首页|精神分裂症患者言语性幻听与其自杀观念的相关性研究

精神分裂症患者言语性幻听与其自杀观念的相关性研究

扫码查看
目的:研究和分析精神分裂症患者言语性幻听与其自杀观念的相关性.方法:纳入我院2021 年2 月至2022 年1 月78 例精神分裂症患者,根据其是否存在言语性幻听分为言语性幻听组(42 例)和无言语性幻听组(36 例);根据患者有无自杀观念分为自杀观念组(45 例)和无自杀观念组(33 例),采用精神症状评定量表-幻听分量表(PSYRATS-AH)进行评估,对比两组患者的认知解释、情绪特征、权威信念、恶意信念、抵抗幻听等言语性幻听5 个维度的分值,并分析其与自杀观念的相关性.结果:言语性幻听组患者有自杀观念率显著高于无言语性幻听组(P<0.05);自杀观念组患者认知解释、情绪特征、权威信念、恶意信念评分显著高于无自杀观念组,自杀观念组患者抵抗幻听评分显著低于无自杀观念组,差异均有统计学意义(P均<0.05);Pearson相关分析显示,精神分裂症患者言语性幻听与其自杀观念具有相关;多重线性回归分析显示,认知解释、情绪特征、权威信念、恶意信念4 个维度的言语性幻听分值与自杀观念评分呈正相关(P =0.035、0.044、0.038、0.042).结论:精神分裂症患者言语性幻听与其自杀观念具有密切的相关性,且精神分裂症患者言语性幻听的认知解释、情绪特征、权威信念、恶意信念等维度分值越高,其自杀观念越强烈.
A study on the correlation between speech hallucination and suicidal ideation in schizophrenic patients
Objective:To study and analyze the correlation between speech auditory hallucinations and suicidal ideation in patients with schizophrenia.Method:Seventy-eight patients with schizophrenia in our hospital from February 2021 to January 2022 were selected as the research subjects,and were divided into the speech-based auditory hallucinations group(42 cases)and the non-verbal auditory hallucinations group(36 ca-ses);the suicidal ideation group(45 cases)and the non-suicidal ideation group(33 cases).The cognitive in-terpretation,emotional characteristics,authoritative beliefs,malicious beliefs,and malicious beliefs between the two groups were compared.Resistance to auditory hallucinations and other verbal auditory hallucinations Psychi-atric Symptom Rating Scale-Auditory Hallucinations Subscale(PSYRATS-AH)assessment scores in five dimen-sions,and analyze its correlation with suicidal ideation.Results:The rates of suicidal ideation in the speech auditory hallucinations group were significantly higher than those in the speechless auditory hallucinations group(P<0.05).The scores of patients in the suicidal ideation group were significantly lower than those in the non-suicidal ideation group,and the difference between the two groups was statistically significant(all P<0.05).Pearson correlation analysis showed that speech auditory hallucinations in schizophrenia patients were correlated with their suicidal ideation;multiple linear regression analysis showed that the scores of verbal auditory halluci-nations in 4 dimensions of cognitive interpretation,emotional characteristics,authoritative beliefs and malicious beliefs were positively correlated with the scores of suicidal ideation(P =0.035,0.044,0.038,0.042).Conclusion:Verbal auditory hallucinations in patients with schizophrenia are closely correlated with their sui-cidal thoughts,and the higher the scores of cognitive interpretation,emotional characteristics,authoritative be-liefs,and malicious beliefs of speech auditory hallucinations are,the stronger their suicidal thoughts will be.

schizophreniaverbal auditory hallucinationsuicide ideationrelevanceclinical research

杨亚芳、张崇丽、陈策

展开 >

325000 浙江省温州市第七人民医院精神科

精神分裂症 言语性幻听 自杀观念 相关性 临床研究

浙江省基础公益研究计划

LGF21H090003

2024

临床精神医学杂志
南京医科大学附属脑科医院

临床精神医学杂志

CSTPCD
影响因子:1.108
ISSN:1005-3220
年,卷(期):2024.34(2)
  • 18