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城市中,以非裔美国人为主、社会地位低下、首次发作非情感性精神病的患者的社会功能。

Social functioning in urban, predominantly African American, socially disadvantaged patients with first-episode nonaffective psychosis.

机构信息

Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia 30303, USA.

出版信息

Schizophr Res. 2010 Jun;119(1-3):95-100. doi: 10.1016/j.schres.2009.12.018. Epub 2010 Jan 8.

Abstract

BACKGROUND

Social functioning impairments develop and accumulate even prior to initial treatment-seeking for first-episode psychosis. This study, the first to examine social functioning in low-income, urban, predominantly African American first-episode patients: (1) assesses the internal consistency of Social Functioning Scale (SFS) subscales in this relatively unique sample; (2) identifies demographic and clinical variables that may be predictive of poor social functioning in this particular population; and (3) assesses changes in SFS scores in a subsample re-assessed six months after initial hospitalization.

METHODS

109 participants (age, 23.1+/-4.7years; 76.1% male; 89.9% African American) hospitalized for a first episode of nonaffective psychosis in an urban, public-sector setting were administered the SFS along with other clinical research instruments. 34 (31.2%) returned for a follow-up clinical research assessment six months after baseline assessment. Associations between the variables of interest were analyzed utilizing independent samples Student's t-tests and Pearson correlations.

RESULTS

Associations were observed between social functioning domains and negative symptoms (r=-.21--.32, p<.05), depressive symptoms (r=-.20--.23, p<.05), and general psychopathology symptoms (r=-.23--.24, p<.05). No significant differences were found in SFS subscale scores between baseline and six-month follow-up.

CONCLUSIONS

Deficits in social functioning are meaningfully related to several domains of symptoms, and such deficits may be relatively stable in the early course of psychotic disorders. Such findings may inform development of psychosocial interventions targeting social functioning in first-episode patients.

摘要

背景

社会功能障碍甚至在首次寻求首发精神病治疗之前就已经发展和积累。这项研究首次检查了低收入、城市、以非裔美国人为主的首发患者的社会功能,(1)评估社会功能量表(SFS)在这个相对独特的样本中的子量表的内部一致性;(2)确定可能预测该特定人群社会功能不良的人口统计学和临床变量;(3)评估在初始住院后六个月重新评估的子样本中 SFS 分数的变化。

方法

109 名参与者(年龄 23.1+/-4.7 岁;76.1%男性;89.9%非裔美国人)因非情感性精神病首次发作住院于城市公立部门,他们接受了 SFS 以及其他临床研究工具的评估。34 名(31.2%)在基线评估后六个月进行了随访临床研究评估。利用独立样本学生 t 检验和 Pearson 相关分析,对感兴趣的变量之间的关联进行了分析。

结果

社会功能领域与阴性症状(r=-.21--.32,p<.05)、抑郁症状(r=-.20--.23,p<.05)和一般精神病理学症状(r=-.23--.24,p<.05)之间存在关联。在 SFS 子量表评分方面,基线与六个月随访之间未发现显著差异。

结论

社会功能障碍与几个症状领域有明显的相关性,而在精神病障碍的早期阶段,这种障碍可能相对稳定。这些发现可能为针对首发患者社会功能的心理社会干预措施的制定提供信息。

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