精神分裂症门诊患者样本中的需求及其与症状维度的关系。
Needs and its relation to symptom dimensions in a sample of outpatients with schizophrenia.
作者信息
Ochoa S, Haro J M, Usall J, Autonell J, Vicens E, Asensio F
机构信息
Research and Development Unit, Sant Joan de Déu-SSM, C/ Dr. Pujades, 42, 08830 Sant Boi de Llobregat, Barcelona, Spain.
出版信息
Schizophr Res. 2005 Jun 1;75(1):129-34. doi: 10.1016/j.schres.2004.06.002.
OBJECTIVE
To analyse the association between symptom dimensions in schizophrenia and number and type of met and unmet needs.
METHOD
A sample of 231 outpatients randomly selected from a register that included all patients treated in 5 mental health care centres (MHCC) was evaluated. Assessment instruments included the Camberwell Assessment of Needs (CAN) questionnaire and the PANSS.
RESULTS
Number of needs are related to overall severity of psychopathology. Patients with more symptoms have more total needs (p < 0.001) and unmet needs (p < 0.001). A multiple lineal regression model showed that the disorganized and excited dimensions of the PANSS are the most important components for explaining the variance of number of needs. Type of needs is related to subtypes of schizophrenia, specially with disorganized and excited symptoms.
CONCLUSION
Psychosocial needs are related to schizophrenia subtypes. Patients with more needs are those with more disorganized and excitatory symptoms.
目的
分析精神分裂症症状维度与已满足和未满足需求的数量及类型之间的关联。
方法
从包含5个精神卫生保健中心（MHCC）所有接受治疗患者的登记册中随机抽取231名门诊患者作为样本进行评估。评估工具包括坎伯韦尔需求评估（CAN）问卷和阳性与阴性症状量表（PANSS）。
结果
需求数量与精神病理学的总体严重程度相关。症状较多的患者有更多的总需求（p < 0.001）和未满足需求（p < 0.001）。多元线性回归模型显示，PANSS的紊乱和激越维度是解释需求数量方差的最重要组成部分。需求类型与精神分裂症亚型相关，特别是与紊乱和激越症状相关。
结论
社会心理需求与精神分裂症亚型相关。需求较多的患者是那些有更多紊乱和激越症状的患者。
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