首发精神分裂症患者康复期存在的心理问题

Psycho-problems existing at convalescence stage of first-episode schizophrenics

目的探讨首发精神分裂症患者康复期存在的心理问题。方法采用焦虑自评量表和抑郁自评量表对112例住院的首发精神分裂症患者进行测评，并与国内常模进行比较。结果患者焦虑自评量表和抑郁自评量表评分显著高于国内常模（P〈0.01），康复期的心理状况为多有自卑感、内疚、挫折感、担心身体发胖影响外观和情绪不稳定及心烦等；焦虑及抑郁发生率分别为51．79％和67．86％；患者主要症状为抑郁心境、焦虑、自我贬值、空虚感、思维混乱、易激惹。结论首发精神分裂症患者在康复期仍存在较明显的心理问题，临床仍需进一步康复治疗。

Objective To explore the psycho-problems existing at convalescence stage of first-episode schizophrenics. Methods Evaluations were conducted with the Self-rating Anxiety Sacle（SAS） and Self-rating Depression Scale（SDS） in 112 hospitalized first-episode schizophrenics and compared with national norm. Results Patinets＇ scores of the SAS and SDS were significantly higher compared with national norm（P〈0.01） ,psychologic status at convalescence stage were mainly sense of inferiority, remorse, frustrate feeling,worrying about obesity influencing appearance,emotional lability,upset and so on;incidence rates of anxiety and depression were respectively 51.79% and 67.86%0 ;patients＇ main symptoms were depressive mood, anxiety, self, devaluate, vacuity, illogical thought, irritability. Conclusion First episode schizophrenics have more manifest psycho problems at convalescence stage yet and need further rehabilitative treatment.