【摘要】 目的探讨精神分裂症患者家庭功能以及家庭教养方式的特点。方法选取精神分裂症患者74例作为研究组,以地区、性别比例匹配79名健康对照作为对照组,采用自制一般资料调查表、家庭功能评定量表(FAD)、家庭教养方式量表(EMBU)进行调查。结果研究组FAD总分及各因子分均高于对照组(P <0.01)。研究组EMBU母亲过分干涉与过度保护、拒绝与否认、偏爱被试因子分均高于对照组(P <0.01),情感温暖与理解因子分低于对照组(P <0.01);父亲过分干涉、惩罚严厉、偏爱被试、过度保护因子分均高于对照组(P <0.05),情感温暖与理解因子分低于对照组(P <0.05)。单因素分析结果显示:两组FAD总分及各因子和EMBU中母亲的情感温暖与理解、过分干涉与过度保护、拒绝与否认、偏爱被试,EMBU中父亲的情感温暖与理解、过分干涉、惩罚严厉、偏爱被试、过度保护比较差异均有统计学意义(P <0.05)。多因素回归分析结果显示:FAD中沟通、情感以及EMBU中母亲的情感温暖与理解、偏爱被试及EMBU中父亲情感温暖与理解、过分干涉、拒绝与否认为患精神分裂症的影响因素(P <0.05)。结论精神分裂症患者的家庭功能及家庭教育上存在的问题较多,可能是发病的一个因素,进而影响愈后。更多还原

【Abstract】 Objective To explore the family function and parenting patterns in patients with schizophrenia. Methods A total of 74 patients with schizophrenia in study group and 79 healthy controls in control group were selected and assessed with selfdesigned general information questionnaire,Family Assessment Device( FAD) and Egma Minnen av Bardndosnauppforstran( EMBU). Results The total score and all factor scores of FAD in study group were all significantly higher than those in control group( P < 0. 01). In EMBU,the factor scores of mothers’ excessive intervention and protection,refusal and denial,preference in study group were significantly higher than those in control group( P < 0. 01),and the factor score of mothers’ emotional warmth and understanding in study group was significantly lower than that in control group( P < 0. 01); the factor scores of fathers’ excessive intervention,severe punishment,preference and overprotection in study group were significantly higher than those in control group( P < 0. 05),and the factor score of emotional warmth and understanding in study group was significantly lower than that in control group( P < 0. 05). Univariate analysis showed that there existed significant differences in the total score and all factor scores of FAD,mothers’ emotional warmth and understanding,excessive intervention and protection,refusal and denial,preference,and fathers’ emotional warmth and understanding,excessive intervention,severe punishment,preference and overprotection in EMBU between two groups( P < 0. 05). The results of multivariate regression analysis showed that communication and emotion in FAD,mothers’ emotional warmth and understanding,preference,and fathers’ emotional warmth and understanding,excessive intervention and refusal and denial in EMBU were influence factors for schizophrenia( P < 0. 05).Conclusion There exist many problems in family function and family education in patients with schizophrenia,which may be a factor leading to the onset of the disease and may also affect the prognosis.更多还原