Macdonald E M, Hayes R L, Baglioni A J
School of Occupational Therapy, La Trobe University, Victoria 3083, Bundoora, Australia.
Schizophr Res. 2000 Nov 30;46(1):25-30. doi: 10.1016/s0920-9964(00)00024-4.
This study compares the social networks and perceived social support of 26 people with early psychosis and 26 people without a mental illness. The two groups were closely matched for age, sex, education level, and employment and relationship status, and had equivalent levels of depression. There were no differences between the two groups in the amount of perceived social support, number of family members, and number of participants with acquaintances. However, the psychosis group identified significantly smaller networks, t (50)=-2.34, P=0.024, with fewer friends, t (48)=-3.61, P=0.001, fewer people to turn to in a crisis, t (22.97)=-2.34, P=0.028, and a higher likelihood of service providers as members, chi(2)(1)=7.02, P=0.008. Given the important relationship between strong social networks and high levels of community functioning and tenure, future research needs to evaluate the type of social support most beneficial for people with early psychosis and to develop strategies to maintain and facilitate that support.
本研究比较了26名早期精神病患者和26名无精神疾病者的社交网络及感知到的社会支持。两组在年龄、性别、教育水平、就业及恋爱状况方面进行了严格匹配，且抑郁水平相当。两组在感知到的社会支持量、家庭成员数量及有熟人的参与者数量方面没有差异。然而，精神病组确定的社交网络明显更小，t(50)= -2.34，P = 0.024，朋友更少，t(48)= -3.61，P = 0.001，危机中可求助的人更少，t(22.97)= -2.34，P = 0.028，且服务提供者作为成员的可能性更高，卡方(2)(1)= 7.02，P = 0.008。鉴于强大的社交网络与高水平的社区功能及居住期限之间的重要关系，未来研究需要评估对早期精神病患者最有益的社会支持类型，并制定维持和促进这种支持的策略。
