摘要
目的探讨强制干预对精神障碍患者的心理影响及其应对方式。方法对预住院的精神障碍患者均进行焦虑自评量表(SAS)、抑郁自评量表(SDS)评定,入院后对接受强制干预的200例患者分别进行SAS、SDS、简易应对方式问卷(SCSQ)及胁迫体验问卷(CES)评定。结果患者经历强制干预后SAS和SDS评分均高于入院前(P<0.05)。入组患者SCSQ积极应对维度评分低于全国常模(P<0.01),消极应对维度评分高于全国常模(P<0.01)。不同性别、年龄、文化程度的患者应对方式比较差异均有统计学意义(P<0.05)。相关性分析结果显示,CES耻辱感、人际分离、害怕、胁迫与SCSQ积极应对呈负相关(P<0.05),CES耻辱感、人际分离、负性环境、害怕、胁迫与SCSQ消极应对呈正相关(P<0.05)。回归分析结果显示,性别、年龄和文化程度均是应对方式的影响因素(P<0.05)。结论强制干预会在一定程度上导致患者出现胁迫体验,应尽量减少强制性干预。
Objective To explore the psychological impact of compulsory intervention on patients with mental disorders and their coping styles.Methods Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)were used to evaluate the pre-hospitalized patients.After admission,SAS,SDS,Simplified Coping Style Questionnaire(SCSQ)and Coerced Experience Scale(CES)were used to evaluate 200 patients receiving compulsory intervention.Results The total scores of SAS and SDS increased significantly after the compulsory intervention compared with those before admission(P<0.05).The factor score of positive coping style of SCSQ was significantly lower than the national norm(P<0.01),and the factor score of negative coping style was significantly higher than the national norm(P<0.01).The inpatients with different genders,ages and educational levels showed different coping styles(P<0.05).The correlation analysis showed that the factor scores of stigma,interpersonal separation,fear and coercion of CES were negatively correlated with positive coping style of SCSQ(P<0.05),and factor scores of stigma,interpersonal separation,negative environment,fear and coercion were positively correlated with negative coping style of SCSQ(P<0.05).The regression analysis showed that gender,age and educational level were influence factors for coping styles(P<0.05).Conclusion Compulsory intervention will lead to patients’coercion experience to a certain extent,so it should be reduced as far as possible.
作者
谷雪媛
满晔
张伟
GU Xueyuan;MAN Ye;ZHANG Wei(The Forth People’s Hospital of Liaocheng City, Liaocheng 252000, China)
出处
《精神医学杂志》
2021年第2期150-153,共4页
Journal of Psychiatry
关键词
精神障碍患者
强制干预
胁迫体验
心理影响
应对方式
Psychiatric patients
Compulsory intervention
Coercion experience
Psychological influence
Coping style
