CAJ | 학술논문

目的探讨自我隐瞒水平对精神分裂症患者一级亲属心理健康状况及生活质量的影响.方法对符合DSM-Ⅳ诊断标准的精神分裂症患者的生物学子女或同胞,进行自我隐瞒量表(SCS)测评,根据其得分将其分为高分组、低分组.尔后再比较其症状自评量表(SCL-90)、生活质量综合评定问卷(GQ-LI)得分情况.结果 186例精神分裂症患者一级亲属SCS评分为(36.24±11.02)分,显著高于常模的(29.20±8.73)分(t=5.21.P<0.01);高分组36例,平均得分(40.57±11.64)分,低分组27例,平均得分(32.81±9.04)分(t=2.81,P<0.01).自我隐瞒高分组精神分裂症患者一级亲属SCL-90评分,除"精神病性"因子外,其他各因子评分及总分均高于低分组,差异有显著性(P<0.05).自我隐瞒高分组精神分裂症患者一级亲属GQLI总分及各因子分均显著低于低分组.差异有显著性(P<0.05或P<0.01).精神分裂症患者一级亲属SCS评分与SCL-90总分、GQLI总分相关系数分别为0.384,-0.336,与SCL-90评分显著正相关(P<0.01)、与GQLI评分显著负相关(P<0.01).结论自我隐瞒水平对精神分裂症患者一级亲属心理健康状况及生活质量具有重要影响,高分组心理健康状况、生活质量差于低分组.
목적 탐토자아은만수평대정신분렬증환자일급친속심리건강상황급생활질량적영향.방법 대부합DSM-Ⅳ진단표준적정신분렬증환자적생물학자녀혹동포,진행자아은만량표(SCS)측평,근거기득분장기분위고분조、저분조.이후재비교기증상자평량표(SCL-90)、생활질량종합평정문권(GQ-LI)득분정황.결과 186례정신분렬증환자일급친속SCS평분위(36.24±11.02)분,현저고우상모적(29.20±8.73)분(t=5.21.P<0.01);고분조36례,평균득분(40.57±11.64)분,저분조27례,평균득분(32.81±9.04)분(t=2.81,P<0.01).자아은만고분조정신분렬증환자일급친속SCL-90평분,제"정신병성"인자외,기타각인자평분급총분균고우저분조,차이유현저성(P<0.05).자아은만고분조정신분렬증환자일급친속GQLI총분급각인자분균현저저우저분조.차이유현저성(P<0.05혹P<0.01).정신분렬증환자일급친속SCS평분여SCL-90총분、GQLI총분상관계수분별위0.384,-0.336,여SCL-90평분현저정상관(P<0.01)、여GQLI평분현저부상관(P<0.01).결론 자아은만수평대정신분렬증환자일급친속심리건강상황급생활질량구유중요영향,고분조심리건강상황、생활질량차우저분조.
Objective To explore the effects of self-concealment on mental health state and life quality of the first degree relatives of the schizophrenia patients.Methods The physiological children and siblings of the schizophrenia patients who meet the DSM-Ⅳ criteria had been tested using Self-concealment Scale(SCS)and divided to one higher group and another lower group according to their scales.Then the results of the two groups had been compared with the scales from the testing with Symptom Checklist 90(SCL-90)and General Quality of Life Inventory(GQLI)respectively.Results The scales of 186 first degree relatives of schizophrenia were 36.24±11.02,significantly higher than 29.20±8.73 of normal model(t=5.21,P＜0.01).36 were in higher group with average scales of40.57±11.64 and 27 were in lower group with average scales of 32.81±9.04(t=2.81.P＜0.01).In higher self-concealment group most factor-scales of SCL-90 except of psychotic factor were significantly higher than those of lower group(P＜0.05)while the scales of GQLI in higher group were significantly lower than those in lower group(P＜0.05P or＜0.01).The scales of SCS in the first degree relatives of schizophrenia had a positive correlation with the scales of SCL-90(correlation index 0.384,P＜0.01)and a negative correlation with the scales of GQLI(correlation index-0.336,P＜0.01).Conclusion Self-concealment level in the first degree relatives has significant effect on their mental health and life quality.Higher group leads a bad mental health and life quality than lower group.