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精神分裂症临床特征及影响因素

赵来田 黄悦勤 黄俊捷 刘肇瑞 张婷婷 王帅 陈燕 常乐 徐小红 储文革

广西医科大学学报2024,Vol.41Issue(3):328-336,9.
广西医科大学学报2024,Vol.41Issue(3):328-336,9.DOI:10.16190/j.cnki.45-1211/r.2024.03.002

精神分裂症临床特征及影响因素

Clinical characteristics and influencing factors of schizophrenia

赵来田 1黄悦勤 2黄俊捷 2刘肇瑞 2张婷婷 2王帅 1陈燕 1常乐 1徐小红 1储文革1

作者信息

  • 1. 铜陵市第三人民医院,铜陵 244000
  • 2. 北京大学第六医院 北京大学精神卫生研究所 国家卫生健康委员会精神卫生学重点实验室[北京大学] 国家精神心理疾病临床医学研究中心[北京大学第六医院],北京 100083
  • 折叠

摘要

Abstract

Objective:To investigate the clinical characteristics and related influencing factors of schizophrenia.Methods:A total of 630 patients with schizophrenia in a Secondary Grade A psychiatric hospital in Tongling were recruited using convenience sampling method.Mini International Neuropsychiatric Interview(MINI),Clini-cian-Rated Dimensions of Psychosis Symptom Severity(CRDPSS)and Positive and Negative Syndrome Scale(PANSS)were used for diagnosis and assessment.Analysis of variance,Pearson correlation analysis and multiple linear regression were conducted with SAS 9.4 software for statistical analysis.Results:Patients with schizophre-nia who had different clinical characteristics showed variations in CRDPSS(F=22.46,P<0.01)and PANSS(F= 7.99,P<0.01)total scores.Patients with persistent deterioration had the highest total CRDPSS score(11.88±4.16)and PANSS score(75.63±23.95).Factors including age,sex,education level,family size,waist-to-hip ratio,marital status,working status,smoking,age of first diagnosis,age of first treatment,total number of schizophre-nia episodes,total number of hospitalizations,number of drug withdrawals,onset patterns and disease courses were associated with the total score of CRDPSS scale and PANSS scale,and with their every dimension score.Conclusion:Patients with schizophrenia with persistent deterioration have more severe symptoms.Waist-to-hip ratio,average daily cigarette smoking,number of drug withdrawals,total number of hospitalizations,and chronic onset are risk factors for severe symptoms in patients with schizophrenia.

关键词

精神分裂症/危险因素/简明国际神经精神访谈/精神症状维度评定量表/阳性与阴性症状量表

Key words

schizophrenia/risk factor/mini international neuropsychiatric interview/clinician-rated dimensions of psychosis symptom severity/positive and negative syndrome scale

分类

医药卫生

引用本文复制引用

赵来田,黄悦勤,黄俊捷,刘肇瑞,张婷婷,王帅,陈燕,常乐,徐小红,储文革..精神分裂症临床特征及影响因素[J].广西医科大学学报,2024,41(3):328-336,9.

基金项目

国家重点研发计划(No.2017YFC0907800) (No.2017YFC0907800)

广西医科大学学报

OACSTPCD

1005-930X

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