| 刘丹丹,代佳利,王海娜,温美玲,张洋,毕洪生.混合式正念干预对稳定期精神分裂症患者病耻感及自尊水平的影响[J].四川精神卫生杂志,2024,37(5):414-419.Liu Dandan,Dai Jiali,Wang Haina,Wen Meiling,Zhang Yang,Bi Hongsheng,Effect of blended mindfulness intervention on stigma and self-esteem in stable schizophrenia patients[J].SICHUAN MENTAL HEALTH,2024,37(5):414-419 |
| 混合式正念干预对稳定期精神分裂症患者病耻感及自尊水平的影响 |
| Effect of blended mindfulness intervention on stigma and self-esteem in stable schizophrenia patients |
| 投稿时间：2023-04-09 |
| DOI：10.11886/scjsws20230409001 |
| 中文关键词: 精神分裂症 病耻感 正念 自尊 |
| 英文关键词:Schizophrenia Stigma Mindfulness Self-esteem |
| 基金项目:黑龙江省卫生健康委科研项目（项目名称：混合式正念训练对康复期精神分裂症患者心理弹性、自尊、自我效能及病耻感的影响，项目编号：20220303090993） |
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| 中文摘要: |
| 背景 精神分裂症患者具有较高的病耻感及较低的自尊水平，严重影响患者的康复。正念干预是减少其病耻感、提升自尊水平的有效方法之一，但传统的正念干预需要较高的治疗费用和长时间的专业人员投入。目的 探讨混合式正念干预对稳定期精神分裂症患者病耻感及自尊水平的影响，以期为降低其病耻感、提高其自尊水平、促进患者康复提供参考。方法 选取2022年6月—2023年1月在大庆市第三医院门诊就诊的、符合《国际疾病分类（第10版）》（ICD-10）精神分裂症诊断标准且目前处于稳定期的患者为研究对象（n=84）。采用随机数字表法分为研究组和对照组各42例。两组均接受第二代抗精神病药物治疗，研究组在此基础上接受为期8周、每周3次、每次45~60 min的混合式正念干预。两组患者于基线期及干预8周后，采用五因素正念量表（FFMQ）、精神疾病内在病耻感调查表（ISMI）和罗森伯格自尊量表（RSES）进行评定。采用协方差分析比较两组干预8周后FFMQ、ISMI和RSES评分。结果 干预8周后，两组FFMQ总评分、观察分量表评分、觉知地行动分量表评分、不判断分量表评分、不反应分量表评分比较，差异均有统计学意义（F=50.680、12.952、13.567、22.799、14.043，P均<0.01），ISMI总评分及疏远因子评分、刻板认同因子评分、歧视经历因子评分、病耻感抵抗因子评分、社会退缩因子评分比较，差异均有统计学意义（F=513.125、148.990、125.055、75.996、154.850、54.125，P均<0.01），RSES评分比较，差异有统计学意义（F=19.478，P<0.01）。结论 混合式正念干预可能有助于提升稳定期精神分裂症患者的正念水平及自尊水平，减轻其病耻感。 |
| 英文摘要: |
| Background Schizophrenia patients often face high level of stigma and low level of self-esteem， significantly hindering their recovery. Mindfulness-based intervention has proven be effective in reducing stigma and improving self-esteem. However， traditional mindfulness intervention typically involve high costs and require long-term professional involvement.Objective To explore the effects of blended mindfulness interventions on stigma and self-esteem in patients with stable schizophrenia， so as to provide references for reducing stigma， enhancing self-esteem and promoting recovery.Methods Patients receiving outpatient treatment at the Third Hospital of Daqing from June 2022 to January 2023， who met the diagnostic criteria for schizophrenia in the International Classification of Diseases， tenth edition （ICD-10） and were in a stable phase， were recruited for the study （n=84）. According to the random number table method， participants were randomly assigned to study group and control group， with 42 cases in each group. Both groups received treatment with the second-generation antipsychotic medications， while the study group additionally received blended mindfulness intervention for 8 weeks， with sessions lasting 45~60 minutes， three times a week. Both groups were evaluated with Five Facet Mindfulness Questionnaire （FFMQ）， Internalized Stigma of Mental Illness Inventory （ISMI） and Rosenberg Self-Esteem Scale （RSES） at baseline and after 8-week intervention. Covariance analysis was used to compare the FFMQ， ISMI and SES scores between two groups after 8-week intervention.Results After 8-week intervention， there were statistically significant differences between two groups in total FFMQ scores， as well as in the observation， acting with awareness， non-judgment and non-reactivity subscale scores （F=50.680， 12.952， 13.567， 22.799， 14.043， P<0.01）. Statistically significant differences were observed in total ISMI scores， and in the alienation， stereotype endorsement， discrimination experience， stigma resistance and social withdrawal subscale scores （F=513.125， 148.990， 125.055， 75.996， 154.850， 54.125， P<0.01）. The difference in RSES scores between two groups was also statistically significant （F=19.478， P<0.01）.Conclusion Blended mindfulness intervention may help improve the mindfulness and self-esteem in stable schizophrenia patients while reducing stigma. ［Funded by Research Project of Heilongjiang Provincial Health Commission （number， 20220303090993）］ |
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