不同亚型情感性精神障碍发病危险因素探讨

目的 探讨不同亚型情感性精神障碍发病危险因素。方法 用自拟23项调查项目和生活事件量表及社会支持量表对本院门诊和住院不同亚型情感性精神障碍240例进行了调查研究,另取与研究组性别、年龄、职业、婚姻、文化相匹配的本院综合科病人和陪人亲属及部分本院职工480例为对照组。结果 童年亲子关系差和童年经历创伤、童年时父母教养方式、成年亲子关系差、阳性家庭史、内向性格、家庭经济状况差、负性生活事件、社会支持度差等各种因素是本病发病的主要危险因素。结论 不同亚型情感性精神障碍的发病是由多种因素所致,特别是童年亲子关系、童年经历以及童年时教养方式对本病的影响是不容忽视的一个重要因素。素质因素的遗传和个性特征是本病发病的内因。负性生活事件和社会支持度是本病发病的一个直接诱发危险因素。

RISK FACTORS OF CAUSING DIFFERENT SUBSETS OF AFFECTIVE PSYCHONOSEMA

Objective To explore the risk factors of causing different subsets of affective psychonosema.Methods 240 inpatients and outpatients of different subsets of affective psychonosema were compared with 480 normal controls whose sex,age,occupation,marriage and background culture were the same or similar to those of the research group.Results The major risk factors of causing affective psychonosema were the poor offspring-parent relationship,psychotic trauma in childhood,bad cultivation mode,positive family history,introversion,bad economic conditions,negative life events and little social support.Conclusion Different subsets of affective psychonosema can be caused by many factors,especially the offspring-parent relationship in childhood,life experience and the cultiveation mode.Internal causes are mainly hereditary characteristics and personality.Negative life events and social support are the direct induction fctors of affective psychonosema.