心理干预对重性精神病患者一级亲属心理健康状况的影响

Influences of mental intervention on mental health condition of first-degree relatives of severe mental illness patients

目的：了解心理干预对重性精神病患者一级亲属心理健康状况的影响。方法对87例重性精神病患者的一级亲属采用症状自评量表评定心理健康状况，并根据测评结果予以有针对性的心理干预，心理干预2个月后再次测评，比较2次的测评结果。结果心理干预后亲属的症状自评量表阳性项目数、阳性症状均分及躯体化、强迫、人际关系、焦虑、抑郁、敌对、恐怖、偏执8个因子分均较心理干预前显著降低（ P＜0．05或0．01）。结论心理干预能显著缓解重性精神病患者一级亲属的焦虑抑郁情绪，改善躯体症状及人际关系，有利于提高其心理健康水平。

Objective To survey the influences of mental intervention on mental health condition of first‐degree relatives of severe mental illness patients .Methods Mental health conditions were assessed with the Symptom Checklist‐90 （SCL‐90） in first‐degree relatives of 87 severe mental illness patients ,purposeful mental interventions given to them according to assessment results ,assessments again conducted after 2 month intervention ,and 2 assessment results compared .Re‐sults After psychological intervention the number of positive items and average score of positive symp‐toms as well as such 8 factor scores of the SCL‐90 lowered more significantly compared with preinterven‐tion as somatization ,obsession ,interpersonal relation ,anxiety ,depression ,hostility ,phobia and paranoia （P〈0 .05 or 0 .01） .Conclusion Mental interventions could notably relieved anxiety‐depression emotion of first‐degree relatives of severe mental illness patients ,improve somatic symptoms and interpersonal rela‐tion ,and are beneficial to improve their mental health level .