摘要
目的分析积极性干预对首发精神分裂症患者家庭负担及家属心理波动的影响。方法本研究选取了60例首发精神分裂症患者家属作为研究对象,随机分为实验组和对照组各30例,使用疾病家庭负担量表(FBS)、汉密尔顿抑郁量表(HAMD)、焦虑自评量表(SAS)对首发精神分裂症患者家庭负担、抑郁、焦虑情绪进行调查。对两组进行常规干预。同时,干预组给予积极性干预。结果两组患者的一般情况相比,差异无统计学意义(P>0.05);干预后,实验组的FBS评分明显低于对照组(P≤0.05);干预前,两组患者家属的HAMD和SAS评分相比差异无统计学意义(P>0.05),干预后,实验组患者家属的HAMD和SAS评分明显低于对照组(P≤0.01),且BPRS减分率显著高于对照组(P≤0.01)。结论首发精神分裂症患者家属承受着较大的家庭负担,通过对其实施积极性干预,有利于改善患者家属的心理状态,宜广泛应用和推广。
Objective To analyze the effect of positive intervention on family burden and family members＇ psychological fluctuation of first episode schizophrenia. Methods 60 families who had first episode schizophrenia patients were selected and randomly divided into the experimental group（n=30）and the control group（n=30）. Using the Family Burden Scale of Diseases（FBs）,Hamilton Depression Rating Scale（HAMD）and Self-rating anxiety scale（SAS）to assess family burden,depression and anxiety. Results The two groups showed no statistically significant differences in demographic characteristics（P〈0.05）. Before the intervention,the two groups had no statistically significant in the total score of HAMD and SAS in family members of patients（P〈0.05）. After the intervention,the experimental group＇s FBS score was significantly lower than that in the control group（P〈0.05）. The total score of HAMD and SAS in the experimental group was significantly lower than that in the control group（P ≤0.01）,and the reduction rate of BPRS was significantly higher in the experimental group than the control group（P ≤0.01）. Conclusion The family members of the first schizophrenic patients bear a large family burden. Positive intervention improves the family members＇ psychological state,which should be widely applied and promoted.
作者
陈良虎
李小平
汪燕
单莺
CHEN Lianghu;LI Xiaoping;WANG Yan(Shanghai pudong new area nanhui mental health center,Shanghai 201399,China)
出处
《国际精神病学杂志》
2018年第4期625-628,共4页
Journal Of International Psychiatry
基金
上海市浦东新区卫生系统优秀青年医学人才培养计划(编号:PWRq2014-28)
关键词
积极性干预
首发精神分裂症
家庭负担
家属心理
Positive intervention
First-episode schizophrenia
Family burden
Family members＇ psychological fluctuation
