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J Pak Med Assoc. 2015 Sep;65(9):937-42.
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精神分裂症患者的社会支持观察及治疗意愿

Observed Social Support and Willingness for the Treatment of Patients with Schizophrenia.

作者信息

Jameel Hafiz Tahir, Panatik Siti Aisyah, Nabeel Tanzila, Sarwar Farhan, Yaseen Muhammad, Jokerst Tricia, Faiz Zikra

机构信息

Department of Special Education, Allama Iqbal Open University, Islamabad, Pakistan.

School of Human Resource Development and Psychology, Faculty of Social Sciences and Humanities, Universiti Teknologi Malaysia, Johor Bahru, Johor, Malaysia.

出版信息

Psychol Res Behav Manag. 2020 Feb 25;13:193-201. doi: 10.2147/PRBM.S243722. eCollection 2020.

DOI:10.2147/PRBM.S243722
PMID:32158288
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7049275/
Abstract

BACKGROUND

Schizophrenia is a mental disorder that causes the social breakdown of relationships with others. Patients with schizophrenia interpret reality and verbal communication in an abnormal way. They experience great difficulty in building and maintaining of social relationships within society. They also experience barriers in communication and motivation that hinder their readiness for treatment. The willingness of patients with schizophrenia to be treated improves mental illness, social support and other health-related issues. The main purpose of this study was to explore the relationship between social support and willingness for treatment in patients with Schizophrenia.

METHODS

The qualitative research approach was used to solicit and capture more in-depth information from participants. The research design was phenomenological in nature. A cross-sectional survey method was employed. The sample consisted of twenty female patients diagnosed with schizophrenia, seven psychiatrists, and seven psychologists. A semi-structured interview guide was developed to collect the data. The interview guide covered three themes. The first theme included four questions for patients with schizophrenia. The second theme consisted of six questions for the psychiatrists and the third theme included two questions for the psychologists. Interview data were analysed through frame workanalysis.

RESULTS

The results of the study showed that social support plays an essential role in the improvement of patients with schizophrenia. Psychiatrists with the help of medication and therapies reduce the negativity and anxiety level of patients and motivate patients to accept treatment. Through counseling, psychologists help patients with schizophrenia build social skills such as the ability to engage in eye contact.

CONCLUSION

It is revealed that the social support is closely related to the willingness for treatment in patients with schizophrenia. Therefore, social support is recommended in the course of treatment of patients with schizophrenia.

摘要

背景

精神分裂症是一种导致与他人社会关系破裂的精神障碍。精神分裂症患者以异常的方式解读现实和言语交流。他们在社会中建立和维持社会关系方面存在极大困难。他们在沟通和动机方面也存在障碍,这阻碍了他们接受治疗的意愿。精神分裂症患者接受治疗的意愿能改善精神疾病、社会支持及其他与健康相关的问题。本研究的主要目的是探讨精神分裂症患者的社会支持与治疗意愿之间的关系。

方法

采用定性研究方法从参与者那里获取和捕捉更深入的信息。研究设计本质上是现象学的。采用横断面调查方法。样本包括20名被诊断为精神分裂症的女性患者、7名精神科医生和7名心理学家。编制了一份半结构化访谈指南来收集数据。访谈指南涵盖三个主题。第一个主题包括针对精神分裂症患者的四个问题。第二个主题由针对精神科医生的六个问题组成,第三个主题包括针对心理学家的两个问题。通过框架分析对访谈数据进行分析。

结果

研究结果表明,社会支持在精神分裂症患者病情改善中起着至关重要的作用。精神科医生借助药物和治疗方法降低患者的消极情绪和焦虑水平,并激励患者接受治疗。通过咨询,心理学家帮助精神分裂症患者培养社交技能,如进行眼神交流的能力。

结论

研究表明,社会支持与精神分裂症患者的治疗意愿密切相关。因此,建议在精神分裂症患者的治疗过程中提供社会支持。