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目的了解精神障碍患者发病对其配偶心理状况的影响,为患者配偶实施心理干预提供依据。方法采用抑郁自评量表(SDS)、焦虑自评量表(SAS)对68例患者的配偶在患者入院及出院时进行问卷调查。结果精神障碍患者配偶在患者症状活跃期及缓解期SAS、SDS评分均显著高于国内常模(活跃期:t男SDS=3.14、t男SAS=2.85,P<0.05;t女SDS=4.80、t女SAS=4.57,P<0.01;缓解期:t男SDS=2.40、t男SAS=2.65,P<0.05;t女SDS=3.17,P<0.05;t女SAS=3.98,P<0.01),复发组患者配偶评分显著高于首发组(tSDS=2.14、tSAS=1.89,P<0.05),稳定的经济来源也是影响精神障碍患者配偶焦虑的一个重要原因(tSAS=2.77、P<0.05)。结论精神障碍患者配偶心理问题的存在,不仅影响了自身的心理健康,还对患者康复带来一定影响。
Objective To understand the impact of the onset of mental disorders on the spouse’s psychological status and to provide evidence for the psychological intervention of patients’ spouses. Methods Self-Rating Depression Scale (SDS) and Self-rating Anxiety Scale (SAS) were used to survey the spouses of 68 patients on admission and discharge. Results SAS and SDS scores of spouses of patients with mental disorders were significantly higher than those of the national norm in the active and remission stages (active stage: t male SDS = 3.14, t male SAS = 2.85, P <0.05; t female SDS = 4.80, SAS = 4.57, P <0.01; remission: t male SDS = 2.40, t male SAS = 2.65, P <0.05; t female SDS = 3.17, P <0.05; t female SAS = 3.98, P <0.01) The spouse score was significantly higher in the relapse group than in the initial group (tSDS = 2.14, tSAS = 1.89, P <0.05). The stable source of income was also an important factor affecting the spouse anxiety in patients with mental disorders (tSAS = 2.77, P <0.05). Conclusions The existence of spouse psychological problems in patients with mental disorders not only affects their own mental health, but also affects patients’ rehabilitation.