精神分裂症症状归因特点及其影响因素

A study on schizophrenia symptom attribution and related factors

目的探讨精神分裂症患者的症状归因特点及其影响因素。方法采用精神分裂症症状归因方式问卷（SAQs）对90例精神分裂症患者和50例正常人进行症状归因调查，同时采用简明精神病评定量表（BPRS）评定精神分裂症患者的临床症状。结果（1）研究组与对照组在局部一整体、可控一不可控2个维度上的得分有显著统计学差异（P〈0．05）；（2）妄想型与非妄想型在内在一外在、暂时一永久、可控一不可控3个维度上的得分有显著的统计学差异（P〈0．05）；（3）除内在一外在维度外SAQS其余3个维度与BPRS总分、缺乏活力、思维障碍和敌对猜疑因子均呈显著正相关（P〈0．05）。结论精神分裂症患者倾向于整体的、不可控的归因，并且妄想和精神症状是影响精神分裂症患者对症状归因的重要因素。

Objective To explore symptom attribution and related factors in schizophrenia patients. Methods Symptom attribution was assessed by the Symptom Attribution Questionnaire for Schizophrenia （SAQS） in 90 cases schizophrenia patients and 50 normal controls. Clinical symptoms was assessed by Brief Psychiatric Rating Scale （BPRS） in 90 cases schizophrenia patients. Results （1）There is a significant difference in the whole and part, controllable and uncontrollable scores on two dimensions between schizophrenia patients and normal controls （P 〈0.05） ; （2）There is a significant difference in scores on three dimensions of internal -- external, temporary -- permanent and controllable -- uncontrollable between delusiom and non--delusiom types （P ~ 0.05） ; lln addition to the internal -- external dimension, the rest three dimensions of the SAQS are positively correlated with the whole and parts of BPRS, the lack of vitality, thinking genes of suspicion and hostility factor （P〈 0.05）. Conclusions Schizophrenia patients may be characterized with uncontroled symptom attribution, and delusiom and psychotic symptoms are important factors that affect the symptoms attribution.