Effect of systemic family dynamics, egma minnen bardndom on psychological traits and treatment efficacy of the first onset schizophrenia / 中华行为医学与脑科学杂志

[Abstrict] Objective To explore the effect of systemic family dynamics,egma minnen bardndom on the psychological traits,treatment efficacy of the first onset schizophrenia.Methods 53 schizophrenia patients with first onset were assessed by Self-rating Scale of Systemic Family Dynamics (SSFD),Egma Minnen Bardndom Uppforstran (EMBU),Neurotism Scale (Nf),Psychoticism (PSY),Paranoia Scale (Pa),Psychopathic Deviate Scale (Pd),Tolerance Scale(To) of MMPI-2,and lie Scale (L) was used to control assessment effectiveness.40 normal control cases were assessed by SSFD and EMBU.The scale scores between study group and control groupwere compared,and correlation and regression of study group were analyzed.Results Scores of family atmosphere,individuation,system logic of SSFD were higher in study group than those in control group (t=4.04,3.295,2.44,all P＜0.05),scores of emotional warmth and understand of EMBU in father and mother were lower in study group than those in control group (t=2.925,3.45,all P＜0.01),scores of refused and deny and punishment and stern of EMBU in father and mother were higher in study group than those in control group((t=4.715,4.971,4.331,4.067,all P＜0.01)).And correlation analysis showed that refused and deny of EMBU of father and mother,punishment and stern of EMBU of mother and PSY had significantly positive correlation(r=0.3378,0.4677,0.2895,all P＜0.05),refused and deny and punishment and stern of EMBU of father and mother and Pa had significantly negative correlation (r=-0.2913,-0.3254,-0.5003,-0.3242,all P＜0.05),punishment and stern and excessive interference of EMBU of father and Pd had significant positive correlation (r=0.3417,0.2958,all P＜0.05),PSY of MMPI-2 and treatment effect had significant negative correlation (r=-0.3194,P＜0.05).Regression analysis showed that psychoticism to forecast the poor treatment effect the rate was 10.2％,father and mother the refused and deny to forecast psychoticism high mark the rate respectively were 11.41％ and 21.87％,mother the severe punishment to forecast the psychoticism high mark the rate was 8.13％,Conclusion Father and mother the refused and deny,mother severe punishment have effects on psychological traits of the first onset schizophrenia,psychoticism of psychological traits has an affect on treatment efficacy,the psychoticism high mark presages the poor treatment efficacy.

Alexithymia and Coping Style of Inpatients with Alcoholic Psychosis / 中国心理卫生杂志

Objective: To study alexithymia and coping style of patients with alcoholic psychosis. Method: 40 inpatients with alcoholic psychosis and 49 normal control were assessed by TAS (Toronto Alexithymia Scale) and CS (Coping Style). Result: The total and factor scores of TAS were higher in patient group than in normal control. Fancy-lacking was a feature of patient group. Patients had less score in problem-oriented coping, assertion, rational processing and control ability than normal control, while they had higher score in affective palliative, support seeking, emotional processing and resignation. There was positive correlation between factor 2 of TAS and sensitization, control of CS; negative correlation between factor 2 of TAS and resignation of CS. Conclusion: Patients with alcoholic psychosis have alexithymia, they are more dependent and incline to emotional problem solving, which related to their poor ability of and attitude to internal emotion, and their somatization feeling.