青春期不同性别精神分裂症患者应对方式与应激源及阳性症状关系的研究

Study of relationships among coping style,stressor and positive symptom in schizophrenics of different gender

目的:探讨不同性别精神分裂症患者应对方式与应激源及阳性症状是否存在关系。方法:采用自编的一般情况问卷、特质应对方式问卷、中学生应激源量表和阳性症状评定量表,对202例青春期首发的精神分裂症患者进行评定。结果:相关分析发现,男性在教师压力与消极应对呈显著负相关,P<0.05,而女性无相关性。女性在家庭压力与消极应对呈显著正相关、在同学朋友压力与积极应对呈显著负相关,P<0.05,而男性无相关性。在怪异行为总评分与消极应对之间,女性呈正相关,而男性则无相关性。男性在阳性思维形式总评分、分量表综合评价总分、阳性症状量表总分与积极应对方式之间呈显著负相关,而女性则无相关性。多因素分析发现性别因素与阳性症状存在明显的关联。结论:不同性别分裂症患者,面对应激的应对方式存在差异;应对方式不同,会影响其症状的表现;性别与阳性症状存在明显的关联。

Objective：To explore relationships among coping style and stressor, positive symptom in schizophrenics with differ- ent gender. Methods：202 adolescent patients with first-episode schizophrenia were assessed by self-made general situation question- naire, trait coping style questionnaire （TCSQ）, stressor scale for middle school students, and scale for assessment of the positive symptoms （SAPS）. Results： There was a negative corre].ation between the pressure and the negative coping in male teachers （P〈0. 05）, while no correlation was found in female teachers. There was a positive correlation between the the family stress and the negative coping, but there was a negative correlation between the schoolmate and friend stress and the positive coping in females （P〈0.05）, while no correlation was found in males. There was a positive correlation between the total scores of bizarre behaviors and the negative coping in females, while no correlation was found in males. There were negative correlations among the total scores of positive thinking form, scores of comprehensive evaluation for subscales, scores of positive syndrome scale and positive coping, while no correlation was found in females. Data from multivariate analysis showed that the gender was significantly associated with the positive symptoms. Con- clusions： There are differences in the coping styles among schizophrenics with different gender. If the coping styles are different, the symptom expressions are also different. There is a close correlation between the gender and the positive symptoms.