Causes of schizophrenia reported by patients' family members in China
Causes of schizophrenia reported by patients' family members in China
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DOI：
10.1192/bjp.177.1.20
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发表时间：
2000-07-01
影响因子：
10.5
通讯作者：
Xin, LH
中科院分区：
文献类型：
--
作者：
Phillips, MR;Li, YY;Xin, LH
背景 需要更好的方法来评估患者和家庭成员的疾病因果模型，以提高对生物医学干预措施的依从性，并设计满足消费者需求的服务。目的 开发一种适合评估因果信念与表达的情感、耻辱、关怀、寻求和依从性之间关系的定量测量方法。方法 精神分裂症因果模型问卷，其中包括在与家庭成员的深入访谈中确定的 45 个原因。研究对象为中国苏州和四平市 135 名 DSM-III-R 精神分裂症患者入院时的 245 名家属。 结果 受访者平均找出 2.5 个原因（范围 1-10，模式 2），将 84% 的精神分裂症原因归因于社会、人际关系和心理问题。因此，他们的观点与中国专业人士关于精神分裂症的生物医学原因的看法并不一致。多变量分析确定了影响家庭成员因果信念的社会经济因素。结论尽管因果模型很复杂，但可以制定措施来帮助改善临床医生与患者的沟通以及对寻求帮助行为的理解。
Background Better methods of assessing patients' and family members' causal models of illness are needed to improve adherence with biomedical interventions and to design services that meet the needs of consumers.Aims To develop a quantitative measure suitable for assessing the relationship of causal beliefs to expressed emotion, stigma, care;seeking and adherence.Method The Causal Models Questionnaire for Schizophrenia, which includes 45 causes identified during in-depth interviews with family members, was administered to 245 family members of 135 patients with DSM-III-R schizophrenia in Suzhou and Siping,China at the time of admission to hospital.Results Respondents, who identified a mean of 2.5 causes (range 1-10, mode 2), attributed 84% of the cause of schizophrenia to social, interpersonal and psychological problems. Hence, their beliefs do not concur with Chinese professionals' ideas about the biomedical causes of schizophrenia. Multivariate analyses identified the socio-economic factors that influence family members' causal beliefs.Conclusions Despite the complexity of causal models, measures can be developed that will help improve clinicians' communication with patients and understanding of help-seeking behaviours.