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Ann Gen Psychiatry. 2015 Nov 23;14:40. doi: 10.1186/s12991-015-0079-6. eCollection 2015.
2
Humanistic burden in schizophrenia: a literature review.精神分裂症中的人文负担：文献综述
J Psychiatr Res. 2014 Jul;54:85-93. doi: 10.1016/j.jpsychires.2014.03.021. Epub 2014 Apr 4.
3
Treatment of obesity and disability in schizophrenia.精神分裂症中肥胖与残疾的治疗
Innov Clin Neurosci. 2013 Jul;10(7-8):15-9.
4
Psychosocial disabilities in patients with schizophrenia.精神分裂症患者的心理社会残疾
Iran J Public Health. 2012;41(5):116-21. Epub 2012 May 31.
5
Social support and psychosocial dysfunction in depression.抑郁中的社会支持与心理社会功能障碍。
Indian J Psychiatry. 1995 Jul;37(3):119-23.
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Efficacy of psychosocial rehabilitation program: The RFS experience.心理社会康复方案的疗效：RFS 的经验。
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7
Psychosocial dysfunction and family burden in schizophrenia and obsessive compulsive disorder.精神分裂症和强迫症患者的心理社会功能障碍和家庭负担。
Indian J Psychiatry. 2004 Jul;46(3):238-43.
8
Perspective from an NGO.一个非政府组织的观点。
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The illness and everyday living: close interplay of psychopathological syndromes and psychosocial functioning in chronic schizophrenia.疾病与日常生活：慢性精神分裂症中精神病理综合征与社会心理功能的密切相互作用。
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10
Impact of vocational rehabilitation on social functioning, cognitive functioning, and psychopathology in patients with chronic schizophrenia.职业康复对慢性精神分裂症患者社会功能、认知功能和精神病理学的影响。
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缓解期慢性精神分裂症患者心理社会功能障碍的影响：一项基于医院的研究。

The Influence of Psychosocial Dysfunctions in Chronic Schizophrenia Patients in Remission: A Hospital-Based Study.

作者信息

Swain Sarada Prasanna, Behura Sushree Sangita, Dash Manoj Kumar, Nayak Anil Kumar, Pati Saswati Sucharita

机构信息

Department of Psychiatry, Mental Health Institute (Centre of Excellence), S.C.B. Medical College, Cuttack, Odisha, India.

Clinical Psychologist, Neuropsychiatric Consultation Centre, CDA, Cuttack, Odisha, India.

出版信息

Indian J Psychol Med. 2017 Mar-Apr;39(2):157-163. doi: 10.4103/0253-7176.203120.

DOI:10.4103/0253-7176.203120
PMID:28515552
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5385744/
Abstract

BACKGROUND

Psychosocial dysfunctions in the various psychosocial areas in chronic schizophrenic patients predict the long-term course, outcome, and quality of life of these patients, which always varies with years of treatment.

OBJECTIVE

To know the influence and compare the level of psychosocial dysfunctions and severity of disability burden in chronic schizophrenic patients who are in remission with duration of 5 and 20 years.

MATERIALS AND METHODS

The sample was collected from the OPD of Mental Health Institute (COE), S.C.B. Medical College, Cuttack, Odisha, India. This study is a cross-sectional study. A total of 120 remitted schizophrenic patients (60 patients of each group with duration of 5 and 20 years), who fulfilled Nancy Andreasen criteria for Remission were selected for the study. Regional language of dysfunction analysis questionnaire (DAQ) was used to assess the level of psychosocial dysfunctions in personal, familial, social, vocational, and cognitive areas of each patient.

RESULTS

Qualitative data were analyzed using Chi-square and quantitative data were analyzed using -test and correlation as a test of significance. Statistically significant differences ( < 0.05) were found in all five domains of DAQ between two groups. Statistically significant difference ( < 0.05) was found between the two groups with respect to severity of the disability.

CONCLUSION

This study confirms that there are definite and substantial psychosocial dysfunctions in personal, familial, social, vocational, and cognitive spheres with the advancement of the duration of illness in chronic schizophrenic patients.

摘要

背景

慢性精神分裂症患者在各个心理社会领域的心理社会功能障碍预示着这些患者的长期病程、结局和生活质量，而这些情况会随着治疗年限的变化而有所不同。

目的

了解病程5年和20年的缓解期慢性精神分裂症患者心理社会功能障碍的影响，并比较其心理社会功能障碍水平及残疾负担的严重程度。

材料与方法

样本取自印度奥里萨邦科塔克市S.C.B.医学院心理健康研究所（卓越中心）的门诊。本研究为横断面研究。共选取120例符合南希·安德烈亚森缓解标准的缓解期精神分裂症患者（每组60例，病程分别为5年和20年）进行研究。采用地区语言功能障碍分析问卷（DAQ）评估每位患者在个人、家庭、社会、职业和认知领域的心理社会功能障碍水平。

结果

定性数据采用卡方检验进行分析，定量数据采用t检验和相关性分析作为显著性检验。两组在DAQ的所有五个领域均存在统计学显著差异（P<0.05）。两组在残疾严重程度方面也存在统计学显著差异（P<0.05）。

结论

本研究证实，随着慢性精神分裂症患者病程的延长，其在个人、家庭、社会、职业和认知领域存在明确且显著的心理社会功能障碍。