CAJ | 학술논문

目的：分析住院慢性稳定期精神分裂症患者的个人和社会功能及其影响因素。方法：对120例住院慢性稳定期精神分裂症患者采用个人和社会功能量表中文版（PSP）、患者健康问卷（PHQ）及阳性和阴性症状量表（PANSS）等进行个人和社会功能及精神病性状的评估。并对结果进行分析。结果：个人和社会功能低下患者2例（1.7%），有不同程度的能力缺陷患者72例（60.0%），社会功能和人际交往无困难或有轻微困难患者46例（38.3%）；患者的个人和社会功能与性别（r =0.568，P <0.01）及本次病程（r =-0.362，P <0.01）存在显著相关性，患者的干扰和攻击行为与其精神症状显著相关（r =0.30，P <0.01）。结论：住院慢性稳定期精神分裂症患者大部分存在不同程度的个人和社会能力缺陷；其中，社会中有用的活动及干扰和攻击行为与患者的精神症状、躯体症状群严重程度及抑郁症状群严重程度显著相关。
목적：분석주원만성은정기정신분렬증환자적개인화사회공능급기영향인소。방법：대120례주원만성은정기정신분렬증환자채용개인화사회공능량표중문판（PSP）、환자건강문권（PHQ）급양성화음성증상량표（PANSS）등진행개인화사회공능급정신병성상적평고。병대결과진행분석。결과：개인화사회공능저하환자2례（1.7%），유불동정도적능력결함환자72례（60.0%），사회공능화인제교왕무곤난혹유경미곤난환자46례（38.3%）；환자적개인화사회공능여성별（r =0.568，P <0.01）급본차병정（r =-0.362，P <0.01）존재현저상관성，환자적간우화공격행위여기정신증상현저상관（r =0.30，P <0.01）。결론：주원만성은정기정신분렬증환자대부분존재불동정도적개인화사회능력결함；기중，사회중유용적활동급간우화공격행위여환자적정신증상、구체증상군엄중정도급억욱증상군엄중정도현저상관。
Objective:To analyze the personal and social function and their influence factors of inpatients with chronic stable schizophrenia. Method:One hundred and twenty cases were evaluated by Chinese version of personal and social performancescale(PSP-CHN),patient health questionaire(PHQ),and positive and negative symptoms scale(PANSS). The data was analyzed. Results:There was 2 cases(1. 7% )in personal and social dysfunction,72 cases(60. 0% )with varying degrees of functional defects,46 cases(38. 3% )without social dys-function or with minor damage. There was significant correlation between personal and social function and gender (r =0. 568,P <0. 01)and the course of the disease(r = -0. 362,P <0. 01),and between disturbing and aggres-sive behaviors and psychiatric symptoms of these patients(r = 0. 30,P < 0. 01). Conclusion:Most inpatient with chronic stable schizophrenia have different degree of personal and social ability defects. There are significant correlation between socially useful activities,disturbing and aggressive behaviors and psychiatric symptoms.