CAJ | 학술논문

目的探讨首发精神分裂症患者家庭动力、父母教养方式对心理特质及疗效的影响.方法对53例(研究组)首发精神分裂症(病程≤1年)患者进行系统家庭动力学自评表(SSFD)、父母教育方式评价量表(EMBU)、MMPI-2中的神经质量表(Nf)、精神质量表(PSY)、偏执量表(Pa)、病态人格量表(Pd)、忍耐(宽容)性量表(To)评定,以谎量表(L)作为评定有效性控制指标,并对疗效进行分级评分.对40例正常对照组进行系统家庭动力学、父母教育方式评定,研究组与对照组比较,并对研究组进行相关和回归分析.结果研究组SSFD中家庭气氛、个性化、系统逻辑得分高于对照组(t=4.04,3.295,2.44,均P＜0.05),EMBU中父母亲情感温暖理解得分均低于对照组(t=2.925,3.450,均P＜0.01)、父母亲拒绝否认和惩罚严厉得分高于对照组(t=4.715,4.971,4.331,4.067,均P＜0.01).相关分析显示,父母亲拒绝否认、母亲惩罚严厉与精神质呈正相关(r=0.3378,0.4677,0.2895,均P＜0.05),父母亲拒绝否认和惩罚严厉与偏执呈负相关(r=-0.2913,-0.3254,-0.5003,-0.3242,均P＜0.05),父亲惩罚严厉、过分干涉与病态人格呈正相关(r=0.3417,0.2958,均P＜0.05).精神质与疗效呈负相关(r=-0.3194,P＜0.05).回归分析显示,精神质对疗效差的预测率为10.2％,父亲、母亲拒绝否认对精神质高分的预测率分别为11.41％和21.87％,母亲惩罚严厉对精神质高分的预测率为8.13％.结论父母亲拒绝否认、母亲惩罚严厉对首发精神分裂症患者心理特质具有一定影响,心理特质中精神质对疗效有影响,精神质高分预示疗效较差.
목적 탐토수발정신분렬증환자가정동력、부모교양방식대심리특질급료효적영향.방법 대53례(연구조)수발정신분렬증(병정≤1년)환자진행계통가정동역학자평표(SSFD)、부모교육방식평개량표(EMBU)、MMPI-2중적신경질량표(Nf)、정신질량표(PSY)、편집량표(Pa)、병태인격량표(Pd)、인내(관용)성량표(To)평정,이황량표(L)작위평정유효성공제지표,병대료효진행분급평분.대40례정상대조조진행계통가정동역학、부모교육방식평정,연구조여대조조비교,병대연구조진행상관화회귀분석.결과 연구조SSFD중가정기분、개성화、계통라집득분고우대조조(t=4.04,3.295,2.44,균P＜0.05),EMBU중부모친정감온난리해득분균저우대조조(t=2.925,3.450,균P＜0.01)、부모친거절부인화징벌엄려득분고우대조조(t=4.715,4.971,4.331,4.067,균P＜0.01).상관분석현시,부모친거절부인、모친징벌엄려여정신질정정상관(r=0.3378,0.4677,0.2895,균P＜0.05),부모친거절부인화징벌엄려여편집정부상관(r=-0.2913,-0.3254,-0.5003,-0.3242,균P＜0.05),부친징벌엄려、과분간섭여병태인격정정상관(r=0.3417,0.2958,균P＜0.05).정신질여료효정부상관(r=-0.3194,P＜0.05).회귀분석현시,정신질대료효차적예측솔위10.2％,부친、모친거절부인대정신질고분적예측솔분별위11.41％화21.87％,모친징벌엄려대정신질고분적예측솔위8.13％.결론 부모친거절부인、모친징벌엄려대수발정신분렬증환자심리특질구유일정영향,심리특질중정신질대료효유영향,정신질고분예시료효교차.
[Abstrict] Objective To explore the effect of systemic family dynamics,egma minnen bardndom on the psychological traits,treatment efficacy of the first onset schizophrenia.Methods 53 schizophrenia patients with first onset were assessed by Self-rating Scale of Systemic Family Dynamics (SSFD),Egma Minnen Bardndom Uppforstran (EMBU),Neurotism Scale (Nf),Psychoticism (PSY),Paranoia Scale (Pa),Psychopathic Deviate Scale (Pd),Tolerance Scale(To) of MMPI-2,and lie Scale (L) was used to control assessment effectiveness.40 normal control cases were assessed by SSFD and EMBU.The scale scores between study group and control groupwere compared,and correlation and regression of study group were analyzed.Results Scores of family atmosphere,individuation,system logic of SSFD were higher in study group than those in control group (t=4.04,3.295,2.44,all P＜0.05),scores of emotional warmth and understand of EMBU in father and mother were lower in study group than those in control group (t=2.925,3.45,all P＜0.01),scores of refused and deny and punishment and stern of EMBU in father and mother were higher in study group than those in control group((t=4.715,4.971,4.331,4.067,all P＜0.01)).And correlation analysis showed that refused and deny of EMBU of father and mother,punishment and stern of EMBU of mother and PSY had significantly positive correlation(r=0.3378,0.4677,0.2895,all P＜0.05),refused and deny and punishment and stern of EMBU of father and mother and Pa had significantly negative correlation (r=-0.2913,-0.3254,-0.5003,-0.3242,all P＜0.05),punishment and stern and excessive interference of EMBU of father and Pd had significant positive correlation (r=0.3417,0.2958,all P＜0.05),PSY of MMPI-2 and treatment effect had significant negative correlation (r=-0.3194,P＜0.05).Regression analysis showed that psychoticism to forecast the poor treatment effect the rate was 10.2％,father and mother the refused and deny to forecast psychoticism high mark the rate respectively were 11.41％ and 21.87％,mother the severe punishment to forecast the psychoticism high mark the rate was 8.13％,Conclusion Father and mother the refused and deny,mother severe punishment have effects on psychological traits of the first onset schizophrenia,psychoticism of psychological traits has an affect on treatment efficacy,the psychoticism high mark presages the poor treatment efficacy.