社会支持情况与精神障碍相关性研究

doi:10.3969/j.issn.1006-7795.2018.05.005

首都医科大学学报 ›› 2018, Vol. 39 ›› Issue (5): 646-650.doi: 10.3969/j.issn.1006-7795.2018.05.005

• 精神病学基础和临床研究 • 上一篇下一篇

社会支持情况与精神障碍相关性研究

翟倩¹, 胡昌清¹, 杨丽², 张国富¹, 王晶晶¹, 刘敏¹

1. 首都医科大学附属北京安定医院国家精神心理疾病临床医学研究中心精神疾病诊断与治疗北京重点实验室, 北京 100088;
2. 北京市通州区觅子店卫生院, 北京 101112

收稿日期:2018-07-03 出版日期:2018-09-21 发布日期:2018-10-20
通讯作者: 胡昌清 E-mail:coannhu@126.com
基金资助:
北京市科技计划（D131100005313011），北京市医院管理局"青苗"计划专项经费资助（QML20161903），北京市通州区卫生发展科研专项（TWKY-2016-PT-01-12）。

A study on the correlation about social supports and mental disorders

Zhai Qian¹, Hu Changqing¹, Yang Li², Zhang Guofu¹, Wang Jingjing¹, Liu Min¹

1. Beijing Anding Hospital, Capital Medical University, The National Clinical Research Center for Mental Disorders, Beijing Key Laboratory of Mental Disorders, Beijing 100088, China;
2. Mizidian Hospital in Tongzhou District, Beijing 101112, China

Received:2018-07-03 Online:2018-09-21 Published:2018-10-20
Supported by:
This study was supported by Beijing Municipal Science and Technology Project(D131100005313011),Beijing Municipal Administration of Hospitals' Youth Programme(QML20161903),Beijing Research Projects on Health Development in Tongzhou District(TWKY-2016-PT-01-12).

摘要/Abstract

摘要： 目的探讨社会支持情况与精神障碍之间的关系。方法使用首都医科大学附属北京安定医院精神疾病临床数据与生物样本库的受试者数据库（2 142例），从中选取符合分析要求的正常对照（n=111例）、精神分裂症（n=82例）和情感障碍（抑郁症和双相障碍）（n=119例）受试者，通过分析比较3组中社会支持评定量表（总分以及维度分）的数据，来探讨社会支持情况与精神障碍之间的关系。并将2个病例组按照发病次数分为不同亚组（发作次数：≤2次vs >2次）进行社会支持量表总分及维度分的比较。结果 3组之间社会支持评定量表总分及各维度分（客观支持、主观支持和对支持的利用度）差异均有统计学意义（P值均<0.01），社会支持评定量表总分及各维度分在正常对照组与精神分裂症组及情感障碍组之间差异均有统计学意义（P值均<0.01），在情感障碍组与精神分裂症组之间差异均无统计学意义（P值均>0.01）。情感障碍患者亚组内差异均有统计学意义（P值均<0.01），精神分裂症患者亚组内差异均有统计学意义（P值均<0.01）。结论精神分裂症和情感障碍患者获得和利用社会支持的水平低于正常人，发作次数越多，社会支持越差。

关键词: 社会支持量表, 精神障碍, 病例对照研究

Abstract: Objective To discuss the correlation between social support and mental disorders. Methods Use the Subjects Database (n=2 142) from Clinical data and Biological sample bank about Mental illness of Beijing Anding Hospital. The normal controls (n=111), schizophrenia (n=82) and mood disorders (depression and bipolar disorder) (n=119) were selected. The associations between social supports and mental disorders were discussed by comparing the data of Social Support Rating Scale (SSRS) (total scores and dimension scores) in three groups. The two study groups were divided into two sub-groups according to the number of episodes (≤ 2 times or>2 times). Compare the total scores and dimension scores (objective support, subjective support, and utilization of support) of the social support scale in sub-groups. Results The difference of total scores and dimension scores among the three groups were statistically significant (all P values<0.01). The differences of total score and dimension score between the control and schizophrenia groups and the control and mood disorder groups were statistically significant (all P values<0.01) respectively. However, the difference of total score and dimension score between the mood disorder group and schizophrenia group was not statistically significant (all P values>0.01). The differences of total score and dimension score between the two sub-groups of mood disorder group and the two sub-groups of schizophrenia group were statistically significant (all P values<0.01), respectively. Conclusion Schizophrenia and mood disorders patients have lower levels of social support and utilization of support than normal people. The more episodes, the poor social supports.

Key words: Social Support Rating Scale(SSRS), mental disorders, case control study

中图分类号:

R749

翟倩, 胡昌清, 杨丽, 张国富, 王晶晶, 刘敏. 社会支持情况与精神障碍相关性研究[J]. 首都医科大学学报, 2018, 39(5): 646-650.

Zhai Qian, Hu Changqing, Yang Li, Zhang Guofu, Wang Jingjing, Liu Min. A study on the correlation about social supports and mental disorders[J]. Journal of Capital Medical University, 2018, 39(5): 646-650.

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社会支持情况与精神障碍相关性研究

A study on the correlation about social supports and mental disorders

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