心理健康教育多元家庭治疗对精神分裂症患者家属负担情况的影响

Abstract
Figure/Table
References (25)
Related Citation (15)

Download: PDF (642 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the effect of psycho-educational multifamily group (PMFG) therapy on family burden of patients with schizophrenia. Methods In June 2015, 200 patients with severe mental disorder in rural areas managed by hospitals of towns and villages in Hengshui City of Hebei Province were randomly selected, and 73 patients with schizophrenia were confirmed after re-examination diagnosis and exclusion. They were divided into research group and control group by random number table method, with 36 cases in the research group and 37 cases in the control group. All patients in two groups were systematically terated with antipsychotic drugs, the research group was given the model of PMFG, the control group was given conventional pattern of community management administrative intervention. The family burden of the two groups was assessed by using symptom checklist 90 (SCL-90), family burden interview schedule (FBIS) and social support revalued scale (SSRS). Results The negative rates of family financial burden, home entertainment and physical health of family members in the FBIS of the research group were significantly higher than those of the control group, the differences were statistically significant (P < 0.05 or P < 0.01). After intervention, all the scores of SCL-90 of the research group were lower than the national norm, and the scores of depression and hostility factors of the research group were lower than the national norm (P < 0.05), the scores of compulsion, interpersonal relationship, anxiety and psychiatric factors of the research group were significantly lower than the national norm (P < 0.01). After intervention, among all factors of SCL-90, the scores of compulsion, hostility and psychiatric factors of the research group were significantly lower than those of the control group (P < 0.05). The scores of somatization, interpersonal relationship, depression, anxiety, terror and paranoia of the research group were significantly lower than those of the control group (P < 0.01). The total score of the SSRS of the research group was higher than that of the control group, the difference was statistically significant (P < 0.05). Conclusion PMFG can reduce the residual symptoms of patients with mental illness, at the same time, it can improve the family function of the families of mental illness patients, reduce the psychological pressure of the families of the patients and improve their quality of life.

Key words： Psycho-educational multifamily group Schizophrenia Family burden Quality of life

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	QIAO Yunshuan ZHANG Shiqiao▲ CUI Weidong LI Jing

Cite this article:

QIAO Yunshuan ZHANG Shiqiao▲ CUI Weidong LI Jing. Effects of psycho-educational multifamily group therapy on family burden of patients with schizophrenia[J]. 中国医药导报, 2018, 15(32): 109-113.

URL:

http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2018/V15/I32/109

[1] 12地区精神疾病流行学调查协作组.国内12地区精神疾病流行学调查的方法学及资料分析[J].中华神经精神科杂志，1986，19（1）：65-67.
[2] 张维熙，沈渔邮，李淑然，等.中国七地区精神疾病流行病学调查[J].中华精神科杂志，1998，31（2）：69-71.
[3] 翟金国，赵靖平，陈晋东，等.精神分裂症愚者的家庭负担研究[J].上海精神医学，2006，18（4）：233-235.
[4] 郑银佳，麦家铭，周燕玲，等.精神分裂症患者家庭负担影响因素的研究进展[J].四川精神卫生，2015，28（4）：306-309.
[5] 李勇洁，徐江玲，惠学健，等.精神分裂症和双相障碍患者的家庭负担调查分析[J].中国健康心理学杂志，2014， 22（10）：1468-1470.
[6] 王勇，李忠玲，崔亚男.120例精神分裂症患者父母心理状态分析[J].中国现代医生，2008，46（11）：69-70.
[7] 韦盛中，唐全胜.精神疾病家庭负担影响因素研究现状[J].临床心身疾病杂志，2010，16（6）：569-571.
[8] 孔霞，高燕，翟金国，等.精神分裂症和抑郁症患者的家庭负担对照研究[J].中华脑科疾病与康复杂志：电子版，2013，3（3）：165-168.
[9] 董景五.疾病和有关健康问题的国际统计分类：ICD-10（第1卷）[M].北京：人民卫生出版社，2008.
[10] 杜立哲，孙利华.精神分裂症的经济负担研究[J].中国慢性病预防与控制，2013，21（5）：621-623.
[11] 易焕文，黎华柱，郭美萍.216例精神分裂症患者的家庭负担调查分析[J].广东医学院学报，2016，34（2）：172-174.
[12] 中华人民共和国国家卫生健康委员会.重性精神疾病管理治疗工作规范（2012年版）[S].卫疾控发〔2012〕20号.
[13] 马晓倩，刘浉妍，罗兴伟，等.心理健康教育多元家庭治疗模式在重性精神疾病中的应用及进展[J].中国临床心理学杂志，2015，23（2）：372-377.
[14] 华文球，张程赪，覃宗厚.精神分裂症患者家庭负担状况调查[J].临床心身疾病杂志，2008，14（3）：214-215.
[15] 李培轩，蔡旭明，阮洪梅，等.住院精神分裂症患者家庭负担调查研究[J].西部医学，2012，24（12）：2276-2279.
[16] 童辉杰.SCL-90量表及其常模20年变迁之研究[J].心理科学，2010，33（4）：928-930，921.
[17] 王征宇.症状自评量表（SCL-90）[J].上海精神医学，1984（2）：68-705
[18] 肖水源.《社会支持评定量表》的理论基础与研究应用[J].临床精神医学杂志，1994，4（2）：98-100
[19] 崔健，李遵清.精神分裂症患者家属家庭危机应对能力与社会支持的相关性研究[J].中国民康医学，2013，25（24）：9-10.
[20] 陈良虎，汪燕，姚琳，等.上海郊区首发精神分裂症住院患者家庭负担及家属心理健康状况与患者自知力的关系[J].中国健康心理学杂志，2017，25（8）：1134-1138.
[21] 梁先锋，赵桂霞，虞与庆.分裂症患者家属情绪障碍的心理干预[J].中国心理卫生杂志，1999，13（2）：126.
[22] 杨莉.对精神障碍患者亲属综合性心理干预效果测评[J].中国心理卫生杂志，2002，16（9）：645-646.
[23] 王海龙，金洪民，白明，等.社区精神分裂症患者康复期需求与患者家庭负担的关系[J].中国健康心理学杂志，2016，24（7）：969-972.
[24] 于文军，胡纪泽.精神分裂症患者家属心理健康及其干预的研究进展[J].精神医学杂志，2010，23（1）：68-70.
[25] Hazel NA，McDonell MG，Short RA，et al. Impact of multi-ple-family groups for outpatients with schizophrenia on caregivers′ distress and resources [J]. Psychiatr Serv，2004， 55（1）：35-41.