青少年精神分裂症患者生活质量的相关性研究

目的探讨家庭环境及父母养育方式与青少年发生精神分裂症的关系，为预防青少年发生精神分裂症提供科学依据。方法选择住院青少年精神分裂症患者101例（病例组），另选择无精神病史的患者101例为对照组，采用家庭环境量表、父母养育方式评价量表对两组患者生活质量进行评价，应用非条件Logistic回归分析对相关因素进行分析。结果亲密度、情感表达、娱乐性及父亲情感温暖理解（F1）为保护因素（OR=0．643，95％CI=0．235～0．863，P=0．01；OR=0．582，95％CI=0．168—0．906，P=0．01；OR=0．478，95％CI=0．174～0．834，P=0．01），而矛盾性、父亲惩罚严厉（F2）、父亲拒绝否认（F5）及母亲过分干涉（M2）为危险因素（OR=1．535，95％CI=1．096～2．187，P=0．01；OR=1．516，95％CI=1．097～2．096，P〈0．01；OR=1．375，95％CI=1．034—1．989，P：0．01；OR=1．347，95％CI=1．272～1．915，P〈0．01）。结论良好的家庭环境以及父母教养方式可以减少精神分裂症的发生。

Study on relationship between juvenile quality of life of patients with schizophrenia

Objective To explore the relationship between family environment and parental rearing patterns and adolescent schizophrenia, for the prevention of adolescent mental and provide scientific basis of schizophrenia. Methods In adolescent patients with schizophrenia in 101 cases （ case group）, 101 cases of the other without a histo- ry of psychosis patients as control group, using the family environment scale, EMBU for two groups of patients quality of life evaluation, non conditional Logistic regression analysis of related factors were analyzed. Results Intimacy, emotion expression, entertainment and father emotional warmth and understanding（ F1 ） was a protective factor（ OR = 0.643,95 % CI = 0. 235 - 0.863, P = 0.01 ; OR = 0. 582,95 % CI = 0.168 - 0. 906, P = 0.01 ; OR = 0.478,95 % CI = 0. 174 -0. 834, P = 0.01 ）, but the contradiction, the father punished severely （F2）, father＇s refusal and denial （F5） and mother＇s over interference（M2） as a risk factor（ OR = 1. 535,95% CI = 1. 096 - 2. 187 ,P = 0.01 ; OR = 1. 516, 95 % CI = 1. 097 - 2. 096, P 〈 0.01 ; OR = 1. 375,95 % CI = 1. 034 -1. 989, P = 0.01 ; OR = 1. 347,95 % CI = 1. 272 ~ 1. 915 ,P 〈0.01 ）. Conclusion Good family environment and parental rearing pattern can reduce the incidence of schizophrenia.