精神分裂症的临床症状和社会功能

IF 5.2 3区 医学 Q1 PSYCHIATRY
Maria Jose Escandell , Gemma Prat , Mar Garcia-Franco , Jose Ramón Martín-Martínez , Susana Ochoa , Ingrid Tortades , Sonia Vilamala , Marina Verdaguer-Rodríguez , Emma Casas-Anguera
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引用次数: 0

摘要

本研究的目的是评估精神分裂症患者的社会功能与临床症状之间的关系,分析整体社会功能以及社会功能、自信和沟通技巧的特定方面对症状类型的解释的影响。材料与方法对125例精神分裂症患者进行横断面描述性研究。采用沟通技巧问卷(CSQ)、Gambrill和Richey自信量表(GR)、整体功能评估量表(GAF)和整体社会功能评估量表(SOFAS)、社会功能量表(SFS)、生活技能量表(LSP)和精神分裂症临床整体印象量表(CGI-S)对患者进行评估。结果sofas、LSP和GR与各分量表及症状总分相关(p <0.05 - -0.001)。多重回归分析显示,SOFAS和GR解释了总症状的59%。SOFAS和GR占方差的65%,可以解释阳性症状。GR和SOFAS解释了34%的阴性症状方差。SOFAS、CSQ和LSP占方差的20%,可以解释抑郁症状。SOFAS解释了46%的认知症状差异。结论社会功能评估有助于解释精神分裂症患者的临床症状。此外,我们的研究结果指出,在康复过程中,不仅应考虑阴性和认知症状,还应考虑阳性和抑郁症状,以提高患者在社区中的适应能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical symptoms and social functioning in schizophrenia

Introduction

The aim of the present study was to assess the relationship between social functioning and clinical symptoms in people with schizophrenia, analyzing the influence of both global social functioning and the specific aspects of social functioning, assertiveness and communication skills in the explanation of type of symptoms.

Material and methods

A cross-sectional descriptive study composed of 125 people diagnosed with schizophrenia was performed. Patients were assessed with the Communication Skills Questionnaire (CSQ), the Gambrill and Richey Assertiveness Inventory (GR), the Global Assessment of Functioning Scale (GAF) and the Global Assessment of Social Functioning Scale (SOFAS), Social Functioning Scale (SFS), Life Skills Profile (LSP) scale and the Clinical Global Impression scale for Schizophrenia (CGI-S).

Results

SOFAS, LSP and GR are related to each of the subscales and total scores of symptoms (p < 0.05–0.001). The multiple regressions show that SOFAS and GR explained 59% of the total symptoms. SOFAS and GR, accounting for 65% of the variance, explain positive symptoms. GR and SOFAS explained 34% of the variance of negative symptoms. SOFAS, CSQ and LSP, accounting for 20% of the variance, explain depressive symptoms. SOFAS explained 46% of the variance of cognitive symptoms.

Conclusions

Our findings suggest the usefulness of social functioning assessment in the explanation of clinical symptoms in people with schizophrenia. Moreover, our results point out that not only negative and cognitive symptoms, but also positive and depressive symptoms, should be taken into account in the rehabilitation process in order to improve patient adaptation in the community.

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来源期刊
自引率
3.30%
发文量
58
期刊介绍: The Spanish Journal of Psychiatry and Mental Health (SJPMH), incorporated into ISSN 1888-9891, is the official scientific publication of the Spanish Society of Psychiatry and Mental Health. The journal focuses on studying mental illnesses, their pathological processes, and their psychosocial consequences, and aims to disseminate scientific advances in all areas related to mental health and illness. SJPMH accepts unpublished works on psychiatry and mental health, including their medical and social implications. The journal provides space for research in the biological, clinical, and psychosocial fields. Manuscripts undergo peer-review by external reviewers before being accepted for publication. SJPMH is indexed in Index Medicus/Medline, IBECS, Social Sciences Citation Index Journal Citation Reports/Social Sciences Edition, and Current Contents/Social and Behavioral Sciences.
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