精神分裂症患者自尊、应对方式、总体幸福感的相关性

The Relationship between Self-esteem,Coping Style and General Well-being of Patients with Schizophrenia

目的探讨精神分裂症患者自尊、应对方式及总体幸福感的相关性。方法调查上海市某区社区精神分裂症患者340例,用自尊量表(SES)评定自尊,简易应对方式问卷(SCSQ)评定患者的应对方式,总体幸福感量表(GWBS)评定总体幸福感。结果不同性别精神分裂症患者自尊、应对倾向、总体幸福感得分有显著性差异(F=22.82,13.01,59.00,P <0.001);不同年龄精神分裂症患者自尊、应对倾向、总体幸福感得分有显著性差异(F=126.49,24.25,118.71,P <0.001);不同病程精神分裂症患者自尊、应对倾向、总体幸福感得分有显著性差异(F=63.11,15.07,73.98,P <0.001);自尊与应对倾向、总体幸福感呈显著正相关(r=0.39,0.54,P <0.01),总体幸福感与应对倾向呈显著正相关(r=0.28, P <0.01)。结论女性精神分裂症患者较男性有更强的自尊和总体幸福感,应对方式也更为积极;精神分裂症患者随着年龄及病程的增加,其自尊、总体幸福感有下降的趋势,应对方式也更加消极,应该在早期进行干预。

Objective To explore the correlation between self-esteem,coping style and general well-being in schizophrenia patients.Methods A total of 340 schizophrenic patients were surveyed in a community in Shanghai.The self-esteem scale(SES)was assessed by self-esteem,and the coping style was assessed by the Simple Coping Style Questionnaire(SCSQ).The general well-being schedule(GWBS)assessed the overall well-being.Results Patients with different gender self-esteem,coping with tendencies,overall happiness scores were significantly different(F=22.82,13.01,59.00,P<0.001);Patients of different ages the coping tendency,the self-esteem and the overall happiness scores were significantly different(F=126.49,24.25,118.71,P<0.001);There were significant differences in self-esteem,coping tendency,and overall well-being in patients with different schizophrenia(F=63.11,15.07,73.98,P<0.001);Self-esteem,Coping tendencies,Overall well-being was positively correlated(r=0.39,0.54,P<0.01).There was a significant positive correlation between Overall well-being and coping tendency(r=0.28,P<0.01).Conclusions Women with schizophrenia have stronger self-esteem and overall wellbeing than men and coping styles are more positive.With the increase of age and duration of schizophrenia,their self-esteem and general well-being tended to decline,and their coping styles were also more negative.They should intervene in the early stage.