缓解期精神分裂症患者自我接纳,应对方式与焦虑抑郁关系研究

Study on the Relationship between Self-acceptance,Coping Style,Anxiety and Depression in Patients with Schizophrenia in Remission

目的探讨缓解期精神分裂症患者焦虑抑郁与自我接纳,应对方式之间的关系,为临床心理干预的开展提供依据。方法采用ICD-10诊断标准,收集缓解期精神分裂症患者211例,采用焦虑抑郁量表(HADS),自我接纳问卷(SAQ),简易应对方式问卷(SCSQ)对患者进行调查。结果211例缓解期精神分裂症患者中,焦虑检出率为27.01%(11.25±2.509),抑郁检出率为44.55%(11.47±2.487)。男性组的自我评价,积极应对因子分显著低于女性组(P<0.05)。患者的焦虑与自我接纳,自我评价,积极应对呈显著负相关(r=-0.509~-0.230,P<0.001),与消极应对显著正相关(r=0.155,P<0.05);抑郁与自我接纳,自我评价,积极应对显著负相关(r=-0.503~-0.407,P<0.001)。积极应对方式在自我接纳与焦虑,抑郁之间起部分中介作用。结论缓解期精神分裂症患者抑郁焦虑发生率较高,应对方式在患者自我接纳与焦虑抑郁间可能起部分中介作用。

Objective To explore the relationship between anxiety and depression,self-acceptance,and coping styles in patients with schizophrenia in remission,so as to provide a basis for clinical psychological intervention.Methods Using ICD-10 diagnostic criteria,211 patients with schizophrenia in remission were collected,and the Hospital used Anxiety and Depression Scale(HADS),Self-acceptance Questionnaire(SAQ),and Simple Coping Style Questionnaire(SCSQ)were used for investigation.Results Among 211 patients with schizophrenia in remission,the detection rate of anxiety was 27.01%(11.25±2.509),and the detection rate of depression was 44.55%(11.47±2.487).The scores of self-evaluation and positive coping factors of the male group were significantly lower than those of the female group(P<0.05).Patients’anxiety was significantly negatively correlated with self-acceptance,selfevaluation,and active coping(r=-0.509~-0.230,P<0.001),and was significantly positively correlated with negative coping(r=0.155,P<0.05).Depression and self-acceptance,self-evaluation and active coping were significantly negatively correlated(r=-0.503~-0.407,P<0.001).Active coping style plays a part of mediating role between selfacceptance and anxiety and depression.Conclusion Patients with schizophrenia in remission have a higher incidence of depression and anxiety,and coping styles may play a partially mediating role between self-acceptance and anxiety and depression.