Fan Chi-Hsuan, Hsu Shih-Chieh, Hsiao Fei-Hsiu, Chang Chia-Ming, Liu Chia-Yih, Lai Yu-Ming, Chen Yu-Ting
Department of Nursing, Chang Gung Memorial Hospital, Linkou, Taoyuan City 333, Taiwan.
Department of Psychiatry, Chang Gung Memorial Hospital, Linkou, Taoyuan City 333, Taiwan.
Int J Environ Res Public Health. 2021 Apr 9;18(8):3977. doi: 10.3390/ijerph18083977.
Schizophrenia is a mental disease that often leads to chronicity. Social support could reduce the severity of psychotic symptoms; therefore, its influence on remission should be examined. This study investigated the remission rates in community-dwelling schizophrenia patients and examined the association between social support and remission status. A cross-sectional study was conducted in 129 schizophrenia patients in Taiwan. Remission rates were evaluated, and the level of social support, clinical characteristics, sociodemographic variables, and healthy lifestyle status were compared between the remission and nonremission groups. The association between social support and remission was analyzed after adjusting for confounding factors. The mean illness duration is 12.9 years. More than 95% of the participants lived with their families, 63% were unemployed, and 43% achieved remission. Higher social support was observed in the remission group, and a significant correlation was observed between family domain of social support and remission status. Family support was a protective factor of symptomatic remission in community-dwelling schizophrenia patients in Taiwan. The results reflect the effects of a family-centered culture on patients during illness. Consequently, reinforcing family relationships and the capacity of families to manage the symptoms of patients and providing support to families are recommended.
精神分裂症是一种常导致慢性化的精神疾病。社会支持可减轻精神病症状的严重程度;因此,应研究其对缓解的影响。本研究调查了社区居住的精神分裂症患者的缓解率,并探讨了社会支持与缓解状态之间的关联。对台湾129名精神分裂症患者进行了一项横断面研究。评估缓解率,并比较缓解组和未缓解组之间的社会支持水平、临床特征、社会人口学变量和健康生活方式状况。在调整混杂因素后分析社会支持与缓解之间的关联。平均病程为12.9年。超过95%的参与者与家人同住,63%失业,43%实现缓解。缓解组的社会支持水平较高,且社会支持的家庭领域与缓解状态之间存在显著相关性。家庭支持是台湾社区居住的精神分裂症患者症状缓解的保护因素。结果反映了以家庭为中心的文化在患者患病期间的作用。因此,建议加强家庭关系以及家庭管理患者症状的能力,并为家庭提供支持。