摘要
目的:探讨主动性社区治疗对精神分裂症患者自杀风险的影响及其机制。方法:随机抽取的社区精神分裂症患者114例分为主动性社区治疗组(n=43)和对照组(n=71),对主动性社区治疗组进行6个月的主动性社区治疗,入组前及治疗6个月后比较两组患者社会支持、临床症状和自杀风险,分析影响患者自杀风险的因素。结果:主动性社区治疗组6个月后客观支持得分、支持利用度得分高于对照组,阳性因子、兴奋敌对因子、焦虑抑郁因子和自杀风险得分均低于对照组。干预后患者的支持利用度和焦虑抑郁症状与其自杀风险相关。患者是否参与主动性社区干预以及首次测量的主观支持、焦虑抑郁症状、自杀风险与患者6个月后自杀风险相关。结论:主动性社区治疗可以提高患者社会支持、减轻临床症状和自杀风险,干预后患者的支持利用度和焦虑抑郁症状与其自杀风险相关。主动性社区治疗、干预前的主观支持、焦虑抑郁因子和自杀风险可预测患者6个月后的自杀风险。
Objective: To explore the mechanism of the Assertive Community Treatment effects on the suicidality in schizophrenia patients. Methods: 114 community schizophrenia patients were chosen randomly and divided into Assertive Community Treatment group(n=43) and Control group(n=71), Assertive Community Treatment group had an assertive community treatment for 6 months. We compared the social supports, clinical symptoms and suicidality between before and after treatment. Results: The score of Objective support scale, Utilization of support scale in Assertive Community Treatment group were higher than control group(P〈0.05) while the score of positive factor, Excitement- hostile factor, Anxiety-Depression factor and suicidality were lower than control group(P〈0.05), the score of Utilization of support scale, Anxiety-Depression factor were related to the suicidality in patients. Assertive community treatment, the score of subjective support scale, Anxiety-Depression factor, suicidality prior to intervention were related to the suicidality in 6 months. Conclusion: Assertive community treatment improved social support of and reduced clinic symptoms and suicidality in schizophrenia patients, The Utilization of support and anxiety/depression are related with suicide risk in patients after intervention. Assertive community treatment, subjective support, anxiety/depression, suicidality prior to intervention are important factors predicting suicidality after intervention in 6 months.
作者
赵巍峰
彭敏
赵艳军
谢博
骆成俊
ZHAO Wei-feng;PENG Min;ZHAO Yan-jun;XIE Bo;LUO Cheng-jun(Shenzhen Nanshan Hospital, Shenzhen 518052, China;Shenzhen Nanshan Center For Chronic Disease Control, Shenzhen 518054, China)
出处
《中国临床心理学杂志》
CSSCI
CSCD
北大核心
2018年第3期620-623,共4页
Chinese Journal of Clinical Psychology
基金
深圳市科创委(JCYJ20140415090253911)