流浪的重型精神病患者社会心理因素的多因素分析

Role of Psychosocial Factors in the Onset of Severe Mental Disorders among Vagrants and its Multifactor Analysis

目的探讨精神病流浪患者的社会心理因素。方法对1502例住院精神病患者按照入院前是否有流浪的经历分组进行了生活事件、社会支持和应对方式等进行测评,并对可能导致精神病患者外出流浪的其他因素进行了多因素非条件Logistic回归分析。结果独居、文化程度低、城市外来务工人员、病后未得到治疗、生活事件强度和消极应对方式与精神病患者流浪正相关(OR值分别为78.86,27.08,90.85,5.88和28.86);社会支持度和社会支持利用度与精神病患者流浪负相关(OR值分别为5.06和5.14),差别有统计学意义(P<0.05)。结论社会心理因素在精神病患者流浪中具有重要作用,提示社会心理干预具有重要意义。

Objective To explore effects of psychosocial factors on the onset of sever mental disorders admitted to inpatient care among vagrants. Methods A total of 1 502 severe psychiatric inpatients admitted consecutively to psychiatric hospital were divided into two groups （vagrant vs. non-vagrant） according to the living situation before admission; Evaluation of their psychosocial factors including life events, social supports and coping style, etc. were examined, and the data were analyzed with Logistic regression analysis. Results living alone, low education level, migrant peasant workers, without treatment, stressful fife events （SLE） intensity and inactive coping styles were positive correlated with their homeless（OR：78.86, 2%08, 90.85, 5.88 and 28.86）; Social support and its availability were negatively correlated with it （OR：5.06 and 5.14）. Conclusion Psychosocial factors play significant roles in the onset of severe mental disorders among vagrants. Social support and psychosocial intervention may be very important for these people.