中国临床心理学杂志

精神分裂症患者家属心理健康影响因素模型的构建

作者：孙玉成¹ 于文军² 徐文明³ 胡纪泽¹ 4 习萍² 肖永红² 李兰兰¹ 5

单位：1. 深圳市康宁医院广东深圳518020
2. 井冈山大学学生工作部处心理健康教育与咨询中心江西吉安3430093
3. 广东嘉应学院广东梅州514015
4. 深圳大学师范学院心理学系
5. 河源市源城区精神卫生防治所

分类号：R395.2;R749.3

出版年,卷(期):页码：2012,20(1):61-64

摘要：

目的:探讨精神分裂症患者家属的心理健康状况及其相关因素。方法:在深圳市精神病专科医院住院部、门诊部共采集464名符合特定入组标准的精神分裂症患者家属,运用症状自评量表、艾森克个性问卷、家庭照顾负担访谈量表、社会支持评定量表、家庭功能评定量表、简易应对方式问卷进行调查,采用结构方程模型综合考察这些相关因素对患者家属心理健康的作用。结果:结构方程模型分析显示:①照顾负担对心理健康的总效应最大,共解释71.8%的方差变异,其中直接效应为40.8%;②神经质人格特征对心理健康的中介效应为24.3%,是研究中影响最大的中介因素。③研究所建立的模型拟合度较好(χ2=693.400,df=437,χ2/df=1.587,RMSEA=0.041,GFI=0.915,CFI=0.958,NFI=0.923,IFI=0.964),且较为简洁适用于变量间关系的解释。结论:照顾负担对精神分裂症患者家属的心理健康的影响效应巨大,神经质人格特征在影响因素模型中的中介效应最大。

Objective: To explore family members of patients with schizophrenia and related mental health factors. Methods: With a cross -sectional study design, in Shenzhen inpatient psychiatric hospitals and clinics, a total of 464 members were randomly collected into groups that met specific standards of the families of schizophrenic patients. Symptom Checklist, Eysenck Personality Questionnaire, the Burden of Family Care Interviews Scale, Social Support Scale, Family Function Rating Scale, Coping Style Questionnaire were used for investigation, and structural equation modeling analysis was used as comprehensive survey of the related factors' function on the mental health of family members of patients. Results: Structural equation model analysis showed： ①The burden of family care had the largest effect on mental health, totally explaining 71.8% of the variace, the direct effect of which was 40.8%； ②Neurotic personality characteristics of the mediating effect of mental health were 24.3%, which was the intermediary of the most influential factor. ③The model fit was better, and could relatively simply be applied in the interpretation of the relationship between variables. Conclusion: Care burden has the largest effect on families of patients with mental health, Neuroticism has the greatest intermediary effect in the model.

基金项目：

井冈山大学2010年社会科学科研项目(JR10044)

作者简介：

参考文献：

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