独生子女精神病患者家属总体幸福感及其相关因素研究

摘要

目的：调查独生子女精神病患者家属的总体幸福感特点及其相关因素。方法对58名独生子女精神病患者家属（研究组）及145名非独生子女精神病患者家属（对照组）进行特质应对方式问卷（TCSQ）、领悟社会支持量表（PSSS）、总体幸福感量表（GWB）等问卷调查。结果研究组 GWB 评分低于对照组（P ＜0．05）。研究组不同文化程度的家属间总体幸福感比较差异有统计学意义（P ＜0．05）。研究组 GWB 总分与 TCSQ 中积极应对和 PSSS 中家庭外社会支持呈正相关（P ＜0．05），与 TCSQ 中消极应对呈显著负相关（P ＜0．05）。逐步回归分析结果显示，GWB 评分的主要影响因素包括消极应对因子分和家庭外社会支持因子分（P ＜0．05）。结论独生子女精神病患者家属总体幸福感较低，与应对方式、社会支持等因素有关。%Objective To investigate the status and related factors of general well-being for family members of the only child with mental disorders.Methods A total of 58 family members of the only child with mental disorders in study group and 145 family members of non-only-child with mental disorders in control group were selected and assessed with Trait Coping Style Questionnaire(TCSQ),Perceived Social Support Scale(PSSS)and General Well-Being Schedule(GWB).Results The total score of GWB in study group was significantly lower than that in control group(P <0.05).The scores of GWB among family members with different educational levels in study group were different from each others(P <0.05).The total score of GWB in study group was positively related to the factor scores of positive coping style in TCSQ(P <0.05)and outside-family social support in PSSS(P <0.05),and was negatively related to the factor score of negative coping style in TCSQ(P <0.05).The stepwise regression analysis showed that the main influencing factors for the total score of GWB included the factor scores of negative coping style in TCSQ and outside-family social support in PSSS.Conclusions It’s poor for the general well-being in the family members of the only child with mental disorders,which is related to their coping style and social support.