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精神分裂症患者的生活技能特征及其与主要家庭照顾者被排斥感的关系。

Life skills profile of patients with schizophrenia and its correlation to a feeling of rejection among key family carers.

机构信息

Professor and Head, Department of Clinical Psychology, Sri Ramachandra Medical College and Research Institute (Deemed University), Chennai 600116.

出版信息

Indian J Psychiatry. 2005 Apr;47(2):94-8. doi: 10.4103/0019-5545.55953.

Abstract

BACKGROUND

The behaviour of patients with schizophrenia is of great concern to key family carers. Life skills profile (LSP) is the measure that has considerable importance in assessing the functioning of people with schizophrenia in the community.

AIM

To assess the sociodemographic correlates of LSP, and to find the correlation between LSP and the rejection response of key family carers.

METHODS

The LSP of 48 patients with chronic schizophrenia (29 men and 19 women) was assessed. The rejection responses of key family carers (28 men and 20 women) were evaluated using the Patient Rejection Scale.

RESULTS

The LSP did not significantly differ on the variables of gender, income level or attendance of day-care centre. However, there were differences between patients from urban and rural areas. A new dimension of family harmony, added as a subscale to LSP, also did not show any significant difference on the above variables. The rejection responses of key family carers were found to be significantly related to the LSP of the patients and, among the subscales, family harmony and communication were positively related to rejection.

CONCLUSION

Though family interventions have been found to have positive implications on relapse and social functioning of patients with schizophrenia, a model of a family intervention programme for families of patients with schizophrenia needs to be developed.

摘要

背景

精神分裂症患者的行为是主要家庭照顾者非常关注的问题。生活技能量表(LSP)是评估社区中精神分裂症患者功能的重要衡量标准。

目的

评估 LSP 的社会人口统计学相关性,并发现 LSP 与主要家庭照顾者拒绝反应之间的相关性。

方法

评估 48 名慢性精神分裂症患者(29 名男性和 19 名女性)的 LSP。使用患者拒绝量表评估主要家庭照顾者(28 名男性和 20 名女性)的拒绝反应。

结果

LSP 在性别、收入水平或日间护理中心的出勤率等变量上没有显著差异。然而,城乡患者之间存在差异。作为 LSP 的一个子量表添加的家庭和谐新维度在上述变量上也没有显示出任何显著差异。主要家庭照顾者的拒绝反应与患者的 LSP 显著相关,在子量表中,家庭和谐和沟通与拒绝呈正相关。

结论

尽管家庭干预已被发现对精神分裂症患者的复发和社会功能有积极影响,但需要为精神分裂症患者的家庭开发一种家庭干预计划模式。

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