精神分裂症患者青少年子女心理韧性与应对方式、主观生活质量的相关性

摘要

Objective To explore the correlation of resilience and coping style,subjective quality of life of young children of schizophrenia patients.Methods 120 adolescents whose parents were clearly diagnosed with schizophrenia wcrc chosen for the study.They were ranked according their performances by Resilience Scale for Adolescents.32 were classified into the group with high resilience and another 32 were assigned to the group with low resilience by applying the criteria that 27％ of the sample size should be differentiated.Then,children in highscore group and low-score group were administered by Simple Coping Style Questionnaire (SCSQ) and Children 's Subjective Quality of Life Questionnaire(ISLQ).Results Resilience score of research group were lower than those of normal high school students(P＜ 0.05 or 0.01 ).The score and total score of SCSQ positive coping dimensionality of research group who had high resilience score were higher than those of low resilience score group(P ＜ 0.01 ) ;score of passive coping dimensionality were lower than those of low resilience score group (P ＜ 0.01 ).In addition to dimensionality of living environment,the score of dimensionality of cognitive and affective element and the total score of ISLQ of research group who had high resilience score were higher than those of low resilience score group.The total score of resilience was in significant by positive correlation with the total score of ISLQ,cognitive and affeetive element,the total score of SCSQ,the score of positive coping dimensionality.The total score of resilience was in negative correlation with the score of passive coping dimensionality (P ＜ 0.01 ) ;dimensionality of the target focus of resilience was not correlative with cognitive element of ISLQ,the score of negative coping dimensionality of SCSQ,scores of other dimensionality of resilience were in significant correlation with score of other dimensionality of ISLQ and SCSQ(P ＜ 0.01 or 0.05 ).Conclusion Young children of schizophrenia have poor resilience; research group who has high resilience score adopts more positive coping and has better subjective quality of life ; resilience is positive correlation with positive coping and subjective quality of life.%目的 探讨精神分裂症患者青少年子女心理韧性与应对方式、主观生活质量的相关性.方法 对明确诊断的精神分裂症患者120名青少年子女,根据青少年心理韧性量表评分情况将其排序,按照27％的划界原则选取心理韧性高、低分组各32名.再分别进行简易应对方式问卷(SCSQ)、少儿主观生活质量问卷(ISLQ)测查,并进行比较分析.结果 精神分裂症患者男性、女性子女心理韧性评分均低于普通中学生(P＜0.05或0.01).心理韧性高分组精神分裂症患者青少年子女SCSQ积极应对维度评分及总分[( 27.84±8.61)分,(34.61 ±5.49)分],均高于心理韧性低分组[(21.78±6.05)分,(31.07±5.11)分,P＜0.01]；而消极应对维度评分低于心理韧性低分组(P＜0 01).心理韧性高分组精神分裂症患者青少年子女ISLQ评分,除生活环境维度外,其他各维度得分,认知成分、情感成分及总分均高于心理韧性低分组(P＜ 0.05或0.01).心理韧性总分与ISLQ总分、认知成分、情感成分及SCSQ总分、积极应对得分呈显著正相关,而与消极应对呈显著负相关(P＜0.01)；仅心理韧性目标专注维度与ISLQ认知成分、SCSQ消极应对维度得分无相关性,其他心理韧性各维度得分与ISLQ、SCSQ各维度得分也显著相关(P＜0.01或0.05).结论 精神分裂症患者青少年子女心理韧性相对较差；心理韧性高分组多采用积极应对方式,主观生活质量好于心理韧性低分组；心理韧性与积极应对、主观生活质量呈显著正相关.