农村精神分裂症患者家属情感表达与复发关系的研究

Relation between recurrence and emotional expression of schizophrenic relatives in rural area.

目的 探讨精神分裂症患者家属情感表达方式以及对精神分裂症复发的影响。方法 对 14 6例首次发作且痊愈出院的农村精神分裂症患者家属 ,采用坎伯威尔家庭问卷中文版 (CFI CV)进行调查 ,根据CFI CV评分 ,将被调查对象分为高情感组和低情感组 ,对精神分裂症患者进行 2年随访 ,以比较家属高情感表达组和低情感表达组的复发率。结果 被试对象中高情感表达家属为 5 0 .17%、低情感表达家属为 4 8.83% ,高情感表达家庭 71个 (4 8.6 3% )、低情感表达家庭 75个 (5 1.37% ) ;高情感表达组和低情感表达组精神分裂症的年累计复发率分别为 4 3.6 6 %、14 .6 7% ,两组比较差异有显著性 (P <0 .0 5 )。结论 精神分裂症患者家属的情感表达对患者的病情发展有重要影响 ,有必要对家属进行心理干预 ,降低复发率。

Objective To explore the influence of the expressed emotion(EE)way of schizophrenic relatives on recurrence.Methods The Chinese version of Camberwell family interview(CFI-CV)was used to measure the 146 relatives of first-episode schizophrenic patients who had been recovered.According to CHI-CV,the subjects were divided into the high-EE and the low-EE for two-year follow-up.Results There had 50.17% High-EE relatives and 48.83% low-EE relatives,seventy-one high-EE families(48.63%) and seventy-five low-EE families (51.37%).The yearly recurrence rates of high-EE and low-EE were 43.66% and 14.67%.There was significant difference between the two groups(P<0.05).Conclusion The expressed emotion among relatives of schizophrenia can influence the progression of schizophrenia.It is necessary to take psychologic intervention to decrease the recurrent rate.