20年以上精神分裂症患者家庭态度、症状严重程度与社会功能的关系前瞻性研究

IF 0.7 Q4 PSYCHIATRY
Dagmara Mętel, A. Kalisz, A. Arciszewska, A. Bielańska, Dawid Kruk, A. Cechnicki
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引用次数: 0

摘要

目的:本研究的目的是评估45名精神分裂症患者在20年间的家庭态度与临床和社会结果之间的关系。方法:采用《记忆与遗忘问卷》、BPRS量表和根据DSM-III轴V的社会功能量表进行临床和社会变量的评估。采用CFI测量首次住院期间的家庭态度。在随后的测量点中,使用了基于CFI类别(温暖和善良,批评,敌意,情绪过度投入)的4阶段临床量表,然后将其作为二分类变量进行分析:有利/不利-有利态度。结果:在患病数年内,家庭态度有明显改善的趋势。在女性中,家庭态度的变化比男性要快。不利的家庭态度与第一次住院后3年和12年后复发和再次住院的频率有关。在任何测量点上,症状严重程度和社会功能水平与家庭态度均无相关性。结论:在社区治疗方案中,在20年的精神分裂症病程中,女性和男性的不利家庭态度都有所改善,但女性的有利改变发生得更快。根据发病时间的不同,不利的家庭态度与更频繁的复发、再次住院以及与症状的严重程度和社会功能的一般水平缺乏联系之间存在关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Relationship between family attitude, symptoms’ severity and social functioning of people suffering from schizophrenia over 20 years. A prospective study
Purpose: The aim of the study was to assess the relationship between the family attitude and clinical and social outcome measures in the group of 45 people diagnosed with schizophrenia during 20 years of illness. Methods: For the evaluation of clinical and social variables, the Anamnestic and Catamnestic Questionnaire, the BPRS scale and the scale of social functioning according to the DSM-III axis V were used. The family attitude during the first hospitalisation was measured with CFI. In subsequent measurement points, a 4-stage clinical scale based on the CFI categories (warmth and kindness, criticism, hostility, emotional overinvolvement) was used, which was then analysed as a dichotomous variable: favourable/unfa- vourable attitude. Results: A significant tendency to improve the family attitude within years of illness was observed. In women, the change in the fam- ily attitude was faster than in case of men. The unfavourable family attitude was associated with more frequent relapses and re-hospitalisations after 3 and 12 years after the first hospitalisation. The severity of symptoms and the level of social functioning were not related to the family attitude at any measurement point. Conclusions: In the community treatment program, during the 20-year course of schizophrenia, the unfavourable family attitude improved among both women and men, but beneficial changes occurred faster in women. Depending on the time of disease, there was a relationship between the unfavourable family attitude and more frequent relapses, re-hospitalisations and lack of connection with the severity of symptoms and the general level of social functioning.
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来源期刊
Postepy Psychiatrii i Neurologii
Postepy Psychiatrii i Neurologii Psychology-Clinical Psychology
CiteScore
0.90
自引率
0.00%
发文量
13
期刊介绍: The quarterly Advances in Psychiatry and Neurology is aimed at psychiatrists, neurologists as well as scientists working in related areas of basic and clinical research, psychology, social sciences and humanities. The journal publishes original papers, review articles, case reports, and - at the initiative of the Editorial Board – reflections or experiences on currently vivid theoretical and practical questions or controversies. Articles submitted to the journal are evaluated first by the Section Editors, specialists in the fields of psychiatry, clinical psychology, science of the brain and mind and neurology, and reviewed by acknowledged authorities in the respective field. Authors and reviewers remain anonymous to each other.
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