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长期反复住院精神分裂症患者缓解期人格障碍的研究及与住院相关因素分析

  • 廖震华

* 通信作者: 廖震华, 单位:

摘要

摘要
目的 :探讨长期、多次住院精神分裂症患者缓解期人格障碍的研究及住院相关因素的分析。

方法:对长期住院的精神分裂症缓解期患者(研究组 67例)和正常人群(对照组62例)进行一般资料和人格障碍诊断问卷(PDQ-4+ )的调查,比较两组在人格障碍各因子分的差异及不同人格障碍的阳性发生率。对精神分裂症缓解期组,将人格障碍量表总分与患者的PANSS量表总分、年龄、发病年龄、住院次数、最长住院时间作相关分析,分析影响住院患者人格障碍的相关因素。

结果:研究组与对照组在分裂样量表分存在显著差异(P均〈0.001〉,在反社会型、依赖型量表分上存在统计学意义的差异(P〈0. 05)。相关分析表明患者PDQ-4+量表总分与患者的最长住院时间呈显著正相关(P〈0. 05),患者的PANSS量表总分与患者最长的住院时间呈显著负相关(P〈0.01)。

结论:分裂样、反社会型、依赖型人格障碍与长期住院的精神分裂症缓解期患者的人格特点有一定的联系。患者的人格障碍越严重,住院治疗的时间可能越长。

关键词:长期住院;精神分裂症缓解期;人格障碍;最长住院时间

ABSTRACT

Abstract
Objective: To investigate the personality disorder and the related factors in patients with schizophrenia in remission stage.

Methods: the spirit of long-term hospitalized schizophrenia to alleviate the patients (Study Group (67 cases) and normal controls (control group, n = 62) of general information and personality disorder diagnosis questionnaire (PDQ-4 +) survey and compared between the two groups in all factors of personality disorders, different personality disorder positive incidence. The spirit of schizophrenia remission group, personality disorder table between the patients and the total score of PANSS scale score, age, age of onset, times of hospitalization, the length of time correlation analysis, analysis of the impact of hospital related factors of patients with personality disorders.

Results: there were significant differences between the study group and the control group (P < 0.001 >, and there were significant differences in anti social and dependence scales (P < 0.05). Correlation analysis showed that the total score of patients with PDQ-4+ was significantly positively correlated with the longest length of stay (P < 0.05). The total score of PANSS was significantly negatively correlated with the longest length of stay (P < 0.01).

Conclusion  : there is a certain relationship between schizophrenia like, anti social personality disorder and personality characteristics of patients with long-term hospitalization. The more serious the patient's personality disorder, the longer the duration of hospitalization.

Key words: Long term hospitalization; remission of schizophrenia; personality disorder; the longest length of stay

引用本文 / How to Cite This Article

廖震华.长期反复住院精神分裂症患者缓解期人格障碍的研究及与住院相关因素分析[J]. 国际精神病学杂志, , (): -

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