Erickson D H, Beiser M, Iacono W G
Department of Psychiatry, University of Ottawa, Ontario, Canada.
J Abnorm Psychol. 1998 Nov;107(4):681-5. doi: 10.1037//0021-843x.107.4.681.
Investigations of social support in schizophrenia have been relatively sparse. In this research, patients with 1st-episode schizophrenia or affective psychosis were asked to describe supportive social relationships immediately prior to their 1st lifetime treatment contact and were interviewed 18 months and 5 years later for assessment of their social and occupational functioning. The results indicated that 18-month adaptive functioning was lower than in the year prior to 1st treatment contact but at 5 years rose above that seen both at baseline and 18 months. Moreover, social support from nonfamily members of the social network predicted 5-year adaptive functioning in the schizophrenia (n = 54) group but not in the affective psychosis (n = 55) group. Support from family did not predict 5-year outcome in either group. Together, these findings replicate and extend earlier findings that social support predicts outcome in 1st-episode schizophrenia.
对精神分裂症患者社会支持的研究相对较少。在本研究中，首次发作的精神分裂症或情感性精神病患者被要求描述其首次接受终生治疗前即刻的支持性社会关系，并在18个月和5年后接受访谈，以评估他们的社会和职业功能。结果表明，18个月时的适应性功能低于首次治疗前一年，但在5年时高于基线和18个月时的水平。此外，社交网络中非家庭成员的社会支持可预测精神分裂症组（n = 54）5年时的适应性功能，但不能预测情感性精神病组（n = 55）。两组中来自家人的支持均不能预测5年的结果。总之，这些发现重复并扩展了早期的研究结果，即社会支持可预测首次发作的精神分裂症的预后。
