96例精神分裂症患者自尊感与妄想症状的相关性分析

目的通过分析精神分裂症患者妄想症状与自尊和缺陷感之间的关系，明确自尊和缺陷感对妄想症状出现的影响，为精神分裂症患者的早期干预提供理论依据和为康复期认知心理治疗指明方向。方法运用PAN—SS、SES、FIS、SAS、SDS对120例精神分裂症患者进行评定。结果完成评定的患者共96例，其中56例存在明确的妄想（为研究组），40例未发现有妄想（为对照组）。两组的SES、FIS得分存在显著性差异（P〈0．01）。妄想的出现与自尊感、缺陷感明显相关（P〈0．01）。结论精神分裂症患者的低自尊和高缺陷感是影响患者妄想症状出现和加重的重要因素。

The association of Self-evaluation with Delusions in Patients with Schizophrenia

Objective To explore the connection between the delusions of schizophrenia and some influencing factors. Methods 120 patients who met the criteria of CCMD-3 about schizophrenia were included as research subjects. All subjects were assessed by Psychotic Symptom Rating Scale, Delusion Rating Scale, PANSS, SAS, SDS, SES and FIS. The patients were divided into two groups according to whether they had delusions. To compare the score differences of SAS, SDS, SES and FIS between the two groups. Results 96 patients had completed all the assessments. 56 patients had apparent delusions, 40 patients had no delusion. The score of SES in delusion group was significantly lower than the non-delusion group （P 〈 0. 01 ） . The score of FIS in delusion group was significantly higher than the non-delusion group （ P 〈 0. 01 ） . Conclusion Delusion symptom of schizophrenia is remarkably correlated with self-esteen, feeling of inadequate.