Social class of origin, lost potential, and hopelessness in schizophrenia
Social class of origin, lost potential, and hopelessness in schizophrenia
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DOI：
10.1016/j.schres.2004.07.006
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发表时间：
2005-07-15
影响因子：
4.5
通讯作者：
Lewine, RRJ
中科院分区：
文献类型：
--
作者：
Lewine, RRJ
在精神分裂症患者中，年轻（35岁以下）、发病前5年的男性是自杀的特别脆弱群体。据推测，这一群体的自杀与从病前到病后状态的功能丧失和/或高期望与实际成就之间的差异有关。本研究旨在解构精神分裂症患者原生家庭的社会文化背景，以更好地理解“失去潜能”及其与绝望等自杀风险指标的关系。18名年轻的白人失业男性精神分裂症患者被要求说明他们认为自己在精神分裂症发病前会有什么工作，并完成了抑郁和绝望的问卷调查。结果表明，工作期望与原家庭社会经济地位、患者抑郁无望感呈显著正相关。理论和治疗（特别是关于职业服务）的影响进行了讨论。最后，本研究正式引入了“有利”的社会经济地位可能在应对精神分裂症导致的职业损失时赋予矛盾的劣势这一概念。(c) 2004 Elsevier B.V.版权所有
Among schizophrenia patients, young (under 35 years of age), men within the first 5 years of illness onset are a particularly vulnerable group for suicide. It has been hypothesized that suicide in this group is related to the experience of the loss of functioning from pre- to post-morbid state and/or to the discrepancy between high expectations and actual achievements. The purpose of this study is to initiate the deconstruction of the sociocultural context of family of origin among schizophrenia patients as a means of better understanding "lost potential" and its relationship to indices of suicide risk such as hopelessness. Eighteen young, White, unemployed male schizophrenia patients were asked to indicate what job they thought they would have before the onset of schizophrenia and completed depression and hopelessness questionnaires. The results suggest that job expectation was significantly positively correlated with socioeconomic status of family of origin and patients' depression and hopelessness. The theoretical and treatment (especially with respect to vocational services) implications are discussed. Finally, this study formally introduces the concept that "advantaged" socioeconomic status may confer paradoxical disadvantage in coping with the vocational losses consequent to schizophrenia. (c) 2004 Elsevier B.V. All rights reserved.