Social support
