自知力评估量表(SAUMD)在情感性精神障碍中的应用

The use of the Scale to Assess Unawareness of Mental Disorders (SAUMD)in affective disorders

将自知力评估量表（ＳＡＵＭＤ）应用于情感性精神障碍病人中。对４７例住院的情感性精神障碍病人进行治疗前后自知力评估，且与１１１例精神分裂症病人进行对照研究。结果发现，情感性精神障碍病人治疗前后ＳＡＵＭＤ评分有显著差异，躁狂发作的病人治疗前后ＳＡＵＭＤ评分差异体现在四个因子分同时改变；而抑郁发作的病人治疗前后ＳＡＵＭＤ评分差异表现在归因分的变化，症状分治疗前后无差异。归因可能涉及到预后，并有助于精神疾病的鉴别诊断。

Objective:To study the insight of patients with affective disorders with SAUMD.Method:Using the SAUMD,the insight of 47 patients with affective disorders was assessed before and after treatment.111 schizophrenic patients served as a control group.Results:All of the 4 subscores of SAUMD improved after treatment in manic patients but only the attribution subscore improved in depressive patients .Schizophrenic patients exhibited more improvement in symptom awareness score ,while patients with affective disorders improved more in symptom attribution subscore.Discussion:SAUMD is convenient and reliable for assessing the insight of patients with affective disorders.Its symptom attribution is useful for differential diagnosis and may predict the prognosis of illness.Further studies are needed to assess the usefulness of the SAUMD in schizophrenic patients.