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农村地区精神障碍患者的病耻感及相关因素

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目的:探讨农村地区精神障碍患者的病耻感及相关因素.方法:纳入454 例农村精神障碍患者,其中精神分裂症364 例,双相情感障碍51 例,抑郁症39 例.研究不同精神障碍的病耻感评分情况,并进行病耻感的影响因素分析.结果:患者的病耻感评分为(77.25±13.56)分,高病耻感组253 例,低病耻感组201 例.精神分裂症患者的评分高于抑郁症患者,抑郁症患者的评分高于双相情感障碍患者(P<0.05).单因素分析结果显示,不同病耻感水平患者的疾病诊断、家庭收入水平、工作能力、社会支持评分、社会功能评分的数据差异有统计学意义(P<0.05).多因素分析结果显示,患者的疾病诊断、家庭收入水平、工作能力、社会支持评分、社会功能评分是患者病耻感的影响因素(P<0.05).结论:农村地区精神障碍患者具有一定的病耻感水平,多种因素与该类患者的病耻感水平相关.
Stigma and related factors in patients with mental disorders in rural areas
Objective:To explore the stigma and related factors of patients with mental disorders in rural areas.Method:454 patients with mental disorders were selected in rural areas,using a multilevel sampling method,including 364 patients with schizophrenia,51 patients with bipolar disorder,and 39 patients with depres-sion.Describe the stigma score of patients with different disease diagnoses.Single factor analysis and multivari-ate analysis were used to evaluate stigma in these patients.Results:The score of stigma for all investigated patients with mental disorders was(77.25±13.56),with 253 people in the high stigma group and 201 people in the low stigma group.The scores of schizophrenia patients were higher than those of depression patients,while the scores of depression patients were higher than those of bipolar disorder patients(P<0.05).The results of univariate analysis showed that there were statistically significant differences in data on disease diagnosis,family income level,work ability,social support scores,and social function scores among patients with different levels of stigma(P<0.05).The results of multivariate analysis showed that the patient's disease diagnosis,family in-come level,work ability,social support score,and social function score were multivariate analyses of the stigma of patients with mental disorders in rural areas(P<0.05).Conclusion:Patients with mental disorders in ru-ral areas have a certain level of stigma,and many factors are related to the level of stigma of such patients.R

rural areasmental disordersstigmaschizophrenia

彭玫、陈思宇、刘红英、杨群、罗茜元、叶泽文

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637770 四川省南充市身心医院

农村地区 精神障碍 病耻感 精神分裂症

四川省基层卫生事业发展研究中心项目

SWFZ22-C-98

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(3)