基于述情障碍量表评估的适应性情绪调节策略对精神分裂症康复期患者病耻感及心理状态的影响

Influence of Adaptive Emotion Regulation Strategy Based on Alexithymia Scale Assessment on Stigma and Psychological Status in Patients with Schizophrenia Convalescence

目的:探究基于述情障碍量表评估的适应性情绪调节策略对精神分裂症康复期患者病耻感及心理状态的影响。方法:选取吉安市第三人民医院2021年1月—2023年3月收治的80例精神分裂症康复期患者作为研究对象,将80例患者按随机数字表法分为观察组(n=40)和对照组(n=40),对照组采用常规适应性情绪调节策略,观察组采用基于述情障碍量表评估的适应性情绪调节策略。比较两组患者述情障碍、病耻感、心理状态、精神状态、社会功能。结果:(1)相较于干预前,干预后两组患者述情障碍得分均有下降(P<0.05),且观察组相较于对照组均更低(P<0.05);(2)相较于干预前,干预后两组患者病耻感得分均有下降(P<0.05),且观察组相较于对照组均更低(P<0.05);(3)相较于干预前,干预后两组患者心理状态得分均有下降(P<0.05),且观察组相较于对照组更低(P<0.05);(4)相较于干预前,干预后两组患者精神状态得分均有下降(P<0.05),且观察组相较于对照组更低(P<0.05);(5)相较于干预前,干预后两组患者社会功能得分均有下降(P<0.05),且观察组相较于对照组均更低(P<0.05)。结论:相较于采用常规适应性情绪调节策略,采用基于述情障碍量表评估的适应性情绪调节策略对于精神分裂症康复期患者而言,更能改善述情障碍、心理状态及精神状态,更能减轻病耻感和提升社会功能。

Objective:To explore the influence of adaptive emotion regulation strategy based on alexithymia scale assessment on stigma and psychological status in patients with schizophrenia convalescence.Method:A total of 80 patients with schizophrenia convalescence admitted to Ji’an Third People's Hospital from January 2021 to March 2023 were selected as the study subjects,and they were randomly divided into observation group(n=40)and control group(n=40)according to the random number table method.The control group was given routine adaptive emotion regulation strategy,and the observation group was given adaptive emotion regulation strategy based on alexithymia scale assessment.Alexithymia,stigma,psychological status,mental status and social function were compared between the two groups of patients.Result:(1)Compared with those before intervention,the alexithymia scores in both groups were decreased after intervention(P<0.05),and the scores in observation group were lower than those in control group(P<0.05).(2)The stigma scores were declined in both groups after intervention compared to those before intervention(P<0.05),and the scores were lower in observation group than those in control group(P<0.05).(3)Compared with those before intervention,the psychological status scores after intervention were reduced in both groups(P<0.05),and the score in observation group was lower than that in control group(P<0.05).(4)The metal status scores in both groups were reduced after intervention compared with those before intervention(P<0.05),and the score in observation group was lower than that in control group(P<0.05).(5)Compared with those before intervention,the social function scores were reduced in the two groups of patients after intervention(P<0.05),and the scores were lower in observation group than those in control group(P<0.05).Conclusion:Compared with routine adaptive emotion regulation strategy,adaptive emotion regulation strategy based on alexithymia scale assessment can better improve the alexithymia,psychological status,mental status,relieve the stigma and enhance the social function in patients with schizophrenia convalescence.