强制治疗精神病人家属感知病耻感的调查分析

Investigation on perceived stigma in families of mental patients under compulsory treatment

目的:探讨强制精神病病人的家属病耻感及有关因素。方法:调查127例住院3-30年的强制精神病病人及其家庭监护人,其中精神分裂症69例,癫痫性精神障碍35例,情感性精神障碍11例,精神发育滞迟12例。采用Link的贬低-歧视感知量,对其家属作病耻感问卷(FSI)调查。结果:按住院时段总体家属病耻感评分,均分为2.53士0.26分,评分低于北京市某精神病医院精神分裂症患者家属的调查(2.60士0.40)分,与量表中点2.50比较,差异仍有统计学意义(t=2.52,p<0.05)。多元分析显示,患者住院时间较长,家属的低学历以及家庭的低收入是感知病耻感的影响因素。结论:病耻感依然普遍存在于监管精神障碍患者的家庭,社会地位较高者尤为显著。

Objective：To investigate the families of compulsory psychiatric patients stigma and related factors. Methods： To investigate 127 cases of hospitalized 3-30 years of compulsory psychiatric patients and their families guardian, in which 69 cases of schizophrenia, 35 cases epileptic mental disorders ,11 cases of affective disorders, 12 cases of mental retardationg. The derogatory use of Link - the amount of perceived discrimination, stigma on their families for a questionnaire （FSI） survey. Results： Hospitalization period by the overall family stigma score, are divided into 2.53 ± 0.26 points, score lower than Beijing schizophrenic patients in a psychiatric hospital survey （2.60 ± 0.40） points, and the scale midpoint of 2.50, the difference is still statistically significant （t=2.52, p 〈0.05）. Multivariate analysis showed that patients with a longer hospital stay, families with low education and low-income families are perceived stigma factor. Conclusion：Stigma is still prevalent mental disorders in the supervision of the family, social status, the higher are most pronounced.