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.	张海娟, 王宏生, 马莉, 等. 精神分裂症患者服药依从性与家庭环境的相关性研究[J]. 中国护理管理, 2014, 14(3): 271-274.
12.	邵灿, 马明芳, 王莉. 服药依从性及家庭功能对精神分裂症患者精神残疾状况的影响[J]. 中国实用神经疾病杂志, 2016, 19(4): 44-45.
13.	张丽琴, 韦月琴, 班瑞益, 等. 精神分裂症患者服药依从性研究进展[J]. 临床医学工程, 2015, 22(5): 668-670.
14.	孟月兰, 梁峰, 王尊尊. 对精神分裂症患者一级亲属个性与心理状态的调查和干预[J]. 中国实用医药, 2015, 10(3): 242-243.
15.	黄秀梅, 黄雪花, 黄丽娟, 等. 家庭关怀对精神分裂症患者生活质量的影响[J]. 华西医学, 2014, 29(12): 2275-2278.
16.	付宝珊. 精神分裂症患者治疗依从性的影响因素和护理干预[J]. 甘肃中医, 2011, 24(4): 66-67.
17.	马旻, 繆绍疆. 精神分裂症患者自知力变化及其对依从性影响的质性研究[J]. 医学与哲学, 2015, 36(9B)73-77.
18.	纪淑荣. 精神分裂症患者依从性影响因素及对策分析[J]. 齐齐哈尔医学院学报, 2014, 35(7): 1053.

1. 徐敏洁, 董立鹏, 翁永振, 等. 北京地区精神分裂症患者家属情感表达方式及特征[J]. 中国心理卫生杂志, 2002, 16(3): 195-199.
2. 林敏, 郑婉玲, 陈慧月, 等. 家庭干预对精神分裂症病人预后及家属的情感表达的影响[J]. 护理研究, 2012, 26(6): 1526-1527.
3. 戴欢洪, 唐桃华, 李喜春. 住院精神分裂症患者服药依从性原因分析及对策[J]. 中国医学工程, 2012, 4(20): 72-73.
4. 施永斌, 何琼娜, 褚庆文, 等. 药物自我处置技能训练对分裂症患者服药依从性的影响[J]. 中国健康心理学杂志, 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. 汪向东. 心理卫生评定表手册(增订版)[M]. 中国心理卫生杂志社, 1999: 263-385.
9. 程艮, 李峥. 精神分裂症患者药物依从性影响因素的研究进展[J]. 中华护理杂志, 2005, 40(9): 699.
10. 岳速萍, 陈颖, 洪玲, 等. 社区中精神分裂症患者的性别差异[J]. 华西医学, 2016, 31(4): 697-699.
11. 张海娟, 王宏生, 马莉, 等. 精神分裂症患者服药依从性与家庭环境的相关性研究[J]. 中国护理管理, 2014, 14(3): 271-274.
12. 邵灿, 马明芳, 王莉. 服药依从性及家庭功能对精神分裂症患者精神残疾状况的影响[J]. 中国实用神经疾病杂志, 2016, 19(4): 44-45.
13. 张丽琴, 韦月琴, 班瑞益, 等. 精神分裂症患者服药依从性研究进展[J]. 临床医学工程, 2015, 22(5): 668-670.
14. 孟月兰, 梁峰, 王尊尊. 对精神分裂症患者一级亲属个性与心理状态的调查和干预[J]. 中国实用医药, 2015, 10(3): 242-243.
15. 黄秀梅, 黄雪花, 黄丽娟, 等. 家庭关怀对精神分裂症患者生活质量的影响[J]. 华西医学, 2014, 29(12): 2275-2278.
16. 付宝珊. 精神分裂症患者治疗依从性的影响因素和护理干预[J]. 甘肃中医, 2011, 24(4): 66-67.
17. 马旻, 繆绍疆. 精神分裂症患者自知力变化及其对依从性影响的质性研究[J]. 医学与哲学, 2015, 36(9B)73-77.
18. 纪淑荣. 精神分裂症患者依从性影响因素及对策分析[J]. 齐齐哈尔医学院学报, 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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