精神分裂症抑郁症状影响因素及与病耻感关系

Influencing Factors of Depressive Symptoms of Schizophrenia and Its Relationship with Stigma

目的探讨精神分裂症患者抑郁症状的影响因素及与病耻感的关系。方法采用精神病患者病耻感评估量表、卡尔加里精神分裂症抑郁量表对148例精神分裂症患者进行问卷调查。结果精神分裂症患者的抑郁发生率为31.08%;不同年龄患者抑郁体验因子得分差异有统计学意义(P<0.05);不同职业的患者抑郁体验因子得分差异有统计学意义(P<0.05);不同病程自我评价因子得分差异有统计学意义(P<0.05)。与抑郁总分相关性具有统计学意义的变量包括:病耻感总分(r=0.495,P<0.01)、社交因子(r=0.409,P<0.01)、能力因子(r=0.496,P<0.01)。与抑郁体验因子相关性具有统计学意义的变量包括:病耻感总分(r=0.474,P<0.01)、社交因子(r=0.349,P<0.01)、能力因子(r=0.491,P<0.01)、治疗因子(r=0.194,P<0.05);与自我评价因子相关性具有统计学意义的变量包括:病耻感总分(r=0.419,P<0.01)、社交因子(r=0.407,P<0.01)、能力因子(r=0.399,P<0.01)。结论精神分裂症患者抑郁症状较常见。病耻感越强,精神分裂症患者抑郁症状越严重。

Objective To explore the influencing factors of depressive symptoms in patients with schizophrenia and its relationship with stigma. Methods One hundred and forty eight patients with schizophrenia were investigated, the investigation was carried out with the scale of Stigma in people with mental illness and Calgary Depression Scale for Schizophrenia. Results The incidence of depressive symptoms of schizophrenia patients was 31.08%; the depressive experience factor scores of different age patients were significantly different （P〈0.05）; different occupation of patients with depressive experience factor scores were significantly different （P〈 0. 05）; different course of self-evaluation factor scores were significantly different （P〈0.05）. The variables had significant correlation with depression total score including stigma total scores （r= 0. 495, P〈0.01）, social factors （r〈 0. 409, P〈 0. 01）, ability factor （r = 0. 496, P 〈 0.01）. The variables had significant correlation with the experience of depression factor including stigma total scores （r= 0. 474, P〈0.01）, social factor （r= 0. 349, P〈0.01）, ability factor （r=0. 491 ,P〈0. 01） ,therapeutic factor （r=0. 194,P〈0.05）. The variables had significant correlation with the self appraisal factor including stigma total scores （r = 0. 419, P 〈 0.01 ）, social factor （r = 0. 407, P〈 0.01 ）, ability factor （r = 0. 399, P 〈 0. 01）. Conclusion Patients with depressive symptoms of schizophrenia are more common. Stigma is stronger; the depressive symptoms of schizophrenia patients are more serious.