SP患者康复期认知功能与心理痛苦的关系

Relationship between cognitive function and psychological pain in SP patients during convalescence

目的探讨慢性精神分裂症(SP)患者康复期认知功能与心理卫生的关系。方法选择新疆石河子绿洲医院2015年5月-2017年4月收治的89例慢性SP患者为观察组,同期入院体检的89例健康者为对照组,采用功能失调性状况评定量表(DAS)、心理痛苦温度计(DT)和心理痛苦问题量表(PL)进行调查,比较两组患者DAS评分、DT评分、PL评分及各维度评分,并采用Pearson相关分析,分析认知功能障碍与心理痛苦之间的关系。结果观察组的脆弱性、吸引和排斥、完美化、强制性、寻求赞许、依赖性、自主性态度、认知哲学和DAS总分均高于对照组;观察组的社会实际问题、家庭问题、情感问题、躯体问题、PL总分和DT总分高于对照组,差异均有统计学意义(P<0.05);经Pearson相关分析显示,DAS评分与DT评分及PL评分呈明显正相关(P<0.01)。结论康复期慢性SP患者认知功能障碍与心理痛苦呈正相关,患者认知障碍越严重,患者心理痛苦程度越高。

Objective To explore the relationship between cognitive function and mental health in patients with chronic schizophrenia（SP）. Methods 89 patients with chronic SP in Shihezi Oasis Hospital from May2015 to April 2017 were selected as observation group and 89 healthy subjects were selected as control group. The functional disability status rating scale（DAS）,psychological pain thermometer（DT） and psychological distress question scale（PL） were used to investigate. The DAS scores,DT scores,PL scores and all dimensions of the two groups were compared. Pearson correlation analysis was used to analyze the relationship between cognitive dysfunction and psychological distress. Results The vulnerability,attraction and rejection,perfection,compulsion,seeking approval,dependence,autonomy attitude,cognitive philosophy and DAS scores of observation group were significantly higher than those of control group; The social problems,family problems,emotional problems,somatic problems,PL scores and DT scores in observationgroupwerehigherthanthoseincontrolgroup.Thedifferenceswerestatistically significant（P0.05）.Pearson correlation analysis showed that there was a significant positive correlation between DAS score and DT score and PL score（P〈0.05）. Conclusion There is a significant positive correlation between cognitive dysfunction and psychological pain in patients with chronic SP in rehabilitation period. The more severe the cognitive impairment is,the higher the degree of psychological pain is.