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[患有各种精神疾病的个体的社会功能]

[The social functioning of individuals with various psychiatric disorders].

作者信息

Rymaszewska Joanna

机构信息

Katedra i Klinika Psychiatrii AM we Wrocławiu.

出版信息

Psychiatr Pol. 2007 Jan-Feb;41(1):39-51.

Abstract

AIM

The aim of the study was to compare the social functioning of individuals with various psychiatric disorders, as well as finding factors associated with the level of social functioning.

METHOD

Patients (n = 969) from the F2, F3, F4, F5 and F6 diagnostic groups (according to ICD-10) were assessed after admission into one of several European hospitals (observation I), as well as 3 months after discharge (observation II). The Client Sociodemographic and Clinical History Inventory, Brief Psychiatric Rating Scale, v 4.0 and Groningen Social Disability Schedule were used in the study.

RESULTS

Analysis of partial correlations taking age into account indicated a significant association of the level of social functioning with diagnosis, city, as well as the professional status of a patient and his/her marital status. Taking into account the severity of a condition, the diagnostic group was not associated with the level of social functioning. No association was found between social disability and either sex, education, the number of episodes, psychiatric hospitalisation or duration of the disorder.

CONCLUSIONS

Both during an acute episode and after hospital treatment, patients with personality, eating or schizophrenic disorders functioned less effectively than those having affective or anxiety disorders. The severity of a condition was significantly associated with the level of disability, regardless of the diagnostic group. Married and professionally active patients functioned significantly better.

摘要

目的

本研究旨在比较患有各种精神疾病的个体的社会功能,以及找出与社会功能水平相关的因素。

方法

对来自F2、F3、F4、F5和F6诊断组(根据ICD - 10)的969名患者在入住几家欧洲医院之一后(观察I)以及出院后3个月(观察II)进行评估。研究中使用了客户社会人口统计学和临床病史调查表、简明精神病评定量表v4.0以及格罗宁根社会残疾量表。

结果

考虑年龄的偏相关分析表明,社会功能水平与诊断、城市、患者的职业状况及其婚姻状况存在显著关联。考虑到病情的严重程度,诊断组与社会功能水平无关。未发现社会残疾与性别、教育程度、发作次数、精神病住院治疗或疾病持续时间之间存在关联。

结论

在急性发作期间和住院治疗后,患有个性、饮食或精神分裂症障碍的患者的功能比患有情感或焦虑障碍的患者更差。无论诊断组如何,病情的严重程度与残疾水平显著相关。已婚且职业活跃的患者功能明显更好。

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