School of Nursing, Ningxia Medical University, Ningxia, China.
School of Nursing, Hunan University of Chinese Medicine, Changsha, China.
Int J Ment Health Nurs. 2021 Oct;30(5):1149-1159. doi: 10.1111/inm.12865. Epub 2021 May 6.
This study aimed to explore the relationship between stressful life events, coping styles, and schizophrenia relapse. The sample for this study included 248 patients with schizophrenia from a psychiatric outpatient clinic in Hunan Province, China. Stressful life events, occurrence of schizophrenia relapse, and coping style were assessed by the Scale for the Social Readjustment Rating, Brief Psychiatric Rating Scale, and Simplified Coping Style Questionnaire, respectively. Spearman correlation analysis and binary logistic regression analysis were adopted to explore the relationships among coping styles, schizophrenia relapse, and stressful life events. Stressful life events and negative coping exhibited significant positive association with schizophrenia relapse, while positive coping exhibited a significant negative association with schizophrenia relapse. Stressful life events and positive coping exerted significant effects on schizophrenia relapse, while negative coping did not. We also found that both positive coping and negative coping have moderating effects on the relationship between stressful life events and schizophrenia relapse, but the relationship is weak. The study highlighted the importance of interventions designed to reduce stressful life events, promote positive coping, and address negative coping in patients with schizophrenia.
本研究旨在探讨生活应激事件、应对方式与精神分裂症复发的关系。该研究的样本包括来自中国湖南省某精神科门诊的 248 例精神分裂症患者。生活应激事件、精神分裂症复发的发生和应对方式分别采用社会再适应评定量表、简明精神病评定量表和简易应对方式问卷进行评估。采用 Spearman 相关分析和二元逻辑回归分析探讨应对方式、精神分裂症复发与生活应激事件之间的关系。生活应激事件和消极应对与精神分裂症复发呈显著正相关，而积极应对与精神分裂症复发呈显著负相关。生活应激事件和积极应对对精神分裂症复发有显著影响，而消极应对则没有。我们还发现，积极应对和消极应对均对生活应激事件与精神分裂症复发之间的关系具有调节作用，但作用较弱。本研究强调了针对精神分裂症患者设计干预措施以减少生活应激事件、促进积极应对和处理消极应对的重要性。
