中国农村精神分裂症患者的内化耻辱:流行率和相关因素
Jingwei Zhang1, Jiawei Gu2, Yihan Li3
1Molecular Neurogenetics, Max Planck Institute of Psychiatry, Munich, Germany.
在中国农村,高度内化的耻辱感影响了37%的精神分裂症患者. 女性患者和那些有认知症状的患者面临更高的风险,需要有针对性的干预措施来减少这种负担.
科学领域:
- 精神病学是一个精神病学.
- 心理健康研究 心理健康研究
- 污名化研究研究
背景情况:
- 内化污名对精神分裂症患者的自尊和社会参与产生负面影响.
- 了解污名的流行率和预测因素对于在中国农村的有效干预至关重要.
研究的目的:
- 确定中国农村区精神分裂症患者中高度内化耻辱的流行率.
- 确定与这群人中高度内化耻辱感相关的因素.
主要方法:
- 在中国农村地区对335名精神分裂症住院患者进行横截面研究.
- 使用了中国修订的"精神疾病的内化耻辱" (ISMI) 尺度.
- 用积极和消极综合征量表 (PANSS) 评估精神症状.
主要成果:
- 37.0%的参与者报告了高度内部化的耻辱感.
- 女性性别和更严重的认知症状是高度内化耻辱的重要预测因素.
- 更高的耻辱与积极,消极,认知和抑郁症状的严重程度增加有关.
结论:
- 在中国农村的精神分裂症患者中,高度内化的耻辱是普遍存在的.
- 女性患者和认知障碍患者的风险较高.
- 干预措施应针对这些特定群体,以减轻耻辱.
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