摘要
目的 :探讨情感性精神障碍的自知力特点及其影响因素。方法 :以自编自知力问卷对 81例抑郁症患者和 64例躁狂症患者的自知力及其影响因素进行评估 ,并作多元逐步回归分析。结果 :抑郁症病人自知力问卷的评分为 8 0 7± 1 96,躁狂症病人自知力问卷的评分为 2 62± 3 43。多元逐步回归分析显示 ,抑郁症患者的治疗时间、HAMD总分、入院态度进入了回归方程 ,标准回归系数分别为 0 2 80 3、 0 2 13 7、 -0 2 10 2 ;躁狂症患者的入院态度、BRMS量表中妄想项目、BRMS总分及自我评价项目进入了回归方程 ,标准回归系数分别为 -0 8419、 0 5 5 3 7、 0 2 0 0 4、 0 1799。结论 :抑郁症患者自知力较好 ,躁狂症患者自知力较差。
Objective:To study the insight of patients with affective disorders and related factors Methods:81 patients with the diagnosis of depression and 64 patients with the diagnosis of mania were assessed for insight and associated factors, the data were analyzed with multiple stepwise regression Results:The score of insight of depressive patients was 8 07±1 96,and that of mania was 2 62±3 43 Analysis of multiple stepwise regression showed that, the factors of depressive patients which entered the regressive equation were treatment duration, total scores of HAMD and admission attitude, and the standardized regressive coefficient were 0 2803, 0 2137, -0 2102 , respectively The factors of manic patients which entered the regressive equation were admission attitude, delusion item of BRMS, the total scores of BRMS and the self-assessment item, and the standardized regressive coefficient were -0 8419、0 5537、0 2004、0 1799, respectively Conclusion:The depressive patients have better insight, the manic patients' insight was poor, the insight of affective disorders was affected by multiple factors
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2004年第8期576-579,共4页
Chinese Mental Health Journal
基金
山东省卫生厅计划项目 (2 0 0 1CA1CEA3)
