ارتباط ابعاد سرشت و منش با علايم اختلال اسكيزوفرني در مردان

مجله دانشگاه علوم پزشكي كرمانشاه(نام قديمي، فصلنامه بهبود)

دوره 15 - شماره 4

نوع مقاله: ---- Unspecified ----
چكيده:

زﻣﯿﻨﻪ: در ﻣﻮرد ﺗﺄﺛﯿﺮ ﻋﻮاﻣﻞ ﺳﺮﺷﺘﯽ و ﻣﻨﺸﯽ ﺑﺮ ﻋﻼﯾﻢ اﺧﺘﻼل اﺳﮑﯿﺰوﻓﺮﻧﯽ، اﻃﻼﻋﺎت اﻧﺪﮐﯽ ﻣﻮﺟﻮد اﺳﺖ. ﻣﻄﺎﻟﻌﺎت اﺧﯿﺮ ﺣﺎﮐﯽ از آن اﺳﺖ ﮐﻪ اﺑﻌﺎد ﺳﺮﺷﺖ و ﻣﻨﺶ ﺑﺮ ﻋﻼﯾﻢ و ﮐﺎرﮐﺮدﻫﺎي اﺳﮑﯿﺰوﻓﺮﻧﯽ ﺗﺄﺛﯿﺮ ﻣﯽﮔﺬارﻧﺪ. ﻫﺪف ﭘﮋوﻫﺶ ﺣﺎﺿﺮ، ﺗﻌﯿﯿﻦ ارﺗﺒﺎط اﺑﻌﺎد ﺳﺮﺷﺖ و ﻣﻨﺶ ﺑﺎ ﻋﻼﯾﻢ ﻣﺜﺒﺖ و ﻣﻨﻔﯽ در ﺑﯿﻤﺎران ﻣﺒﺘﻼ ﺑﻪ اﺳﮑﯿﺰوﻓﺮﻧﯽ ﺑﻮد.
روشﻫﺎ: اﯾﻦ ﭘﮋوﻫﺶ ﯾﮏ ﻣﻄﺎﻟﻌﻪ ﻫﻤﺒﺴﺘﮕﯽ اﺳﺖ. ﻧﻤﻮﻧﻪ ﭘﮋوﻫﺶ ﺷﺎﻣﻞ 100 ﻣﺮد ﺑﻮد ﮐﻪ از ﻣﯿﺎن ﺑﯿﻤﺎران ﻣﺒﺘﻼ ﺑﻪ اﺳﮑﯿﺰوﻓﺮﻧﯽ داراي ﻋﻼﯾﻢ ﻣﺜﺒﺖ و ﻣﻨﻔﯽ در ﺑﯿﻤﺎرﺳﺘﺎن رازي ﺷﻬﺮ ﺗﺒﺮﯾﺰ ﺑﻪﺷﯿﻮه ﻧﻤﻮﻧﻪﮔﯿﺮي ﺗﺼﺎدﻓﯽ ﺳﺎده اﻧﺘﺨﺎب ﺷﺪﻧﺪ. ﺑﺮاي ﺟﻤﻊآوري دادهﻫﺎ از ﭘﺮﺳﺸﻨﺎﻣﻪ ﺳﺮﺷﺖ و ﻣﻨﺶ و ﻣﻘﯿﺎس ﻋﻼﯾﻢ ﻣﺜﺒﺖ و ﻣﻨﻔﯽ آﻧﺪرﺳﻮن اﺳﺘﻔﺎده ﺷﺪ. دادهﻫﺎي ﭘﮋوﻫﺶ ﺑﺎ روشﻫﺎي آزﻣﻮن t و ﺗﺤﻠﯿﻞ ﻣﻤﯿﺰ ﺗﺠﺰﯾﻪ و ﺗﺤﻠﯿﻞ ﺷﺪﻧﺪ.
ﯾﺎﻓﺘﻪﻫﺎ: ﻣﯿﺎﻧﮕﯿﻦ ﻧﻤﺮات ﺧﻮدﻓﺮاروي و آﺳﯿﺐﭘﺮﻫﯿﺰي در ﺑﯿﻤﺎران اﺳﮑﯿﺰوﻓﺮﻧﯽ داراي ﻋﻼﯾﻢ ﻣﻨﻔﯽ، ﺑﻪﻃﻮر ﻣﻌﻨﺎداري ﺑﯿﺸﺘﺮ ﺑﻮد (P<0/001)، درﺻﻮرﺗﯽﮐﻪ ﻣﯿﺎﻧﮕﯿﻦ ﻧﻤﺮات ﭘﺸﺘﮑﺎر در ﺑﯿﻤﺎران اﺳﮑﯿﺰوﻓﺮﻧﯽ داراي ﻋﻼﯾﻢ ﻣﺜﺒﺖ، ﺑﻪﻃﻮر ﻣﻌﻨﺎدار ﺑﯿﺸﺘﺮ ﺑﻮد (P<0/001). ﻧﺘﺎﯾﺞ ﺗﺤﻠﯿﻞ ﻣﻤﯿﺰ ﻧﺸﺎن داد ﮐﻪ 37 درﺻﺪ وارﯾﺎﻧﺲ ﻧﻤﺮات ﺧﻮدﻓﺮاروي، آﺳﯿﺐﭘﺮﻫﯿﺰي و ﻫﻤﮑﺎري ﺑﺮاي ﺗﻨﻬﺎ ﺗﺎﺑﻊ ﻣﻤﯿﺰ از اﺧﺘﻼف ﺑﯿﻦ دو ﮔﺮوه اﺳﮑﯿﺰوﻓﺮﻧﯽ داراي ﻋﻼﯾﻢ ﻣﻨﻔﯽ و ﻣﺜﺒﺖ ﺗﺒﯿﯿﻦ ﻣﯽﺷﻮد. ﺗﺎﺑﻊ ﻣﻤﯿﺰ ﺑﻪدﺳﺖ آﻣﺪه ﺑﺎ روش ﮔﺎمﺑﻪﮔﺎم 68/3 درﺻﺪ ﺑﯿﻤﺎران داراي ﻋﻼﯾﻢ ﻣﺜﺒﺖ و ﻣﻨﻔﯽ ﺑﻪ درﺳﺘﯽ ﻃﺒﻘﻪﺑﻨﺪي ﺷﺪهاﻧﺪ.
ﻧﺘﯿﺠﻪﮔﯿﺮي: اﺑﻌﺎد ﺧﻮدﻓﺮاروي، آﺳﯿﺐﭘﺮﻫﯿﺰي و ﻫﻤﮑﺎري، ﺑﯿﻤﺎران داراي ﻋﻼﯾﻢ ﻣﺜﺒﺖ و ﻣﻨﻔﯽ را از ﻫﻢ ﺗﻤﯿﺰ ﻣﯽدﻫﺪ. اﯾﻦ ﻧﺘﺎﯾﺞ، ﺗﻠﻮﯾﺤﺎت ﻣﻬﻤﯽ را در زﻣﯿﻨﻪ ﺗﺸﺪﯾﺪ ﻧﺸﺎﻧﻪﺷﻨﺎﺳﯽ و ﻣﺪاﺧﻼت اوﻟﯿﻪ ﺑﺮاي ﺑﯿﻤﺎران اﺳﮑﯿﺰوﻓﺮﻧﯽ دارد.

Temperament and personal character relationship with symptoms of schizophrenia disorder
Article Type: ---- Unspecified ----
Abstract:

Background: Knowledge is limited concerning the role of temperament and character factors on schizophrenia. Recent studies suggest that dimensions of temperament and character influence symptoms and functions in schizophrenia. The purpose of this study was to determine the relationship between temperament and character with positive and negative symptoms in patients with schizophrenia. Methods: The research sample consisted of 100 men which were randomly selected from schizophrenia patients with positive and negative symptoms at Razi hospital in Tabriz. Temperament and character inventory and positive and negative symptoms scale were used for data collection. Data was analyzed using t-test and discriminate analyses. Results: The research findings showed that patients with schizophrenia with negative symptoms had higher levels of self– transcendence and harm avoidance. However, patients with schizophrenia with positive symptoms had higher levels of cooperativeness. The results of discriminate analysis showed that explained 37 percent of variance of self– transcendence, harm avoidance and cooperativeness for only function between groups of schizophrenia with positive and negative symptoms. Discriminate function obtained was classified correctly by stepwise method 68.3 percent schizophrenia with positive and negative symptoms. Conclusion: It can be concluded that self– transcendence, harm avoidance and cooperativeness discriminated the patients with schizophrenia with positive and negative symptoms. The study confirmed important implications about intensity of symptomology and early intervention for patients with schizophrenia.