CAJ | 학술논문

目的：分析首发精神分裂症患者家属心理健康状况及其与分裂症知晓情况的关系。方法197例解放军第二六一医院精神科病房2009年4月~2011年7月住院的首发分裂症患者家属于患者入院时进行精神分裂症知识问卷和症状自评量表(SCL-90-R)评定。研究指标为家属分裂症知识知晓情况和心理健康情况。采用独立样本t检验比较家属自评SCL-90-R得分与国内最新常模的差异，并用Pearson相关检验分析患者家属心理健康与精神分裂症知晓情况的关系。结果首发精神分裂症患者家属精神分裂症知识4个纬度均与SCL-90-R 9因子评分呈显著负相关(r=-0.11~-0.35，P<0.01)，且SCL-90各维度得分均低于常模，差异有高度统计学意义(t=16.38~35.78，P<0.01)。结论首发精神分裂症患者家属精神分裂症知识的知晓情况在一定程度上影响其心理健康水平，对家属进行精神分裂症知识健康教育，提高其对精神分裂症的认识可能有助于改善其心理健康。
목적：분석수발정신분렬증환자가속심리건강상황급기여분렬증지효정황적관계。방법197예해방군제이륙일의원정신과병방2009년4월~2011년7월주원적수발분렬증환자가속우환자입원시진행정신분렬증지식문권화증상자평량표(SCL-90-R)평정。연구지표위가속분렬증지식지효정황화심리건강정황。채용독립양본t검험비교가속자평SCL-90-R득분여국내최신상모적차이，병용Pearson상관검험분석환자가속심리건강여정신분렬증지효정황적관계。결과수발정신분렬증환자가속정신분렬증지식4개위도균여SCL-90-R 9인자평분정현저부상관(r=-0.11~-0.35，P<0.01)，차SCL-90각유도득분균저우상모，차이유고도통계학의의(t=16.38~35.78，P<0.01)。결론수발정신분렬증환자가속정신분렬증지식적지효정황재일정정도상영향기심리건강수평，대가속진행정신분렬증지식건강교육，제고기대정신분렬증적인식가능유조우개선기심리건강。
Objective To analyze the relationship between mental health and schizophrenia knowledge among relatives of first-episode schizophrenia patients. Methods 197 relatives of first-episode schizophrenia inpatients from the Psy-chiatry Department of the 261th Hospital of PLA were administered with schizophrenia knowledge questionnaire and Symptom Checklist-90-Revised (SCL-90-R) at admission to assess the schizophrenia knowledge among relatives and their mental health. Independent-samples t test was conducted to compare SCL-90 scores with the latest norm;the re-lationship between mental health and schizophrenia knowledge was analyzed with Pearson correlation analysis. Results 4 dimension scores of schizophrenia knowledge negatively correlated with 9 factors of SCL-90-R scores (r = -0.11--0.35, P< 0.01). Each dimension scores of SCL-90-R were lower than national norm (t = 16.38-35.78,P < 0.01). Conclusion Schizophrenia knowledge has some impact on the mental health of relatives of schizophrenia patients, and schizophrenia knowledge health education might improve the mental health level of relatives of schizophrenia patients.