CAJ | 학술논문

目的调查和比较神经症性障碍与精神分裂症患者以及正常者之间早年与父母分离经历,初步探讨早年与父母分离经历与神经症性障碍之间的关系。方法采用随机抽样方法,选取符合国际疾病及有关健康问题的分类第十版(ICD-10)神经症性障碍和精神分裂症诊断标准的住院患者各100例,选取来自社区的100名年龄、性别、受教育年限匹配的正常者为正常对照组。采用自编早年分离调查问卷对3组的早年与父母分离经历进行调查。结果神经症性障碍组有早年与父母分离的比率(χ2=7.113、15.092)、分离期间父母相距省外的比率(χ2=8.213、10.425)以及对分离经历的负面评价(χ2=11.051、9.273)均高于精神分裂症组和正常对照组(P<0.05,P<0.01)；神经症性障碍组早年与父母分离后的照料者类型与精神分裂症组、正常对照组之间的差异有统计学意义(字2=10.433、12.273,P<0.05)；各组与父母分离后互相之间联系频率方面(主观感受),神经症性障碍组与精神分裂症组和正常对照组之间差异有统计学意义(字2=12.159,12.221,P<0.05)。结论神经症性障碍患者较之精神分裂症患者与正常者有更多的早年与父母分离的经历,且对分离经历的主观感受多为负性。
목적조사화비교신경증성장애여정신분렬증환자이급정상자지간조년여부모분리경력,초보탐토조년여부모분리경력여신경증성장애지간적관계。방법채용수궤추양방법,선취부합국제질병급유관건강문제적분류제십판(ICD-10)신경증성장애화정신분렬증진단표준적주원환자각100례,선취래자사구적100명년령、성별、수교육년한필배적정상자위정상대조조。채용자편조년분리조사문권대3조적조년여부모분리경력진행조사。결과신경증성장애조유조년여부모분리적비솔(χ2=7.113、15.092)、분리기간부모상거성외적비솔(χ2=8.213、10.425)이급대분리경력적부면평개(χ2=11.051、9.273)균고우정신분렬증조화정상대조조(P<0.05,P<0.01)；신경증성장애조조년여부모분리후적조료자류형여정신분렬증조、정상대조조지간적차이유통계학의의(자2=10.433、12.273,P<0.05)；각조여부모분리후호상지간련계빈솔방면(주관감수),신경증성장애조여정신분렬증조화정상대조조지간차이유통계학의의(자2=12.159,12.221,P<0.05)。결론신경증성장애환자교지정신분렬증환자여정상자유경다적조년여부모분리적경력,차대분리경력적주관감수다위부성。
Objective To explore the early parental separation experience of patients with neurotic disorders and schizophrenia, and discuss the relationship between neurotic disorders and the early parental separation experience. Methods Totally 100 neurotic disorders and 100 schizophrenia patients meeting the criteria of the international sta-tistical classification of diseases and related health problems 10 th revision ( ICD-10 ) were chosen as the case groups, and 100 age-and tender-Q and education matched normal people were chosen as the control group using random sampling method. Three groups were surveyed with the early parental separation experience questionnaire. Results The percentage of the early parental separation experience (χ2 =7.113 ,15.092 respectively ) , the per-centage of being in different province from parents during separation experiences (χ2 =8.213 ,10.425 respective-ly), the percentage of negative evaluation to the separation experiences (χ2 =11.051,9. 273 respectively) in the neurotic disorders group was significantly higher than those of the schizophrenia and the normal group ( P<0.05 or P<0.01). In the type of raising people among the neurotic disorders, schizophrenia (χ2 =10.433) and control group (χ2 =12.273 ) had all significant differences ( all P<0.05 ) . Both the schizophrenia group (χ2 =12.159 , P<0.05 ) and the normal group (χ2 =12.221 , P <0 . 05 ) had significant difference with the neurotic disorders group in the frequency of contacting parents after separating(subjective feelings), etc. Conclusion Compared with normal people, neurotic disorders patient have more early separation experiences with parents, and most of their subjective feelings of separation experience are negative.