精神分裂症恢复期患者病耻感对生活质量的影响：社会支持及应对方式的中介效应

摘要

Objective:To examine the relationship between stigma and the quality of Life among convalescent schizophrenia patients, and to explore the mediating effect of social support and coping style between stigma and the quality of life. Methods:The perceived Devaluation-Discrimination Scale, Simplified Coping Style Questionnaire, Social Support Rating Scale, and the Schizophrenia Quality of Life Scale were used to investigate the convalescent schizophrenia patients. Results:Structural equation model ift index:χ2/df=1.673, GFI=0.950, AGFI=0.903, RMSEA=0.061. Stigma, social support and coping style among convalescent schizophrenia patients could predict the quality of life directly. Social support and coping style played a mediating role between stigma and the quality of life. Conclusions:Mental professionals should pay more attention to stigma effect on quality of life among convalescent schizophrenia patients in their clinical practice. Based on summarizing the different paths, we should improve the quality of life of the patients. by path-based intervention.%目的：探讨精神分裂症恢复期患者病耻感与生活质量的关系，以及社会支持、应对方式在病耻感与生活质量间的中介效应。方法：采用贬低-歧视感知量表、社会支持量表、简易应对方式问卷及精神分裂症患者生活质量量表，对在门诊复查的183例精神分裂症恢复期患者进行调查。结果：结构方程模型拟合指数χ2/df=1.673，GFI=0.950，AGFI=0.903， RMSEA=0.061；精神分裂症恢复期患者的病耻感、社会支持、积极应对及消极应对均可以直接预测其生活质量，社会支持、积极应对和消极应对在患者的病耻感与生活质量间起着部分中介效应。结论：精神卫生人员在提高精神分裂症恢复期患者生活质量实践工作中，应重视病耻感对患者病情的影响，在总结不同作用路径的基础上，开展以路径为依托的干预，提高患者的生活质量。