背景:这项研究调查了在COVID-19大流行期间,农村社区居住的精神分裂症患者的社会支持与阳性症状严重程度之间的关系。
方法:横断面研究包括在COVID-19大流行期间调查的665名农村社区居住的精神分裂症患者。社会支持是使用社会支持评定量表测量的,使用从阳性和阴性综合征量表中提取的阳性量表评估阳性症状。采用多元线性回归分析社会支持与阳性症状的关系。
结果:总社会支持分数,主观支持,客观支持和社会支持使用分别为28.3±5.9、16.4±5.2、6.5±1.4和5.4±2.8。总社会支持(β=-0.08,95CI:-0.13~-0.02,P<0.01)和主观社会支持(β=-0.10,95CI:-0.16~-0.04,P<0.01)与校正混杂因素后的正量表得分呈显著负相关。客观社会支持(β=0.11,95CI:-0.10~0.32,P=0.31)和使用社会支持(β=-0.03,95CI:-0.14~0.07,P=0.53)与阳性量表评分无显著相关性。
结论:这项研究证实了社会支持的重要性,尤其是主观支持,在COVID-19大流行期间提供给农村社区居住的精神分裂症患者。这种支持应该得到解决,并在紧急事件中加强对这类患者的支持。
BACKGROUND: This study examined the association between social support and the severity of positive symptoms in rural community-dwelling schizophrenia patients during the COVID-19 pandemic.
METHODS: The cross-sectional study included 665 rural community-dwelling schizophrenia patients investigated during the COVID-19 pandemic. Social support was measured using the Social Support Rating Scale, and positive symptoms were assessed using the Positive Scale extracted from the Positive and Negative Syndrome Scale. Multiple linear regression was adopted to examine the association of social support with positive symptoms.
RESULTS: The scores for total social support, subjective support, objective support and the use of social support were 28.3 ± 5.9, 16.4 ± 5.2, 6.5 ± 1.4 and 5.4 ± 2.8, respectively. Total social support (β = -0.08, 95%CI: -0.13 to -0.02, P < 0.01) and subjective social support (β = -0.10, 95%CI: -0.16 to -0.04, P < 0.01) were significantly and negatively associated with the Positive Scale score after adjustment for confounders. Objective social support (β = 0.11, 95%CI: -0.10 to 0.32, P = 0.31) and the use of social support (β = -0.03, 95%CI: -0.14 to 0.07, P = 0.53) were not significantly associated with the Positive Scale score.
CONCLUSIONS: The study confirmed the importance of social support, especially subjective support, provided to rural community-dwelling schizophrenia patients during the COVID-19 pandemic. This support should be addressed and strengthened for such patients in emergent events.