稳定期精神分裂症患者心理弹性水平及影响因素调查分析
摘要
目的:调查并了解稳定期精神分裂症患者心理弹性状况,并分析其影响因素。方法:采用一般资料调查表、心理弹性量表(CD-RISC)、简明精神病评定量表(BPRS)、一般自我效能感量表(GSES)、社会支持评定量表(SSRS),对在广东省3家精神病专科医院门诊就诊的295例稳定期精神分裂症患者进行问卷调查。结果:稳定期精神分裂症患者CD-RISC得分为(66. 36±14. 10)分;心理弹性受家庭人均月收入、症状严重程度、一般自我效能、支持利用度的影响,可解释总变异的33. 4%。结论:稳定期精神分裂症患者心理弹性水平较低,因此,临床精神科工作者应关注患者的心理弹性水平,给予针对性干预,提升患者心理弹性水平,促进患者精神康复。
引文
[1]陈清钦,彭山玲,林福美.脑卒中偏瘫患者心理弹性与生存质量相关性分析[J].齐鲁护理杂志,2017,23(23):8-10.
[2] Torgalsboen AK. Sustaining full recovery in schizophrenia after 15 years:does resilience matter[J]. Clin Schizophr Relat Psychoses,2012,5(4):193-200.
[3] Chiu MY,Ho WW,Lo WT,et al. Operationalization of the samhsa model of recovery:a quality of life perspective[J].Qual Life Res,2010,19(1):1-13.
[4] Johnson J,Gooding PA,Wood AM,et al. Resilience to suicidal ideation in psychosis:positive self-appraisals buffer the impact of hopelessness[J]. Behav Res Ther,2010,48(9):883-889.
[5]殷美莉,周金娣,陆明康,等. DSM-Ⅳ、ICD-10及CCMD-2三种精神分裂症病诊断标准的比较[J].上海精神医学,1996,8(3):133-135.
[6] Yu XN,Zhang JX. Factor analysis and psychometric evaluation of the Connor-Davidson Resilience Scale(CD-RISC)with Chinese people[J]. Soc Behav Pers,2007,35(1):19-30.
[7]宋建成,费立鹏,张培琰,等.简明精神病评定量表中各分量表的评价[J].临床精神医学杂志,2001,11(2):86-88.
[8] Zhang JX,Schwarzer R. Measuring optimistic self-beliefs:a Chinese adaptation of the general self-efficacy scale[J].Psychologia,1995,38(3):174-181.
[9]肖水源.《社会支持评定量表》的理论基础与研究应用[J].临床精神医学杂志,1994,4(2):98-100.
[10]张爱华.意外创伤者的心理弹性及其发展模型的研究[D].上海:第二军医大学,2012.
[11] Connor KM,Davidson JR. Development of a new resilience scale:the Connor-Davidson Resilience Scale(CD-RISC)[J]. Depress Anxiety,2003,18(2):76-82.
[12] Wood L,Birtel M,Alsawy S,et al. Public perceptions of stigma towards people with schizophrenia,depression,and anxiety[J]. Psychiatry Res,2014,220(1-2):604-608.
[13]周英,李亚洁.精神分裂症病耻感的相关研究进展[J].广东医学,2011,32(15):2061-2063.
[14] Souri H,Hasanirad T. Relationship between resilience,optimism and psychological well-being in students of medicine[J]. Procedia Social and Behavioral Sciences,2011,30(4):1541-1544.
[15] Mcdonald G,Jackson D,Wilkes L,et al. Personal resilience in nurses and midwives:effects of a work-based educational intervention[J]. Contemp Nurse,2013,45(1):134-143.
[16] Edward K. Chronic illness and wellbeing:using nursing practice to foster resillence as resistance[J]. Br J Nurs,2013,22(13):741-746.
[17]陈清钦,彭小玲,林福美.脑卒中偏瘫患者心理弹性与生存质量相关性分析[J].齐鲁护理杂志,2017,23(23):8-10.
[18]张文静,王燕,刘亚北,等.胫腓骨骨折患者心理弹性与一般自我效能及应对方式的关系[J].中国实用护理杂志,2016,32(14):1097-1099.
[19]秦艳丽,远义娇,于勋,等.先天性心脏病患儿家属心理弹性与自我效能社会支持相关性分析[J].齐鲁护理杂志,2017,23(21):42-44.
[2] Torgalsboen AK. Sustaining full recovery in schizophrenia after 15 years:does resilience matter[J]. Clin Schizophr Relat Psychoses,2012,5(4):193-200.
[3] Chiu MY,Ho WW,Lo WT,et al. Operationalization of the samhsa model of recovery:a quality of life perspective[J].Qual Life Res,2010,19(1):1-13.
[4] Johnson J,Gooding PA,Wood AM,et al. Resilience to suicidal ideation in psychosis:positive self-appraisals buffer the impact of hopelessness[J]. Behav Res Ther,2010,48(9):883-889.
[5]殷美莉,周金娣,陆明康,等. DSM-Ⅳ、ICD-10及CCMD-2三种精神分裂症病诊断标准的比较[J].上海精神医学,1996,8(3):133-135.
[6] Yu XN,Zhang JX. Factor analysis and psychometric evaluation of the Connor-Davidson Resilience Scale(CD-RISC)with Chinese people[J]. Soc Behav Pers,2007,35(1):19-30.
[7]宋建成,费立鹏,张培琰,等.简明精神病评定量表中各分量表的评价[J].临床精神医学杂志,2001,11(2):86-88.
[8] Zhang JX,Schwarzer R. Measuring optimistic self-beliefs:a Chinese adaptation of the general self-efficacy scale[J].Psychologia,1995,38(3):174-181.
[9]肖水源.《社会支持评定量表》的理论基础与研究应用[J].临床精神医学杂志,1994,4(2):98-100.
[10]张爱华.意外创伤者的心理弹性及其发展模型的研究[D].上海:第二军医大学,2012.
[11] Connor KM,Davidson JR. Development of a new resilience scale:the Connor-Davidson Resilience Scale(CD-RISC)[J]. Depress Anxiety,2003,18(2):76-82.
[12] Wood L,Birtel M,Alsawy S,et al. Public perceptions of stigma towards people with schizophrenia,depression,and anxiety[J]. Psychiatry Res,2014,220(1-2):604-608.
[13]周英,李亚洁.精神分裂症病耻感的相关研究进展[J].广东医学,2011,32(15):2061-2063.
[14] Souri H,Hasanirad T. Relationship between resilience,optimism and psychological well-being in students of medicine[J]. Procedia Social and Behavioral Sciences,2011,30(4):1541-1544.
[15] Mcdonald G,Jackson D,Wilkes L,et al. Personal resilience in nurses and midwives:effects of a work-based educational intervention[J]. Contemp Nurse,2013,45(1):134-143.
[16] Edward K. Chronic illness and wellbeing:using nursing practice to foster resillence as resistance[J]. Br J Nurs,2013,22(13):741-746.
[17]陈清钦,彭小玲,林福美.脑卒中偏瘫患者心理弹性与生存质量相关性分析[J].齐鲁护理杂志,2017,23(23):8-10.
[18]张文静,王燕,刘亚北,等.胫腓骨骨折患者心理弹性与一般自我效能及应对方式的关系[J].中国实用护理杂志,2016,32(14):1097-1099.
[19]秦艳丽,远义娇,于勋,等.先天性心脏病患儿家属心理弹性与自我效能社会支持相关性分析[J].齐鲁护理杂志,2017,23(21):42-44.