住院抑郁症病人的家庭功能及家属心理状态研究

摘要

[目的]调查抑郁症病人的家庭功能和病人家属的心理状态，为进一步对病人家属进行干预和宣教提供相关依据。[方法]随机选择四川大学华西医院心理卫生中心心身障碍病房抑郁症病人家属150名为研究组，并招募150名健康志愿者家属作为对照组，采用家庭功能评定量表(FAD)和症状自评量表(SCL 90)对两组家属进行问卷调查。[结果]研究组 FAD 各维度得分均高于对照组(P <0.05)。研究组问题解决、沟通、情感反应、情感卷入、行为控制以及总体功能不健康比例高于对照组(P <0.05)。研究组SCL 90的躯体化、抑郁、焦虑评分均高于国内常模(P <0.05)。[结论]抑郁症病人的家庭功能存在多方面问题，家属的心理状态较国内常模差，故医护人员在为病人提供服务的同时，也应该关注家属的心理状态。%Objective:To investigate the family function of depression patients and psychological status of their family members,and provide a basis for further intervention and publicity for the patients’family members. Methods:A total of 150 family members of depression patients were randomly selected as the research group, which came from mind disorder ward in mental health center in West China Hospital of Sichuan University,and 150 family members of healthy volunteers were recruited as the control group.Then the family members in two groups received the questionnaire by using the family function evaluation table(FAD)and symptom checklist 90 (SCL 90).Results:The scores of FAD all dimensions in research group were higher than those in control group (P <0.05 ).The unhealthy proportion of problem solving,communication,emotional response,emotional in-volvement,behavior control and the overall function in research group was higher than that in control group(P <0.05).The scores of somatization,depression and anxiety of SCL 90 in study group were higher than the do-mestic norm(P <0.05 ).Conclusion:Depression patients’family function had problems in many aspects,their family members’psychological state was worse than the domestic norm,so the medical staffs should pay atten-tion to the psychological state of the family members while providing services for patients.