对中国四川精神分裂症患者症状、残疾及家庭负担之间关系的横断面调查.pdfVIP

• 22 • Shanghai Archives of Psychiatry, 2013, Vol. 26, No. 1 •Original Article• Cross-sectional survey of the relationship of symptomatology, disability and family burden among patients with schizophrenia in Sichuan, China Zhuoqiu ZHANG, Hong DENG, Ying CHEN, Shuiying LI, Qian ZHOU, Hua LAI, Lifang LIU, Ling LIU, Wenwu SHEN* Background: Schizophrenia is a chronic condition that leads to high rates of disability and high levels of family burden but the interactive relationship between these variables remains unclear, particularly in low- and middle-income countries where the vast majority of patients live with their families. Aim: Assess the symptom severity, level of disability, and family burden among clinically stable outpatients with schizophrenia in Sichuan, China. Methods: A total of 101 clinically stable outpatients with schizophrenia who had a median duration of illness of five years were assessed using the World Health Organization Disability Assessment Scale 2.0 (WHODAS II), the Positive and Negative Syndrome Scale (PANSS) and the Family Adaptation, Partnership, Growth, Affection and Resolve Index scale (APGAR); and their caregivers were surveyed using the Family Burden Interview Schedule (FBIS). Results: Among the 101 patients, 92 lived with their immediate family members, 74 had clinically significant disability, and 73 were unemployed. The level of disability was associated with the severity of symptoms ( =0.50, 0.001), duration of illnesses ( =0.22, =0.028), age of onset ( =-0.22, =0.024) and patients’ level of r p r p r p satisfaction with family support ( =-0.30, =0.020). Disability was al