Zołnierczuk-Kieliszek Dorota, Zak Barbara
Department of Public Health, Medical University of Lublin, Neuropsychiatric Hospital, Lublin.
Ann Univ Mariae Curie Sklodowska Med. 2002;57(1):74-82.
The aim of this paper was to define emotional responses of the patients with diagnosed schizophrenic psychosis to their illness. It was also intended to recognize the attitudes of patients' families and more distant social environment towards them. The study was conducted on 84 patients of the Neuropsychiatric Hospital, both hospitalized and ambulant, treated in Mental Outpatient Clinic and, simultaneously, taken care of by Social Self-Help Home "Misericordia". All the examined patients met the diagnostic criteria in accordance with ICD-10 for schizophrenic psychosis or schizophrenic disorder; all were in the period of symptomatic remission. The study was carried out in the years 2000-2001, using the distributed inquiry questionnaire technique. The supplementary source of information was case records of the examined patients. The predominant feelings of schizophrenics at the moment of becoming aware of having fallen ill with mental disease were fear (anxiety) and sorrow. The passage of time caused changes in emotional responses to mental illness. At the moment of the study the predominant feelings were the acceptance of illness and the sense of inferiority because of it. The sufferers of schizophrenia experienced mainly sympathy, acceptance of the illness and indifference in the environment outside the family circle.
本文旨在明确被诊断为精神分裂症性精神病的患者对自身疾病的情绪反应。同时，也旨在了解患者家属以及更广泛的社会环境对他们的态度。该研究以神经精神病医院的84名患者为对象，这些患者既有住院患者，也有门诊患者，他们在精神科门诊接受治疗，同时由“慈悲之家”社会自助机构照料。所有接受检查的患者均符合国际疾病分类第十版（ICD - 10）中精神分裂症性精神病或精神分裂症的诊断标准；所有患者均处于症状缓解期。该研究于2000年至2001年期间开展，采用发放调查问卷的技术。信息的补充来源是被检查患者的病例记录。精神分裂症患者在意识到自己患有精神疾病时的主要感受是恐惧（焦虑）和悲伤。随着时间的推移，对精神疾病的情绪反应发生了变化。在研究时，主要感受是对疾病的接受以及由此产生的自卑感。精神分裂症患者在家庭圈子之外的环境中主要感受到同情、对疾病的接受和冷漠。
