慢性精神分裂症患者自知力的临床研究

Clinical Study on Insight in Chronic Schizophrenia Patients

目的:通过调查问卷探讨慢性精神分裂症患者自知力的水平及其影响因素。方法:采用“自编精神病患者一般情况调查表”、“简明精神病评定量表”、“住院精神病人康复疗效评定量表”及“自知力与治疗态度问卷”对120例慢性精神分裂症患者的自知力及其影响因素进行评估。结果:慢性精神分裂症患者的自知力完整的仅占12.5%;不同程度自知力组间的文化程度I、PROS总分、BPRS总分及因子分差异有显著性意义;自知力与文化程度I、PROS总分、BPRS总分及因子分显著相关,而与性别、年龄、婚姻、住院时间、病程无显著相关性。结论:慢性精神分裂症患者的自知力水平较低,自知力水平与文化程度、精神症状和康复疗效均有密切的关系。

Objective： To find out the level of insight and its influencing factors in chronic schizophrenia patients. Methods： The insight and its related factors were assessed in 120 cases of chronic schizophrenia, and analyzed with oneway anova. Results.. The score of insight was 13.90±6.45, and 12.5% of the chronic schizophrenia patients were found to exhibit ＂complete＂ insight. The different degrees of the insight groups had the definite difference in educational level, the total scores of IPROS, the total scores of BPRS and its scores of psychiatrical symptoms. There was a definite relationship between the insight and the culture level, the total scores of IPROS, the total scores of BPRS and its scores of psychiatrical symptoms. But the insight did not show definite relations to the gender, the age of the patients, the married state, the courses of the disease and the durations of the hospitalizations. Conclusion： The insight of clinical schizophrenia patients was worse. The degrees of the insight were closely related to the educational level, the psychiatrieal symptoms and the therapeutic effectiveness.