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患有精神分裂症的长期无家可归患者的社会支持与生活质量

Social support and quality of life among chronically homeless patients with schizophrenia.

作者信息

Chen Jinliang, Song Hongli, Li Shuchun, Teng Ziwei, Su Yuhan, Chen Jindong, Huang Jing

机构信息

Department of Psychiatry, Shenzhen Hospital of Integrated Traditional Chinese and Western Medicine, Shenzhen, China.

Department of Psychiatry, Fifth Ren Min Hospital of Xiangtan, Xiangtan, China.

出版信息

Front Psychiatry. 2022 Jul 27;13:928960. doi: 10.3389/fpsyt.2022.928960. eCollection 2022.

Abstract

This study aimed to describe the sociodemographic characteristics, social support received, and quality of life of chronically homeless patients with schizophrenia in China. A self-prepared sociodemographic questionnaire, the Social Support Rating Scale (SSRS), European Five-dimensional Health Scale (EQ-5D), and Eysenck Personality were administrated to 3,967 chronically homeless and 3,724 non-homeless patients from the Department of Xiangtan Fifth People's Hospital, Hunan, China, between April 2011 and October 2016. Results indicated that the homeless patients were more likely to live outside the city and be ethnic minorities compared with non-homeless patients. Although the married proportion was higher among homeless patients, they had a higher rate of being divorced or widowed. Notably, the homeless patients had higher employment rates before illness, despite significantly lower education ( < 0.001). Chronically homeless patients with schizophrenia showed a lower score in the SSRS (30.29 ± 7.34 vs. 26.16 ± 10.04, < 0.001); they had significantly lower objective support, subject support, social support, and EQ-Visual Analog Scale, Eysenck Personality Questionnaire-Psychoticism, and Eysenck Personality-Neuroticism scores ( < 0.001). Homeless patients may be worse off, and could be assisted by providing accommodation, family intervention, medical services (such as pain medication), and other comprehensive measures.

摘要

本研究旨在描述中国长期无家可归的精神分裂症患者的社会人口学特征、所获得的社会支持以及生活质量。2011年4月至2016年10月期间,对来自中国湖南省湘潭市第五人民医院的3967名长期无家可归患者和3724名非无家可归患者进行了自行编制的社会人口学问卷、社会支持评定量表(SSRS)、欧洲五维健康量表(EQ - 5D)和艾森克人格问卷的测评。结果表明,与非无家可归患者相比,无家可归患者更有可能居住在城外且为少数民族。尽管无家可归患者的已婚比例较高,但他们的离婚或丧偶率也较高。值得注意的是,无家可归患者在患病前的就业率较高,尽管其受教育程度显著较低(<0.001)。长期无家可归的精神分裂症患者在SSRS中的得分较低(30.29±7.34对26.16±10.04,<0.001);他们的客观支持、主观支持、社会支持以及EQ视觉模拟量表、艾森克人格问卷 - 精神质和艾森克人格 - 神经质得分均显著较低(<0.001)。无家可归患者的情况可能更糟,可以通过提供住宿、家庭干预、医疗服务(如止痛药物)及其他综合措施来给予帮助。

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本文引用的文献

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Mental Health Conservatorship Among Homeless People With Serious Mental Illness.精神障碍 homeless people 精神健康保护
Psychiatr Serv. 2022 Jun;73(6):613-619. doi: 10.1176/appi.ps.202100254. Epub 2021 Oct 27.
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Resilience Embodied: A Paradigm Shift for Biological Research in Psychiatry.具身韧性:精神病学中生物学研究的范式转变
Biol Psychiatry Cogn Neurosci Neuroimaging. 2021 Feb;6(2):139-140. doi: 10.1016/j.bpsc.2020.11.009.
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Editorial: Smoking and Schizophrenia.社论:吸烟与精神分裂症
Front Psychiatry. 2019 Oct 17;10:738. doi: 10.3389/fpsyt.2019.00738. eCollection 2019.
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Mental Ill Health in Homeless Women: A Review.无家可归女性的心理健康问题:综述。
Issues Ment Health Nurs. 2019 Jul;40(7):605-612. doi: 10.1080/01612840.2019.1565875. Epub 2019 Apr 25.

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