伴危险行为精神疾病患者亲属的心理卫生状况

Investigation of the psychological situation of the relatives of mental illness patients with dangerous behavior

目的：调查伴危险行为精神疾病患者亲属心理卫生状况。方法：：随机选取已建档立卡的60名在我院治疗的怀远县农村有危险行为的重性精神疾病患者亲属作为研究对象,采用SCL-90量表,对他们心理状况进行调查。结果：伴危险行为重性精神疾病患者的亲属SCL-90阳性项目数明显高于国内常模,各项因子分除了其他因子外均显著高于全国常模,差异有统计学意义（P〈0.001~P〈0.05）。女性亲属的抑郁因子分显著高于男性亲属（P〈0.05）。结论：伴有危险行为的农村重性精神病患者亲属存在普遍的心理问题,女性亲属更为显著;为了改善农村伴危险行为重性精神疾病患者的预后,应把心理干预扩展到患者亲属,特别是女性亲属。

Objective：To investigate the psychological situation of the relatives of mental illness patients with dangerous behavior.Methods：Sixty relatives of mental illness patients in the rural areas of Huaiyuan county treated in our hospital were randomly selected,and their psychological situation was surveyed by SCL-90.Results：The positive score of SCL-90 in the relative of patients with serious mental illness was obviously higher than that of normal subjects,and all the factorial scores were significantly higher than those of normal subjects.The difference was statistically significant（P0.001~P0.05）.The depression factors in female relatives were significantly higher than those of male relatives（P0.05）.Conclusions：There are serious psychological problems in the relatives of patients with serious mental illness in rural areas,which is significantly higher in female relatives than in the male members.In order to improve the prognosis of patients with dangerous behavior in rural areas,mental intervention should be extended to the relatives of mental illness patients,particularly the female relatives.