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E88105
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病識感對精神分裂症患者自傷傷人、藥物遵從性、社會適應與疾病復發之預測效果研究
A Study of the Predictive Effect of the Insight to the Schizophrenic Patients\' Suicide, Homicide, Drug Compliance, Social Adjustment and Relapse
1.顏正芳
1.Cheng-fang Yen
1.高雄醫學大學精神科
1.Department of Psychiatry, Kaohsiung Medical University
001,002,003,004
1.高雄醫學大學精神科
1.Department of Psychiatry, Kaohsiung Medical University
002
1.行政院國家科學委員會
1.National Science Council
A.14 計畫執行期間(起):1998-08-01
A.14 計畫執行期間(訖):1999-07-31
A.16 收到日期:2000-02-21
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C.2 聯絡日期:2000-02-25
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1.高雄醫學大學精神科
1.Department of Psychiatry, Kaohsiung Medical University
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C.7 資料公開日期:1999-08-01
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1.自殺
2.社會適應
3.病識感
4.復發
5.傷害他人
6.精神分裂症
7.藥物遵從性
1.Drug Compliance
2.Homicide
3.Insight
4.Relapse
5.Schizophrenia
6.Social Adjustment
7.Suicide
精 神分裂症患者的病識感受到學者注意已有很久時間,而由於學者因所持之基本學術立場和研究方向各異,致病識感的定義多變分歧。歷來研究著 重層面包括應用在分析性心理治療成效的評估,精神病患病識感形成的過程、病識感和藥物服從性之關連,病識感用於疾病復發前期預測的指標等,而建立標準化病 識感評量法,進行不同精神疾病和不同階段病識感之比較和預測自殺危險性、藥物服從性,成為目前病識感研究的新課題。為了了解本土精神分裂症病患病識感形成 過程中影響的因子,做為臨床醫療人員在擬定提昇病識感治療計畫參考依據,並能將本土精神分裂症患者之病識感加以量化,在國科八十七年度研究專題計畫「精神 分裂症患者病識感之質性與量性評 估(NSC87-2413-H-037-006)」中藉由與精神分裂症患者進行半結構化深度 會談,分析錄音逐字稿、綜合歷來研究成果和研究者之臨床經驗,擬定出具有5大項目和具有操作型定義之等級的「系統量化病識感評估表」,並完成專家效度測 試。今年度預計將追蹤八十七年度計畫中100位精神分裂症個案出現自殺、傷害他人行為、藥物遵從性行為、社會適應程度和疾病復發之狀況,將結果與前一年個 案接受深度會談後呈現的病識感分數進行關連性之探討,以確定量化之病識感用做預測精神分裂症患者疾病行為和病情變化之效能,依據此以提出適用於社區的預防 策略和衛教模式。

The term\'insight\'encompasses a complex concept which should not be considered as an isolated symptom which is present or absent. It may be more appropriate to think of insight as a continuum of thinking and feeling, affected by numerous internal and external variables. The past studies focused on the evaluation of the effects of dynamic psychotherapy, the processing that insight of mental-ill patients formed , the relationships between insight and drug compliance , and the relapse of schizophrenia by using insight as a predictor. In order to increase the understanding of mental illness and make adequate treatment plans, systemic and standarized scale to evaluate the insight of patients with mental illness was build up in the NSC research plan \"Qualitative and quantitative evaluation of the insight of the schizophrenic patients\" in which one hundred schizophrenic cases were interviewed. By this scale , schizophrenic patients\' insights were quantited in five dimentions. In order to examine whether the insight is a good predictor to the occurrence of suicidal and homicidal behavior, the changes of drug compliance and social adjustment , and relapse of schizophrenia , one hundred schizophrenic cases in the past one study will be followed up to detect the occurrence of suicide and homicide , changes of drug compliance and social adjustment , and relapse of illness. The relationship of insight with these factors will be examined.

D.16 完成檢誤日期:2001-10-16
D.17 預定釋出日期:2001-11-13
D.18 初次釋出日期:2001-11-13
D.19_1 最新版釋出日期:2001-11-13
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10.6141/TW-SRDA-E88105-1
http://efenci.srda.sinica.edu.tw/webview/index.jsp?object=http://efenci.srda.sinica.edu.tw:80/obj/fStudy/E88105
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