精神分裂症青少年患者及其父母的家庭功能研究*

A comparative study on family functions of juvenile schizophrenics and their parents*

摘要:

目的 了解精神分裂症青少年患者与其家属及正常家庭青少年家庭功能差异，探索精神分裂症青少年患者家庭康复方法。方法 随机抽取新乡市与父母一同居住的精神分裂症青少年患者及家属为病例组（96例），对照组（92例）来源于患者本村/社区，利用家庭功能评定量表（FAD）和家庭亲密度及适应性评定量表（FACES）对各研究对象进行问卷调查。结果 病例组和对照组青少年FAD 7个维度（角色扮演、问题解决、家庭沟通、情感介入、情感反应、行为控制和总功能）得分比较差异有统计学意义（P?<0.05），病例组得分高于对照组。两组研究对象FACES的适用性和亲密度2个维度得分差异有统计学意义（P?< 0.05），病例组得分低于对照组。母亲与患者之间的家庭功能状况一致性较好（P?>0.05），父亲与患者和母亲的家庭功能差异有统计学意义（P?<0.05）。结论 青少年精神分裂症患者家庭功能较差，患者家庭成员间家庭功能有较大差异。

Abstract:

Objective To understand the different awareness about family functions among juvenile schizophrenics, their parents and normal juveniles, and to explore the methods of rehabilitation in family. Methods Ninety six patients with juvenile schizophrenics who living with their parents and their parents were randomly selected in Xinxiang. The blank control group (92) was formed by health teenagers from the same community. Every subject was investigated by Family Function Assessment Scale (FAD) and Family Intimacy and Adaptability Assessment Scale (FACES). Results Compared with normal juveniles, the scores of role play, problem solving, family communication, affective involvement, emotional response, behavioral control and total function were higher from FAD, and the difference had statistical significance (P?0.05), but that awareness between fathers and mothers was different (P?