精神分裂症患者自我怜悯水平与病耻感之间的相关性分析

目的 比较精神分裂症患者与正常人的自我怜悯水平,探讨精神分裂症患者自我怜悯水平与病耻感之间的关系.方法 采用中文版Link病耻感量表对100例精神分裂症患者(患者组)进行评估,采用中文版自我怜悯量表(SCS-C)对151例正常对照者(正常组)评估,并与患者组进行比较.结果 精神分裂症患者SCS-C总分及其自我友善、普遍人性和正念3个因子得分均低于正常组,差异有统计学意义(P<0. 05);相关分析显示,患者病耻感总分与SCS-C总分(r=-0. 682,P<0.001)、自我友善(r =-0. 483, P< 0.001)、普遍人性(r =-0.527,P<0.001)、正念=(r=-0. 492,P<0. 001)呈负相关性,同时自我怜悯中自我友善得分与病耻感中情感体验得分(r =-0. 201,P =0. 045)亦呈负相关性.结论 患者组自我怜悯水平低于正常组;患者组自我怜悯与病耻感之间呈负相关性,自我怜悯水平越低,病耻感程度越高,进一步提示对精神分裂症患者自我怜悯进行心理干预的临床重要性.

The relationship between self-compassion and stigma experience in schizophrenia patients

Objective To compare the characteristics of self-compassion in patients with schizophrenia, and to explore the characteristics of self-compassion and relationships with stigma experience condition in schizophrenia patients. Methods One hundred schizophrenia patients and 151 healthy subjects were assessed with Chinese version of revised self-compassion scale (SCS-C), meanwhile patients with schizophrenia assessed with Chinese version of link stigma scale. Results The patients had significantly lower SCS-C total scores and the subscores of self-kindness, common humanity and mindfulness than those of healthy subjects (P＜ 0. 05). Correlation analysis showed that in the patients group, the scores of stigma were significantly negatively correlated with the SCS-C scores (r =-0. 682, P＜0. 001), with self-kindness scores(r =-0. 483, P＜0. 001), with common humanity scores(r =-0. 527, P＜0. 001), with mindfulness scores(r =-0. 492, P＜0. 001), and self-kindness scores were significantly negatively correlated with stigma-related feelings scales(r=-0. 201, P =0. 045). Conclusion Schizophrenia patients have self-compassion deficits. The level of self-compassion has a negative correlation with stigma experience, which further suggesting the clinical importance of psychological intervention in self-compassion of schizophrenia patients.