A Multidimensional Assessment of Insights in Schizophrenic Patients

精神分裂症患者病識感的多向度評估

顏正芳(Cheng-Fang Yen) ； 葉明莉(Ming-Li Yeh) ； 張明永(Mian-Yoon Chong) ； 鍾信心(Hsin-Hsin Chung) ； 陳正生(Cheng-Sheng Chen)

《The Kaohsiung Journal of Medical Sciences》 17卷5期 (2001/05) Pp. 253-260

https://doi.org/10.6452/KJMS.200105.0253

摘要

精神病患的病識感評估和臨床應用近年來受到精神醫學界的重視，本研究之目的在探討－包含五大面向的新病識感評估量表（the Schedule for assessment of Insight in Psychosis,SIP）在臨床之應用，以及精神分裂症患者病識感之高低程度和影響因素。本研究中邀集100位精神分裂症患者接受半結構化訪談，以SIP評估病識感高低程度，並就其社會人口學、疾病史資料和精神症狀嚴重程度與病識感高低程度之相關進行多元迴歸分析探討。研究結果發現：SIP在臨床應用上具有滿意的信效度，而精神分裂症患者之病識感高低主要受到精神症狀嚴重程度之影響，其中正性和負性症狀皆會影響到病識感高低。本研究顯示，精神病患的病識感可經由多向度多層次的工具加以評估，與過去病識感為全有或全無的傳統觀念有所不同。文中並將就影響病識感高低程度的因素與其他研究結果進行比較。

並列摘要

This study aims to construct a multidimensional instrument in assessing insight of schizophrenic patients and further to examine its relationships with other factors such as Psychiatric symptoms, demographic characteristics, and course of illness. An instrument (the Schedule for assessment of Insight in Psychosis, SIP) with a 4-point rating scale was constructed to assess the insight of schizophrenic patients in five dimensions. One hundred schizophrenic patients were recruited for the study and all of them received a semi-structured interview using the SIP. Their demographic variables, length of illness and severity of psychotic symptoms were analyzed for insight. The reliability and validity of the SIP were satisfactory. Significant factors related to insight were psychotic symptoms, including both positive and negative symptoms. This study showed insight was affected by a multitude of factors, and it could be assessed quantitatively in various dimensions.

並列關鍵字

insight ； schizophrenia ； psychopathology