| 傅育敏,吴冬梅,杨蕾,唐以薰,何昌九,岳玉川.精神障碍患者及家属病耻感与主观幸福感的相关性[J].四川精神卫生杂志,2021,34(5):448-453.Fu Yumin,Wu Dongmei,Yang Lei,Tang Yixun,He Changjiu,Yue Yuchuan,Correlation between stigma and subjective well-being of patients with mental disorders and their matched family members[J].SICHUAN MENTAL HEALTH,2021,34(5):448-453 |
| 精神障碍患者及家属病耻感与主观幸福感的相关性 |
| Correlation between stigma and subjective well-being of patients with mental disorders and their matched family members |
| 投稿时间：2021-03-31 |
| DOI：10.11886/scjsws20210331001 |
| 中文关键词: 精神障碍 患者 家属 病耻感 主观幸福感 |
| 英文关键词:Mental disorders Patients Family members Stigma Subjective well-being |
| 基金项目:四川省科技厅项目（项目名称：基于隐马尔可夫模型的精神分裂症患者攻击发展分类及预测研究（面上），项目编号：2018JY0306）；四川省护理科研课题计划项目（项目名称：成都市精神康复资源现状与对策分析，项目编号：H20006） |
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| 中文摘要: |
| 目的 了解精神障碍患者及其共同居住家属的病耻感与主观幸福感现状，分析其相关性，并探索同一家庭中患者及其家属主观幸福感受病耻感影响的差异。方法 选取2019年10月-11月在成都市某三甲精神专科医院门诊就诊的精神障碍患者（n=154）及其家属（n=154）为研究对象，采用自编人口学资料调查表、自编精神疾病相关资料调查表、简明版精神疾病内在病耻感量表（ISMI-10）及幸福感指数量表（IWB）进行评定。结果 共有118名（76.62%）精神障碍患者和151名（98.05%）家属存在病耻感。家属ISMI-10总评分及各因子评分均高于患者（P均<0.01），IWB总评分及各因子评分均低于患者（P均<0.01）；Pearson相关分析显示，患者及家属ISMI-10总评分与IWB总评分均呈负相关（r=-0.600、-0.202，P<0.05或0.01）。多元线性回归分析显示，在控制精神障碍患者人口学及疾病相关变量后，回归模型拟合较好（校正R2=0.457），模型具有统计学意义（F=26.746，P<0.01）。精神障碍患者家属回归模型拟合较差（校正R2=0.035），在控制家属人口学变量后，模型具有统计学意义（F=3.769，P<0.01）。结论 精神障碍患者的病耻感水平低于其家属，而主观幸福感高于家属。患者及家属的病耻感与主观幸福感密切相关。精神障碍患者病耻感是主观幸福感的重要影响因素。 |
| 英文摘要: |
| Objective To understand the status of stigma and subjective well-being of patients with mental disorders and co-resident family members， to analyze the correlation between them， and to compare the impact of stigma upon the subjective well-being of patients and family members of the same household.Methods Patients with mental disorders （n=154） and their families （n=154） who visited the outpatient department of a tertiary psychiatric hospital in Chengdu from October to November 2019 were selected， and four instruments were used for collecting the data， including self-designed demographic information questionnaire， self-designed disease-related information questionnaire， brief version of Internalized Stigma of Mental Illness Scale （ISMI-10） and Index of Well-Being Scale （IWB）.Results A total of 118 （76.62%） patients with mental disorders and 151 （98.05%） family members experienced stigma. The total score and each factors score in ISMI-10 of family members were higher than those of patients （P<0.01）， and the total score and each dimension score in IWB were lower than those of patients （P<0.01）. Pearson correlation analysis showed that ISMI-10 total score of patients and family members was negatively correlated with IWB total score （r=-0.600，-0.202， P<0.05 or 0.01）. After controlling demographic and disease-related variables， multiple linear regression analysis showed that the regression model of mental disorder patients achieved good fit effect （adjusted R2=0.457）， with statistical significance （F=26.746， P<0.01）， while the regression model of co-living family members was lack of fit （adjusted R2=0.035）. After controlling for family demographic variables， the model was at the statistical level （F=3.769， P<0.01）.Conclusion Mental disorder patients have low illness stigma and high subjective well-being， whereas the opposite is true for family members. Moreover， there is a negative relationship between stigma and subjective well-being for both patients and family members， stigma is a significant factor affecting subjective well-being for people with mental disorders. |
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