影响恶劣心境患者社会功能障碍的相关因素分析

Risk Factors of Impaired Social Function in Dysthymia

目的:探讨影响恶劣心境患者社会功能障碍的相关因素。方法:采用精神症状自评量表(SCL 90),社会功能 缺陷筛选量表(SDSS)及社会支持量表(SSRS)对30例恶劣心境患者逐一测评。结果:躯体化、强迫、人际关系敏 感、抑郁、焦虑、恐怖性焦虑、精神病性、敌对与社会功能障碍均呈正相关;焦虑、客观支持与社会功能障碍呈正相 关,主观支持与社会功能障碍呈负相关。结论:影响恶劣心境患者社会功能障碍的主要因素为焦虑、客观支持及主 观支持。

Objective:To explore the risk factors of impaired social function in Dysthmia. Methods: Thirty outpatients with Dysthymia were assessed with the Symptom Checklist 90(SCL-90),Social Disability Screening Schedule(SDSS),Social Support Rating Scale(SSRS).Results:There were 3.33% of patients in good ,53.3% fair and 43.3% poor condition. With multiple regression analysis,the main associated factors were anxiety, objective support and subjective support.Those with high scores of objective support but low scores of subjective support performed especially poorly. Conclusion: Anxiety and social support were associated with social function in Dysthymia . Patients should be trained to seek help actively rather than receive help passively.