CAJ | 학술논문

目的：探讨不同性别康复期精神分裂症患者的自尊水平及其影响因素。方法选择精神分裂症康复期患者101例，采用自尊量表（SES）、阳性和阴性症状量表（PANSS）进行调查，与国内常模进行对比，分性别比较自尊水平影响因素。结果101例精神分裂症患者的自尊水平均低于常模（P ＜0．001）。女性患者自尊水平与复发次数及体重呈负相关（均 P ＜0．05），与参加康复活动意愿呈正相关（ r＝0．351，P ＝0．023）。男性患者自尊水平与复发次数、体重及参加康复活动意愿无相关性。结论低自尊是康复期精神分裂症的特点，而男性与女性精神分裂症患者自尊水平的影响因素不同，应针对这些影响因素有针对性地进行康复训练，以期提高患者的自尊水平。
목적：탐토불동성별강복기정신분렬증환자적자존수평급기영향인소。방법선택정신분렬증강복기환자101례，채용자존량표（SES）、양성화음성증상량표（PANSS）진행조사，여국내상모진행대비，분성별비교자존수평영향인소。결과101례정신분렬증환자적자존수평균저우상모（P ＜0．001）。녀성환자자존수평여복발차수급체중정부상관（균 P ＜0．05），여삼가강복활동의원정정상관（ r＝0．351，P ＝0．023）。남성환자자존수평여복발차수、체중급삼가강복활동의원무상관성。결론저자존시강복기정신분렬증적특점，이남성여녀성정신분렬증환자자존수평적영향인소불동，응침대저사영향인소유침대성지진행강복훈련，이기제고환자적자존수평。
Objective To investigate the self-esteem levels and its influencing factors of schizophrenia patients with different gender during recovery in order to provide a targeted rehabilitation training .Methods One hundred and one remitted patients were sur -veyed by using self-esteem scale (SES) and positive and negative syndrome scale (PANSS) and compared with internal normal adults . Effective factors of the SES in different gender were also explored .Results The scores of SES in101 patients were lower compared with the normal adults(P <0.001).There was a negative relationship between the number of episodes and the weight of the female pa -tients (all P <0.05),but there was a positive relationship between the will of participating the rehabilitation (r=0.351,P =0.023). There was no significant relationship among these factors in male patients with schizophrenia .Conclusion Low self-esteem is one of characteristics of patients with schizophrenia during recovery .There were different effect factors between the male and female schizo -phrenia patients.Therefore,we have to do the targeted rehabilitation training for these factors in order to improve the level of their self -esteem.