摘要
目的探讨精神疾病患者病耻感与就医行为的关系。方法采用精神疾病患者病耻感量表(SSPMI)及精神疾病就医障碍评估表(BACE)对175例住院精神疾病患者进行问卷调查。结果精神分裂症患者的病耻感量表评分与精神疾病就医障碍评估表总分分别为(46.72±15.22)分、(30.29±10.94)分;情感障碍的患者分别为(36.61±15.27)分、(27.59±13.97)分;已婚者病耻感得分低于未婚者和离异或丧偶者(P<0.05);受过高等教育的病耻感得分低于未受高等教育(P<0.05)。精神分裂症患者、情感障碍患者及其他精神疾病患者的病耻感水平与精神疾病就医障碍评估量表呈正相关分别为(r=0.560,P<0.05、r=0.490,P<0.05及r=0.794,P<0.05)正相关,与污名分量表呈正相关分别为(r=0.708,P<0.05、r=0.583,P<0.05及r=0.890,P<0.05)。结论精神疾病患者普遍遭受病耻感,婚姻状况差者病耻感较重,学历高者病耻感则较轻。精神疾病患者的病耻感越强,对其就医行为阻碍作用越强。
Objective To explore the relationship between the stigma in mental illness and access to care.Methods A total of 175 mental illness inpatients were investigated by the Scale of Stigma in People with Mental illness（SSPMI）and the Barriers to Access to Care Evaluation scale（BACE）related to people with mental ill health.Results The score of SSPMI and BACE with schizophrenic patients were（46.72±15.22）and（30.29±10.94）.The score of SSPMI and BACE with affective disorder patients were（36.61±15.27）and（27.59±13.97）.The score of the stigma in the married patients was lower than that in the unmarried or divorced patients（P〈0.05）.The score of the stigma in the patients with higher education was lower than that in the patients with lower education（P〈0.05）.The score of SSPMI in schizophrenia,affective disorder and other mental illness were positively correlated to the score of BACE（r=0.560,P〈0.05;r=0.490,P〈0.05;r=0.794,P〈0.05）.The score of SSPMI in schizophrenia,affective disorder and other mental illness were positively correlated to the score of stigma subscale（r=0.708,P〈0.05;r=0.583,P〈0.05;r=0.890,P〈0.05）.Conclusions The mental illness patients suffer from stigma,particularly for those with poor marital status.In constract,patients with higher education were low stigma.The stronger the stigma of mental illness patients,the worse the help-seeking behavior.
出处
《中国煤炭工业医学杂志》
2016年第1期148-152,共5页
Chinese Journal of Coal Industry Medicine
基金
唐山市科技局项目(课题号:12140209A-24)
关键词
精神疾病
病耻感
就医行为
Mental illness
Stigma
Help-seeking behavior
