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稳定期精神分裂症患者孤独感与被动自杀意念的相关性OA

Correlation analysis between loneliness and passive suicidal ideation in stable schizophrenia patients

中文摘要英文摘要

目的:探讨稳定期精神分裂症患者的孤独感与被动自杀意念的相关性.方法:采用孤独感自评量表(UCLA Loneliness Scale,UCLA)、简明国际神经精神访谈中文版自杀分量表(The suicide subscale of the Chinese version of Mini-International N europsychiatric Interview,MINI)和自制的一般情况调查量表,对在某心理卫生医院确诊为精神分裂症的208例患者进行调查分析.结果:208名稳定期精神分裂症患者中175例被动自杀意念呈阳性(84.13%);单因素分析发病情况(t=-2.434,P<0.05)、病程(F=18.821,P<0.001)、累计住院年数(F=13.776,P<0.001)是稳定期精神分裂症患者被动自杀意念的影响因素;相关系数分析结果显示年龄与被动自杀意念呈现正相关(r=0.322,P<0.001)、孤独感与被动自杀意念呈现正相关(r=0.565,P<0.001);多元回归分析结果显示累计住院年数(β=1.620,P<0.05)和孤独感(β=0.408,P<0.001)是稳定期精神分裂症被动自杀意念的独立影响因素,差异具有统计学意义.结论:孤独感和累计住院年数是稳定期精神分裂症患者产生被动自杀意念的独立影响因素;稳定期精神分裂症患者孤独感越高,其被动自杀意念越强.

Objective:To investigate the correlation between loneliness and passive suicidal ideation in patients with stable schizophrenia.Methods:The suicide subscale of the Chinese version of the Mini-International Neuropsychiat-ric Interview(MINI)and the self-made General Questionnaire were used by UCLA Loneliness Scale(UCLA Chi-nese),the suicide subscale of the version of the Mini-International Neuropsychiatric Interview(MINI)and the self-made General Situation Survey Scale.A survey and analysis of 208 patients with stable schizophrenia diagnosed with schizophrenia in the Mental Health Hospital of the Second Affiliated Hospital of Shenyang Medical College was in-vestigated.Results:Among 208 patients with stable schizophrenia,175 cases(84.13%)had positive passive suicidal i-deation.Univariate analysis showed that the incidence(t=-2.434,P<0.05),course of disease(F=18.821,P<0.001),and cumulative number of years of hospital stay(F=13.776,P<0.001)were the influencing factors of pas-sive suicidal ideation in patients with stable schizophrenia,and the correlation coefficient analysis showed that age was positively correlated with passive suicidal ideation(r=0.322,P<0.001),and loneliness was positively correlated with passive suicidal ideation(r=0.565,P<0.001),and the results of multiple regression analysis showed that the cumulative number of years of hospital stay(β=1.620,P<0.05)and loneliness(β=0.408,P<0.001)were independ-ent influencing factors of passive suicidal ideation in stable schizophrenia.Conclusion:Loneliness and cumulative hos-pitalization are independent influencing factors of passive suicidal ideation in patients with stable schizophrenia.The higher the loneliness of patients with stable schizophrenia,the stronger their passive suicidal ideation.

施春阳;张刚;解尧;于晓童;吴桐;张婉莹;薛慧英

沈阳医学院研究生院 110034||沈阳医学院附属第二医院精神心理科沈阳医学院附属第二医院精神心理科沈阳医学院研究生院 110034

基础医学

精神分裂症孤独感被动自杀意念精神卫生

SchizophreniaLonelinessPassive suicidal ideationMental health

《中国健康心理学杂志》 2024 (002)

198-203 / 6

沈阳市科技计划课题(编号:17-230-9-74)

10.13342/j.cnki.cjhp.2024.02.008

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