Erol Almila, Keleş Unal Elif, Tunç Aydin Eylem, Mete Levent
Izmir Atatürk Eğitim ve Araştirma Hastanesi, Psikiyatri Kl, Izmir.
Turk Psikiyatri Derg. 2009 Winter;20(4):313-21.
Impaired social functioning is a characteristic feature of schizophrenia. The aim of this study was to determine the factors that predict social functioning in schizophrenia.
The study included 100 patients that met DSM-IV diagnostic criteria for schizophrenia. All the patients were evaluated using the Scale for the Assessment of Negative Symptoms, Scale for the Assessment of Positive Symptoms, Calgary Depression Scale for Schizophrenia, Facial Emotion Identification Test, Facial Emotion Discrimination Test, Digit Span Test, Rey's Auditory Verbal Learning Test, Trail Making Test, and Social Functioning Scale. Marital status, living arrangements, and working status of the patients were also recorded. Pearson's correlation analysis and multiple stepwise regression analysis were used to determine the relationships between the research variables and social functioning. Categorical variables were compared with the independent samples t test.
Negative symptoms, level of education, and facial emotion identification were significant predictors of social functioning total score. Negative symptoms were the most important predictor of almost all domains of social functioning. Age and duration of illness were not associated with social functioning. There were no gender differences in terms of social functioning. Married patients had higher social functioning scores. Employed patients had lower negative symptom scores and higher social functioning scores.
Negative symptoms were the most important predictors of social functioning in our study.
社会功能受损是精神分裂症的一个特征性表现。本研究旨在确定预测精神分裂症社会功能的因素。
该研究纳入了100例符合DSM-IV精神分裂症诊断标准的患者。所有患者均使用阴性症状评定量表、阳性症状评定量表、精神分裂症卡尔加里抑郁量表、面部情绪识别测试、面部情绪辨别测试、数字广度测试、雷氏听觉词语学习测试、连线测验以及社会功能量表进行评估。还记录了患者的婚姻状况、居住安排和工作状况。采用Pearson相关分析和多元逐步回归分析来确定研究变量与社会功能之间的关系。分类变量采用独立样本t检验进行比较。
阴性症状、教育程度和面部情绪识别是社会功能总分的显著预测因素。阴性症状是几乎所有社会功能领域最重要的预测因素。年龄和病程与社会功能无关。在社会功能方面不存在性别差异。已婚患者的社会功能得分较高。就业患者的阴性症状得分较低且社会功能得分较高。
在我们的研究中,阴性症状是社会功能最重要的预测因素。