门诊精神分裂症患者社会功能状况调查

目的探讨门诊维持治疗精神分裂症患者的社会功能状况，为临床干预提供依据。方法对60例门诊精神分裂症患者采用社会功能缺陷筛选量表、阳性与阴性症状量表和自拟一般情况调查表进行测评分析。结果人组患者社会功能缺陷筛选量表评分，不同性别、婚姻、文化程度、家族史患者间均无显著性差异（P均〉0．05）；但不同用药患者有显著性差异（P〈0．05），应用非典型抗精神病药物者社会功能缺陷筛选量表总分最低。患者社会功能缺陷筛选量表总分与年龄、住院时间、阳性症状分、精神病理分均无明显相关性（P均〉0．05）；与阳性与阴性症状量表总分、阴性症状分、住院次数均呈显著正相关（R=0．77、0．74、0．69，P均〈0．05），与起病年龄呈显著负相关（R=0．40，P〈0．05）。多因素回归分析显示，影响社会功能缺陷筛选量表总分的主要因素为住院次数和阴性症状分。结论门诊精神分裂症患者社会功能状况较差，影响因素诸多，有针对性地综合干预，可促进患者的临床康复。

Surveys of social functional status for outpatients with schizophrenia

Objective To explore the social functional status for schizophrenics on outpatient maintenance therapy in order to provide basis for clinical intervention. Methods Assessments and analyses were con- ducted with the Social Disability Screening Schedule （SDSS） and the Positive and Negative Symptom Scale （PANSS） in 60 outpatient schizophrenics. Results There were no significant differences in gender, marriage, educational levels and family history among the patients according to the SDSS scores（all P〉0.05） but there were significant differences among patients on different drugs（P〈0.05）, scores of the patients on atypical antipsychotics were the lowest. The total scores of the SDSS were not obviously related to age, length of stay, positive symptom and psychopathology score（all P〉0.05）, were positively to the total scores of the PANSS, negative symptoms scores and times of hospitalization（R=0.77,0.74,0.69,all P〈0.05） and negatively to age of onset（R----0.40, P~0.05）. Multifactor regression analysis showed that the main factors influencing the total score of the SDSS were times of hospitalization and negative symptoms scores. Conclusion Social functional status of outpatients with schizophrenia is worse, influencing factors are multifold and directional comprehensive intervention should be given to promote patients＇ rehabilitation.