首发与复发精神分裂症患者父父、母母心理健康、应对方式对照研究

Comparative Study on the Mental Health and Coping Style Between Father and Father,Mather and Mather in First-episode Schizophrenia and Recurrence Schizophrenia

目的:探讨首发与复发精神分裂症患者父父、母母及首发患者父母心理健康、应对方式。方法:将精神分裂症患者父母186例,按患者首发与复发分为父父、母母和首发父母3组,分别测验症状自评量表(SCL-90)及简易应对方式问卷(SCSQ)并进行对比分析。结果:首发父亲组SCL-90除抑郁、敌对、偏执及其他与复发父亲组无差异外(P>0.05),其余各因子及总分均高于复发组(t=1.884~5.613,P<0.05或0.01),消极应对高于复发组(t=4.154,P<0.01);首发母亲组SCL-90除敌对、恐怖与复发母亲组无差异外(P>0.05),其余各因子及总分均高于复发组(t=2.011~5.942,P<0.05或0.01),积极无差异(P>0.05),消极应对高于复发组(t=4.672,P<0.01);首发父、母组间SCL-90除恐怖、其他无差异外(P>0.05),其余各因子及总分父亲低于母亲(t=-1.774^-5.120,P<0.05或0.01),积极应对无差异(P>0.05),消极应对父亲低于母亲(t=-1.783,P<0.05)。结论:首发精神分裂症患者父母心理健康水平低,应对方式简单消极,母亲的心理健康更需关注。

Objective：To discuss the mental health and coping style between father and father,mather and mather in first-episode schizophrenia and recurrence schizophrenia.Methods：According to the first-episode and recurrence schizophrenia of patients,A total of 186 schizophrenia＆#39;s parents were divided into three groups of father and father, mather and mather and parents,which all tested respectively self- assessment scale（SCL- 90）and simple coping style questionnaire,SCSQ）and then contrasted and analyzed each other.Results：The scores of SCL-90 of father and father group with first-episode schizophrenia had no differences in depression,hostility and paranoid,the rest of the factor and total score were higher than in recurrent group（t =1.884~5.613,P 〈0.05 or P 〈0.05）,negative coping style score were higher than in recurrent group（t =4.154,P 〈0.01）;the scores of SCL-90 of mather and mather group with first-episode schizophrenia had no differences in hostile,terrorist,the rest of the factor and total score were higher than in recurrent group（t = 2.011 ~ 5.942,P 〈0.05 ）,positive had no differences（P 〉0.05 ）,negative coping style score were higher than in recurrent group;the scores of SCL-90 of father and mother group with first-episode schizophrenia had no differences in terrorist and other（t =-0.847^-1.519,P 〉0.05）,the rest of the factor and total score of father were lower than mather＆#39;s score（t = 1.774 ~5.120,P 〈0.05 or P 〈0.05 ）,positive coping style score had no differences（t =0.807,P 〉0.05 ）,negative coping style score of father were lower than mather＆#39;s score（t =1.783,P 〈1.783）.Conclusion：The level of mental health of patients with first-episode schizophrenia was low,coping style was simple and negative,the mother＆#39;s mental health needed more attention.