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杜珍琳, 童辉杰. 精神障碍患者婚姻关系现状分析[J]. 中国公共卫生, 2015, 31(12): 1638-1641. DOI: 10.11847/zgggws2015-31-12-34
引用本文: 杜珍琳, 童辉杰. 精神障碍患者婚姻关系现状分析[J]. 中国公共卫生, 2015, 31(12): 1638-1641. DOI: 10.11847/zgggws2015-31-12-34
DU Zhen-lin, TONG Hui-jie. Marital relationship among mental disorder patients[J]. Chinese Journal of Public Health, 2015, 31(12): 1638-1641. DOI: 10.11847/zgggws2015-31-12-34
Citation: DU Zhen-lin, TONG Hui-jie. Marital relationship among mental disorder patients[J]. Chinese Journal of Public Health, 2015, 31(12): 1638-1641. DOI: 10.11847/zgggws2015-31-12-34

精神障碍患者婚姻关系现状分析

Marital relationship among mental disorder patients

  • 摘要: 目的 从个人自评和夫妻关系互动2个层面,了解精神障碍患者的婚姻关系现状。方法 2014年10月-2015年2月,采用婚姻调适测验(MAT)、婚姻满意度量表(ENRICH)和婚姻健康测验(MHT)对108名精神障碍患者及99名患者的配偶进行问卷调查。结果 精神障碍患者与配偶在婚姻调适、婚姻满意度、男对女满意度、女对男满意度、默契程度和角色互动的得分分别为(70.29±23.52)、(69.60±21.75)、(32.49±8.47)、(33.39±7.71)、(137.10±14.92)、(137.54±17.02)、(130.69±12.43)、(127.07±12.15)分,均低于正常人群的(83.67±18.44)、(36.35±6.76)、(145.47±15.19)、(145.03±15.01)、(136.42±13.27)、(133.00±13.44)分(均P<0.001);女性患者的婚姻调适、婚姻满意度的得分分别为(64.37±4.17)、(30.74±1.68)分,均低于其男性配偶的(69.26±4.04)、(34.60±1.21)分(均P<0.05);强迫障碍患者的配偶婚姻满意度为(38.38±6.28)分,高于焦虑障碍患者的(30.70±7.42)分(P<0.05),强迫障碍患者的男对女满意度为(146.31±8.46)分,高于抑郁障碍、焦虑障碍和精神分裂障碍患者的(136.75±15.70)、(136.89±14.10)、(125.03±14.60)分(均P<0.05),焦虑障碍患者的女理解男程度、男理解女程度的得分分别为(144.77±19.73)、(142.87±18.21)分,均高于强迫障碍患者的(125.64±10.00)、(124.58±10.64)分(均P<0.05)。结论 精神障碍患者的婚姻关系差于正常人群。

     

    Abstract: Objective To explore marital relationship among mental disorder patients from the aspects of self-reported status and spousal interaction.Methods A face-to-face questionnaire survey was conducted in 108 mental disorder patients and 99 spouses of the patients recruited at 3 psychiatric hospitals in 3 provinces with Marital Adjustment Test(MAT),Marital Satisfaction Test(ENRICH),and Marital Health Test(MHT) between October 2014 and February 2015.Results Compared with those of national normal samples,the mental disorder patients had significantly lower scores for marital adjustment(70.29±23.52 vs.83.67±18.44),self marital satisfaction(32.49±8.47 vs.36.35±6.76),satisfaction of husband to wife(137.10±14.92 vs.145.47±15.19),satisfaction of wife to husband(137.54±17.02 vs.145.03±15.01),degree of rapprochement(130.69±12.43 vs.136.42±13.27),and role interaction(127.07±12.15 vs.133.00±13.44)(P<0.001 for all).The scores of female mental disorder patients for marital adjustment and marital satisfaction were significantly lower than those of their spouses(64.37±4.17 vs.69.26±4.04,30.74±1.68 vs.34.60±1.21)(P<0.05 for all);the marital satisfaction score of the spouses of the patients with compulsive disorders was significantly higher than that of the spouses of the patients with anxiety disorders(38.38±6.28 vs.30.70±7.42)(P<0.05);compared to the patients with depression,anxiety,or schizophrenia,the patients with compulsive disorders had a significantly higher score for marital satisfaction of husband to wife(146.31±8.46 vs.136.75±15.70,136.89±14.10,125.03±14.60)(P<0.05 for all);compared to the patients with the compulsive disorders,those with anxiety disorders had significantly higher scores for the understanding of a wife to her husband(144.77±19.73 vs.125.64±10.00)and the understanding of a husband to his wife(142.87±18.21 vs.124.58±10.64)(P<0.05 for all).Conclusion The marital relationship of mental disorder patients is poorer than the normal level.

     

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