Investigation on the Therapeutic Compliance of Acute Schizophrenic Patients with Psychotic Symptoms and the Emotional Expression of Their Family Members_West China Medical Journal

Authors：

 LaiHua , LiShuiying , MaoChunyan , ZhangXiuying ,  ZhangZhuoqiu

Mental Health Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

ZhangZhuoqiu, Email: zhuoqiuzh@126.com

Keywords：

Schizophrenia; Compliance; Emotional expression; Toronto Alexithymia Scale; Brief Psychiatric Rating Scale

DOI：

10.7507/1002-0179.201600252

Video：

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Objective To explore the influence factors of therapeutic compliance and emotional expression of first-degree relatives in acute schizophrenic patients with psychotic symptoms. Methods The Brief Psychiatric Rating Scale (BPRS) was used to measure the severity of psychotic symptoms in sixty schizophrenic patients from June to September 2014 in West China Hospital and the Toronto Alexithymia Scale (TAS) was used to survey the emotional expression in their family members. The homemade treatment adherence scale was used to survey the treatment adherence in patients for one week. Results There was a poor therapeutic compliance in nineteen patients with acute schizophrenia (32%) and the other 41(68%) had good therapeutic compliance; the relatives of schizophrenic patients had high TAS scores (male: 67.61±10.03; female: 69.68±11.46) than the normal models did (P ＜ 0.05) . The differences between the patients with different therapeutic compliance in BPRS total score, reactivator, hostile and suspicion factor (P ＜ 0.05) . The therapeutic compliance was related to the severity of the psychotic symptoms (P ＜ 0.05) . Conclusions There is a bad emotional expression in the relatives of acute schizophrenic patients. The psychotic symptoms can influence the therapeutic compliance. The milder the psychotic symptoms, the better the therapeutic dependence.

Citation： LaiHua, LiShuiying, MaoChunyan, ZhangXiuying, ZhangZhuoqiu. Investigation on the Therapeutic Compliance of Acute Schizophrenic Patients with Psychotic Symptoms and the Emotional Expression of Their Family Members. West China Medical Journal, 2016, 31(5): 936-939. doi: 10.7507/1002-0179.201600252 Copy

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11.	張海娟, 王宏生, 馬莉, 等. 精神分裂癥患者服藥依從性與家庭環境的相關性研究[J]. 中國護理管理, 2014, 14(3): 271-274.
12.	邵燦, 馬明芳, 王莉. 服藥依從性及家庭功能對精神分裂癥患者精神殘疾狀況的影響[J]. 中國實用神經疾病雜志, 2016, 19(4): 44-45.
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14.	孟月蘭, 梁峰, 王尊尊. 對精神分裂癥患者一級親屬個性與心理狀態的調查和干預[J]. 中國實用醫藥, 2015, 10(3): 242-243.
15.	黃秀梅, 黃雪花, 黃麗娟, 等. 家庭關懷對精神分裂癥患者生活質量的影響[J]. 華西醫學, 2014, 29(12): 2275-2278.
16.	付寶珊. 精神分裂癥患者治療依從性的影響因素和護理干預[J]. 甘肅中醫, 2011, 24(4): 66-67.
17.	馬旻, 繆紹疆. 精神分裂癥患者自知力變化及其對依從性影響的質性研究[J]. 醫學與哲學, 2015, 36(9B)73-77.
18.	紀淑榮. 精神分裂癥患者依從性影響因素及對策分析[J]. 齊齊哈爾醫學院學報, 2014, 35(7): 1053.

1. 徐敏潔, 董立鵬, 翁永振, 等. 北京地區精神分裂癥患者家屬情感表達方式及特征[J]. 中國心理衛生雜志, 2002, 16(3): 195-199.
2. 林敏, 鄭婉玲, 陳慧月, 等. 家庭干預對精神分裂癥病人預后及家屬的情感表達的影響[J]. 護理研究, 2012, 26(6): 1526-1527.
3. 戴歡洪, 唐桃華, 李喜春. 住院精神分裂癥患者服藥依從性原因分析及對策[J]. 中國醫學工程, 2012, 4(20): 72-73.
4. 施永斌, 何瓊娜, 褚慶文, 等. 藥物自我處置技能訓練對分裂癥患者服藥依從性的影響[J]. 中國健康心理學雜志, 2012, 20(10): 1477-1479.
5. Oldridge ML, Hughes IC. Psychological well-being in families with a member suffering from schizophrenia. An investigation into longstanding problems[J]. Br J Psychiatry, 1992, 16(1): 249-251.
6. Gibbons JS, Horn SH, Powell JM, et al. Schizophrenic patients and their families. A survey in a psychiatric service based on a DGH unit[J]. Br J Psychiatry, 1984, 14(4): 70-77.
7. Velligan DI, Weiden PJ, Sajatovic M, et al. The expert con-sensus guideline series: adherence problems in patients with serious and persistent mental illness[J]. Clin Psychiatry, 2009, 70(Suppl 4): 1-46.
8. 汪向東. 心理衛生評定表手冊(增訂版)[M]. 中國心理衛生雜志社, 1999: 263-385.
9. 程艮, 李崢. 精神分裂癥患者藥物依從性影響因素的研究進展[J]. 中華護理雜志, 2005, 40(9): 699.
10. 岳速萍, 陳穎, 洪玲, 等. 社區中精神分裂癥患者的性別差異[J]. 華西醫學, 2016, 31(4): 697-699.
11. 張海娟, 王宏生, 馬莉, 等. 精神分裂癥患者服藥依從性與家庭環境的相關性研究[J]. 中國護理管理, 2014, 14(3): 271-274.
12. 邵燦, 馬明芳, 王莉. 服藥依從性及家庭功能對精神分裂癥患者精神殘疾狀況的影響[J]. 中國實用神經疾病雜志, 2016, 19(4): 44-45.
13. 張麗琴, 韋月琴, 班瑞益, 等. 精神分裂癥患者服藥依從性研究進展[J]. 臨床醫學工程, 2015, 22(5): 668-670.
14. 孟月蘭, 梁峰, 王尊尊. 對精神分裂癥患者一級親屬個性與心理狀態的調查和干預[J]. 中國實用醫藥, 2015, 10(3): 242-243.
15. 黃秀梅, 黃雪花, 黃麗娟, 等. 家庭關懷對精神分裂癥患者生活質量的影響[J]. 華西醫學, 2014, 29(12): 2275-2278.
16. 付寶珊. 精神分裂癥患者治療依從性的影響因素和護理干預[J]. 甘肅中醫, 2011, 24(4): 66-67.
17. 馬旻, 繆紹疆. 精神分裂癥患者自知力變化及其對依從性影響的質性研究[J]. 醫學與哲學, 2015, 36(9B)73-77.
18. 紀淑榮. 精神分裂癥患者依從性影響因素及對策分析[J]. 齊齊哈爾醫學院學報, 2014, 35(7): 1053.

West China Medical Journal

Investigation on the Therapeutic Compliance of Acute Schizophrenic Patients with Psychotic Symptoms and the Emotional Expression of Their Family Members

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