摘要
目的了解精神分裂症的疾病与婚姻的关系。方法调查中年以上的在院精神分裂症病人的婚姻产生维持与转归的背景资料,以及精神疾病的相关问题,不同婚姻状况下精神疾病状况精神病量表SAPS,SANS的差别。结果(1)117例精神分裂症中,69例有婚姻史(占总数58%)。其中包括离婚30例(占有婚姻史总人数43%)。(2)有婚姻史其初病年龄推迟,平均为(29.81±8.29)岁,与无婚姻史初病年龄(24.04±5.17)岁的差异有极其显著意义(P<0.001)。(3)有婚姻史组的精神病性衰退较无婚姻组略轻,SANS的差异有极其显著意义(P<0.001)。(4)有婚姻史组家庭支持明显优于无婚姻组。(5)离婚组与未离婚组之间的初发年龄和精神病状况相比差异无显著意义。(6)精神分裂症婚姻职能在病后均显示较差。结论精神分裂症有或无婚姻史与其初发年龄有关。有婚姻史病人社会家庭照顾明显改善,精神病性衰退的严重度相对略轻,而精神分裂症病人婚姻职能均差。
Objective To study the relationship between schizophrenia and marriage. Methods 117 middle-aged or more inpatients with schizophrenia were enrolled to investigate the matrimonial background （start,maintenance and outcome）. The first-onset age, the course and severity were studied and such questionnaires as SANS and SAPS were used to detect the differences among the unmarried,the married and the divorced. Results 1 ） Among 117 patients, 69 patients had a history of marriage, which took up 58%,30 of 69 patients were divorced,which took up 43%. 2） The first-onset age of patients with a marriage history was delayed,whose average first onset age was 29.81±8.29,while that of patients without a marriage history was 21.01±5. 17,there was significantly different （P 〈 0. 001）. 3） The psychotic decline in the group with a marriage history was a little better than that without a marriage history. There were significant differences in SANS （P〈0.001）. 4） Family support in the group with a marriage history was superior to that whhout a marriage history. 5） There were few differences between the divorced group and the un divorced group. 6） The matrimonial quality for the patients with schizophrenia is poor. Conclusions The, first-onset age for schizophrenia is closely related with whether the patients are married or not. The post social care in patients with a marriage history is better than that without a marriage history. The psychotic decline in the group with a marriage history is a little better than that without a marriage history. However, the matrimonial quality for the patients with schizophrenia is poor.
出处
《神经疾病与精神卫生》
2005年第4期262-264,共3页
Journal of Neuroscience and Mental Health
关键词
精神分裂症
婚姻调查
Schizophrenia Matrimonial Investigation
