精神分裂症患者病耻感与社会支持、面子观的相关性

目的 探讨精神分裂症患者病耻感与社会支持、面子观之间的关系。方法 运用精神病患者病耻感评估量表、社会支持评定量表、面子观量表对山东省精神卫生中心255例(男98例、女157例)精神分裂症患者进行调查。结果 精神分裂症患者病耻感得分为34.63±17.23，已婚者病耻感得分低于未婚者和离异或丧偶者(P<0.05)。精神分裂症患者病耻感与社会支持总分(P<0.01)、客观支持(P<0.05)、主观支持(P<0.01)、支持利用度(P<0.05)均呈负相关，与面子观总分(P<0.01)、怕掉面子得分(P<0.01)呈正相关。结论 精神分裂症患者具有病耻感，婚姻状况差者病耻感程度较重。病耻感程度亦与缺少社会支持、爱面子有关。医疗工作者应当重视精神分裂症患者的病耻感，改善公众对精神疾病患者的歧视情况，帮助患者正确处理面子问题，使他们得到更好的治疗和康复。

Relativities of stigma in schizophrenia with social support and consciousness of social face

Objective To explore the relationship between the stigma in schizophrenia and social support， consciousness of social face． Methods 255 schizophrenic patients including 98 males and 157 females in Shandong Mental Health Center were investigated by the Scale of Stigma in People with Mental Illness, the Social Support Rating Scale and the Consciousness of Social Face Scale. Results The score of the Scale of Stigma in People with Mental Illness was 34.63±17.23．The score of the stigma in the married patients was lower than that in the unmarried or divorced patients(P<0.05)． The stigma was negatively correlated to social support(P<0.01)， subjective support(P<0.05)， Objective support (P<0.01) and utility of support(P<0.05), and positively correlated to the total score of Consciousness of Social Face Scale(P<0.01) and the fear of losing face(P<0.01). Conclusion The schizophrenic patients suffer from stigma，particularly for those with poor marital status．The stigma is correlated to social support and the consciousness of social face. The schizophrenic patients need more concerns so as to diminish discrimination and bias against them. We should help them to handle the problem of face and promote their general rehabilitation correctly.