精神分裂症与轻性精神障碍患者一级亲属心理韧性、应对方式的对照研究

目的 探讨精神分裂症与轻性精神障碍患者一级亲属心理韧性与应对方式的相关性.方法 对精神分裂症及轻性精神障碍（抑郁症、焦虑症、强迫症、恐惧症、躯体形式障碍及神经衰弱）患者的94名一级亲属分为精神分裂症组（重性组）（n=45）和轻性精神障碍组（轻性组）（n=49）.两组采用心理韧性量表（RSA）、简易应对方式问卷（SCSQ）进行问卷调查,并进行比较分析.结果 轻性组与重性组心理韧性评分,社会能力[（22.67±4.59）分、（20.76±4.09）分,P＜0.05]、家庭凝聚力[（25.41±4.34）分,（22.60±4.90）分,P＜0.01]、社会资源[（25.35±4.27）分,（23.24±4.16）分,P＜0.05]及总分[（129.22±12.89）分,（122.60±14.54）分,P＜0.05]均高于重性组;两组简易应对方式评分,积极应对分轻性组高于重性组[（27.45±5.22）分,（23.36±6.46）分,P＜0.05];消极应对分低于重性组[（9.92±3.08）分,（11.64±4.36）分,P＜0.05],总分也高于重性组[（36.72±5.26）分,（34.41±5.61）分,P＜0.05];两组除轻性组自我的知觉与消极应对无相关外,心理韧性与积极应对呈正相关（r=0.238～ 0.434,P＜0.01或P＜0.05）,与消极应对呈负相关（r=-0.274～0.401,P＜0.01或P＜0.05）.结论 轻性精神障碍患者一级亲属心理韧性高于重性组,面对逆境时多采取积极应对方式,两组心理韧性与应对方式有相关性.

A comparative study on resilience scale and coping style in first degree relatives of schizophrenia and mild mental disorders

Objective To explore the correlation between resilience scale and coping style in first degree relatives who diagnosed with schizophrenia or mild mental disorders.Methods 94 first-degree relative of the patients with schizophrenia or mild mental disorders （depression,anxiety disorder,obsessive-compulsive disorder,phobias,somatoform disorders and neurasthenia） who were divided into two groups.45 first-degree relative of the schizophrenia in the serious subject group,and 49 first-degree relative of the mild mental disorders divided into the mild subject group.All participants had completely finished tests of resilience scale for adults （RSA） and simplified Coping Style Questionnaire （SCSQ）.Then,the data were compared and analyzed.Results Social competence score significantly increased in the mild subject group when compared to the serious subject group（（22.67±4.59）,（20.76±4.09）,P〈0.05）,as well as family cohesion score （（25.41±4.34）,（22.60±4.90）,P〈0.01）,social resources score（（25.35±4.27）,（23.24±4.16）,P〈0.05） and the total score of the RSA（（129.22±12.89）,（122.60 ± 14.54）,P〈0.05）.For SCSQ,the mild subject group was significant higher than the serious subject group on actively coping score （（27.45±5.22）,（23.36±6.46）,P〈0.05） and the total score（（9.92±3.08）,（11.64±4.36）,P 〈0.05）.But,significant lower than the serious subject group on negative coping score（（36.72±5.26）,（34.41± 5.61）,P〈0.05）.Two groups of related except mild group of self perception and negative coping without external,mental toughness associated with positive coping （r=0.238-0.434,P〈0.01 or P〈0.05）,and negatively correlated with negative coping （r=-0.274-0.401,P〈0.01 or P〈0.05）.Conclusions Mild subject group is better than the serious subject group of resilience scale when facing adversity people in mild subject group more tend to take a positive coping style.Resilience scale and coping style for adults have a positi