Miller L J, Finnerty M
Department of Psychiatry, University of Illinois at Chicago 60612, USA.
J Psychosom Obstet Gynaecol. 1998 Dec;19(4):210-7. doi: 10.3109/01674829809025699.
This study set out to test three hypotheses about family planning in women with schizophrenic spectrum disorders, as compared to demographically comparable non-mentally ill control women: that they (1) report at least as much unprotected intercourse while not desiring pregnancy; (2) have less knowledge about contraception; and (3) perceive more, and different, obstacles to obtaining or using birth control. A semistructured Family Planning Interview was administered to subjects (n = 44) with Research Diagnostic Criteria diagnoses of schizophrenia and schizoaffective disorder, and to non-mentally ill control subjects (n = 50). The participants had high rates of unprotected intercourse, as did non-mentally ill controls. They had significantly less reproductive and contraceptive knowledge than the control subjects, and were more likely to perceive birth control as difficult to obtain. The most common reason women with schizophrenic spectrum disorders gave for failing to use birth control was that they did not expect to have sex, while that given by non-mentally ill subjects related to side-effects of birth control. Important obstacles to family planning in women with schizophrenic spectrum disorders include relative lack of knowledge and difficulty planning ahead. Although many women with schizophrenia could benefit from long-acting, reversible contraception, many may be unaware of those options and/or may find them difficult to obtain. Integrating family planning with mental health care might better address the unique needs of this population.
本研究旨在检验关于精神分裂症谱系障碍女性计划生育的三个假设，与人口统计学特征相当的非精神疾病对照女性相比：她们（1）在不想要怀孕时报告的无保护性行为至少一样多；（2）对避孕的知识较少；（3）在获取或使用节育措施方面感知到更多且不同的障碍。对符合研究诊断标准的精神分裂症和分裂情感性障碍患者（n = 44）以及非精神疾病对照受试者（n = 50）进行了半结构化的计划生育访谈。参与者无保护性行为的发生率很高，非精神疾病对照者也是如此。她们的生殖和避孕知识明显少于对照受试者，并且更有可能认为节育措施难以获得。精神分裂症谱系障碍女性不使用节育措施的最常见原因是她们没想到会发生性行为，而非精神疾病受试者给出的原因与节育措施的副作用有关。精神分裂症谱系障碍女性计划生育的重要障碍包括相对缺乏知识和难以提前规划。尽管许多精神分裂症女性可能会从长效可逆避孕措施中受益，但许多人可能不知道有这些选择，和/或可能发现难以获得这些措施。将计划生育与精神卫生保健相结合可能会更好地满足这一人群的独特需求。
