精神分裂症患者与正常人自尊水平的对照研究

doi:10.3969/j.issn.1006-7795.2022.02.022

摘要/Abstract

摘要： 目的比较精神分裂症患者与正常人群自尊水平的差异,探讨精神分裂症患者自尊水平与症状的关系。方法采用Rosenberg自尊量表(Rosenberg Self-esteem Scale, RSES)及阳性和阴性症状量表(Positive and Negative Syndrome Scale, PANSS),对90例精神分裂症患者及30例正常对照人群的自尊水平及症状进行评估。结果精神分裂症患者与正常对照人群进行组间的比较,两组间在总分和正性因子得分比较,差异无统计学意义(总分P>0.05,正因子得分P>0.05),两组间在负性因子得分比较,差异有统计学意义(P<0.05);Rosenberg量表总分与精神分裂症的概念紊乱症状有显著相关性(P<0.05),正性因子分与概念紊乱、兴奋、夸大症状评分有显著相关性(P<0.05),负性因子分与兴奋及刻板思维症状评分有显著的相关性(P<0.05)。结论精神分裂症患者与正常人群的自尊总体水平差异无统计学意义,但是自尊成分与正常人群差异有统计学意义,体现在负性自尊水平高于正常人。精神分裂症患者自尊水平与概念紊乱症状有显著的相关性。

关键词: 精神分裂症, 自尊水平, 相关性

Abstract: Objective To compare the difference of self-esteem between schizophrenic patients and normal population, and to explore the relationship between self-esteem and symptoms in schizophrenic patients. Methods Totally 90 schizophrenic patients and 30 normal controls were evaluated by Rosenberg Self-esteem Scale and Positive and Negative Syndrome Scale (PANSS). Results There was no significant statistical difference in total score and positive factor score between the two groups (total score P>0.05, positive factor score P>0.05), but there was significant statistical difference in negative factor score between the two groups (P<0.05).The total score of Rosenberg Scale was significantly correlated with the symptoms of concept disorder (P<0.05), the positive factor score was significantly correlated with the scores of concept disorder, excitability and exaggerated symptoms (P<0.05), and the negative factor score was significantly correlated with the scores of excitability and stereotypical thinking symptoms (P<0.05). Conclusion There is no difference in the overall level of self-esteem between schizophrenics and the normal population, but there is difference in the self-esteem component, which is reflected in the higher level of negative self-esteem than the normal population. There was significant correlation between the level of self-esteem and the symptoms of concept disorder.

Key words: schizophrenia, self-esteem, correlation

中图分类号:

R749.3

郭城伟, 周娇娇, 冯媛, 杨蕴萍. 精神分裂症患者与正常人自尊水平的对照研究[J]. 首都医科大学学报, 2022, 43(2): 294-298.

Guo Chengwei, Zhou Jiaojiao, Feng Yuan, Yang Yunping. A comparative study of self esteem between schizophrenics and normal people[J]. Journal of Capital Medical University, 2022, 43(2): 294-298.

参考文献

[1] 沈渔邨. 精神病学[M]. 4版. 北京:人民卫生出版社, 2006.
[2] Bottlender R, Strauss A, Möller H J. Social disability in schizophrenic, schizoaffective and affective disorders 15 years after first admission[J]. Schizophr Res, 2010, 116(1): 9-15.
[3] Barrowclough C, Tarrier N, Humphreys L, et al. Self-esteem in schizophrenia: relationships between self-evaluation, family attitudes, and symptomatology[J]. J Abnorm Psychol, 2003, 112(1): 92-99.
[4] Wittorf A, Wiedemann G, Buchkremer G, et al. Quality and correlates of specific self-esteem at the beginning stabilisation phase of schizophrenia[J]. Psychiatry Res, 2010, 179(2): 130-138.
[5] Bowins B, Shugar G. Delusions and self-esteem[J]. Can J Psychiatry, 1998, 43(2): 154-158.
[6] 王娜, 李占江, 郭志华, 等. 伴有被害妄想的精神分裂症患者症状归因风格研究[J]. 临床精神医学杂志, 2016, 26(6): 376-379.
[7] 张倬秋, 范瑜, 鲜玉霞. 不同管理模式的康复期精神分裂症患者自尊调查[J]. 现代预防医学, 2011, 38(13): 2533-2534.
[8] Bentall R P, Corcoran R, Howard R, et al. Persecutory delusions: a review and theoretical integration[J]. Clin Psychol Rev, 2001, 21(8): 1143-1192.
[9] Humphreys L, Barrowclough C. Attributional style, defensive functioning and persecutory delusions: symptom-specific or general coping strategy?[J]. Br J Clin Psychol, 2006, 45(Pt 2): 231-246.
[10] Bentall R P, Kinderman P, Kaney S. The self, attributional processes and abnormal beliefs: towards a model of persecutory delusions[J]. Behav Res Ther, 1994, 32(3): 331-341.
[11] García-Mieres H, Lundin N B, Minor K S, et al. A cognitive model of diminished expression in schizophrenia: the interface of metacognition, cognitive symptoms and language disturbances[J]. J Psychiatr Res, 2020, 131: 169-176.
[12] 熊祖伦, 常荷, 董毅, 等. 精神分裂症患者自我面孔识别能力与自我接纳、自我效能及自尊的相关性[J]. 临床精神医学杂志, 2012, 22(6): 368-371.
[13] American Psychiatric Association DSM-Task Force Arlington VA US. Diagnostic and statistical manual of mental disorders: DSM-5 (5th ed.)[J]. Codas, 2013, 25(2):191.
[14] 陈菲菲, 毕重增, 韩梦霏. 中文版Rosenberg积极自尊量表的信效度检验[J]. 心理学进展, 2015, 5(9): 531-535.
[15] Kay S R, Fiszbein A, Opler L A. The positive and negative syndrome scale (PANSS) for schizophrenia[J]. Schizophr Bull, 1987, 13(2): 261-276.
[16] 司天梅, 舒良, 党卫民,等. 简明国际神经精神访谈中文版的临床信效度[J]. 中国心理卫生杂志, 2009, 23(7):6.
[17] 曹芳, 刘美红. 精神分裂症患者的社会功能恢复及护理对策[J]. 心理医生, 2016, 22(5): 10- 11.