四川精神卫生2024，Vol.37Issue(5)：414-419,6.DOI:10.11886/scjsws20230409001
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
摘要
Abstract
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.关键词
精神分裂症/病耻感/正念/自尊Key words
Schizophrenia/Stigma/Mindfulness/Self-esteem分类
临床医学引用本文复制引用
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,2024,37(5):414-419,6.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) Funded by Research Project of Heilongjiang Provincial Health Commission(number,20220303090993) （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）
