精神分裂症患者自评与他评症状量表差异的相关因素分析

Difference and related factors of self and observer rating scales for schizophrenic patients

目的:探讨精神分裂症患者自评与他评量表差异及与人口学资料、自知力、临床症状的相关因素分析。方法:对236例精神分裂症患者进行症状自评量表(SCL-90)精神病性症状分量表自评及阳性和阴性症状量表(PANSS)量表他评。比较自评与他评量表高差异与低差异两组间人口学资料、自知力、临床症状,并进行回归分析。结果:SCL-90精神病性症状分量表与PANSS总分有相关性(r=0.343,P<0.05);受教育年限、阳性症状分和疾病认识分的差异进入Logistic回归模型。结论:阳性症状、疾病认识、受教育年限是患者自评与他评症状差异的相关因素。自评量表可以多角度地评估精神分裂症患者的症状。

Objective： To explore the difference of self and observer rating scales for schizophrenic patients and their relationship with socio-demographic data,insights and clinical symptoms. Method： Two hundren and thirty- six hospitalized schizophrenic patients were assessed using positive and negative syndrome scale（ PANSS） and completed the symptom check list-90（ SCL-90）. The difference between PANSS and SCL-90 was calculated and composed high and low difference group. Socio-demographic data,insights and clinical symptoms were compared between the two groups. The infuencing factors were analyzed using Logistic regression analysis. Results： The psychosis subscale of SCL-90 was correlated with PANSS（ r = 0. 343）. Education,awareness of illness and posive symptom scores of PANSS entered the Logistic regression equation.Conclusion： Education,awareness of illness and positive symptoms are associated with discrepancies between self and observer rating scales for schizophrenic patients.