摘要
目的:从系统家庭动力学视角探索家庭互动对轻微精神病综合征(APS)患者临床结局的影响。方法:使用精神病风险症状量表(SOPS)和系统家庭动力学自评量表(SSFD)对63例APS患者进行精神病理学和系统家庭动力学评估;6个月后进行临床结局评定,分析系统家庭动力学特征对APS临床结局的影响。结果:47例APS患者完成6个月的随访,其中8例(17.0%)转化,18例(38.3%)维持,21例(44.7%)恢复。3种结局状态的患者基线时的SSFD中"疾病观念"维度评分差异有统计学意义(F=4.17,P=0.022)。方差分析模型显示,"疾病观念"维度每增加2.29分,APS患者在6个月内转化为精神病性障碍的可能性具有统计学意义(t=2.40,P=0.021)。结论:家庭成员的"疾病观念"可以预测APS患者6个月后的转化结局。
Objective：To explore the effect of systemic family dynamics on clinical outcomes in patients with attenuated psychosis syndrome（APS）.Method：Sixty-three participants were identified as APS using the structured interview for psychosis-risk syndromes（SIPS） from 7 research centers.Participants were administered measures of systemic family dynamics（self-rating scale of systemic family dynamics,SSFD）,and followed up 6 months later.Results：Of the 63 participants,47 of them were followed up.Among the 47 individuals,eight（17.0%） of them converted,18（38.3%） of them maintained the APS state and 21（44.7%） of them recovered.Among the three clinical outcomes,there were significant difference in the dimension of＂disease concept＂（F=4.17,P=0.022） in SSFD at baseline.Further variance model tests showed that the ＂ disease concept＂ score increased by 2.29 points（t=2.40,P=0.021）,then the probability of APS conversion was statistically significant.Conclusion：The disease concept of the family members could predict the conversion of the APS after 6 months.
出处
《临床精神医学杂志》
2017年第3期165-167,共3页
Journal of Clinical Psychiatry
基金
国家卫生公益性行业科研专项项目(201002003)
上海市卫生与计划生育委员会科研课题(201640391)
