精神分裂症、心境障碍、神经症患者婚姻质量和家庭功能研究
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摘要
目的探讨精神疾病患者婚姻质量和家庭功能的状况及影响因素,为开展婚姻家庭治疗提供帮助。
方法精神疾病症状缓解的已婚的精神分裂症患者305例、心境障碍患者96例、神经症患者201例,采用自制调查问卷、Olson婚姻质量问卷及家庭功能评定量表进行调查分析。
结果精神疾病患者的婚姻满意度、性格相容性、夫妻交流、解决冲突方式、经济安排、业余活动、性生活、子女和婚姻、与亲友的关系、角色平等性、信仰一致性因子分都比正常人明显降低,(t=-14.268到-2.856之间,均P<0.01)。精神分裂症组婚姻总质量和家庭总功能最差,心境障碍组其次,神经症组比其他两组好,差异有统计学意义(t=2.320到15.716之间,均P<0.05)。城市患者婚姻总质量、家庭总功能好于农村患者(t=4.787,-2.418,均P<0.05)。无业组比技术人员组、公务员组、工人组、公司职员组婚姻质量总分都低(均P<0.05);公务员组比农林牧渔劳动者组婚姻质量总分高(P=0.037<0.05)。公务员组、公司职员组比无业组家庭总功能分低(均P<0.05)。5年及以下病程组比其他各组婚姻总质量和家庭总功能好(均P<0.05)。5—10年病程组比20年以上病程组婚姻总质量分高(P<0.05)。社保组比自费组婚姻质量总分高(P=0.047<0.05),社保组比农村合作医疗组婚姻质量总分高(P=0.016<0.05)。社保组比农村合作医疗组家庭总功能分低(P=0.021<0.05)。家庭人均月收入大于1300元组比收入小于800元组的婚姻质量总分高(P=0.000<0.01有统计学意义),月收入大于1300元组比收入800—1300元组的婚姻质量总分也高(P=0.000<0.01有统计学意义)。月收入大于1300元组比收入小于800元组的家庭总功能分低(P=0.000<0.01有统计学意义),月收入大于1300元组比收入800—1300元组的家庭总功能分也低(P=0.000<0.01有统计学意义)。大学及以上组婚姻总质量好于小学、初中、中专组(均P<0.01)。而受教育程度对家庭总功能无显著影响(F=1.797,P=0.112> 0.05)。共同居住者为配偶和子女组比配偶组婚姻总质量分高(P=0.040<0.05);配偶和子女组比父母和配偶组家庭总功能分低(P=0.026<0.05)。男性组婚姻质量总分、过分理想化、婚姻满意度、性格相容性、夫妻交流、冲突解决方式、业余活动、子女与婚姻、角色平等性、信仰一致性比女性组分高(t=2.336到4.593之间,均P<0.05)。家庭功能男女比较差异无统计学意义(t=-1.771到1.026,均P> 0.05)。家族史阴性组婚姻质量和家庭功能好于阳性组(t=-4.674到5.886之间,均P<0.05)。由多元逐步回归分析得出,影响婚姻质量的主要因素有家庭收入、疾病种类、病程、家庭总功能、性别(t=4.564,7.414,-8.870,-14.466,-4.563,均P<0.01),影响家庭总功能的主要因素有疾病种类和病程(t=-16.495,8.310,均P<0.01)。
结论1.精神疾病患者婚姻质量较正常人差。在三组精神疾病患者中,婚姻质量精神分裂症组都最差,心境障碍组其次,神经症组分别好于心境障碍组及精神分裂症组。2.精神疾病患者收入高的婚姻质量比收入低的婚姻质量好。精神分裂症组、心境障碍组的家庭功能不如神经症组,而精神分裂症组最差。而病程越长,家庭功能和婚姻质量越不好。3.无业组的婚姻总质量和家庭总功能差于其他的职业组。自费患者比有保险者婚姻质量差。家庭经济平均收入越高婚姻总质量及家庭总功能越好。受过大学及以上教育的人婚姻质量明显高于受教育程度较低者。而受教育程度对家庭总功能无显著影响。与配偶和子女共同居住的患者婚姻总质量和家庭总功能较好。4.城市患者比农村患者婚姻总质量、家庭总功能好。男性婚姻质量比女性较好。家族史阴性的患者比阳性的患者婚姻质量好。
Objectives To explore the status and influencing factors of marital quality and family function in psychiatric patients for formulating practicable family therapy program.
Methods Self-made questionnaire,Olson Marital Quality Inventory and Family Assessment Device were administered to evaluate the condition of married patients,whoes psychosis symptom relieve,including 305 schizophrenics, 96 mood disorders and 201 neurosis patients.
Results The results showed that the scores of marital satisfaction,character compatibility,communication between couples, the way of conflict resolution, economic arrangements, amateur life,sexual life,children and marriage, relationship with family and friends,the role of equality and belief consistency of the psychiatric patients were significantly lower than those of the healthy people(the t from -14.268 to -2.856,P<0.01 ).The total marital quality and total family function of the schizophrenia group were the poorest,and those of the mood disorders group were secondly poorer,and those of the neurosis patients group were a little better than those of the other two groups ,which all showed significant difference(the t from 2.320 to 15.716,P<0.05). The total marital quality and total family function of the city patients were better than those of village patients(t=4.787,-2.418, P<0.05). The total marital quality score of the unemployed group was lower than that of technician group, civil servant group,worker group and company staff group(P<0.05). The total marital quality score of civil servant group was higher than that of forestry and animal husbandry laborers group(P=0.037<0.05). The total family function score of civil servant group and company staff group was lower than that of the unemployed group(P<0.05).The total marital quality and total family function of 5 years disease course and below group were better than those of other year section groups(P<0.05). The total marital quality score of 5—10 years disease course group was higher than that of the above 20 years group (P<0.05).The total marital quality score of social charity group was higher than that of private expense group(P=0.047<0.05),and that of social charity group was higher than that of rural cooperative medical group(P=0.016<0.05).The total family function score of social charity group was lower than that of rural cooperative medical group(P=0.021<0.05). The total marital quality score of family average monthly income above 1300 yuan group was higher than that of income below 800 yuan group(P=0.000<0.01),and was higher than that of income of 800—1300 yuan group(P=0.000<0.01). The total family function score of monthly income above 1300 yuan group was lower than that of income below 800 yuan group (P=0.000<0.01), and was lower than that of income of 800—1300 yuan group (P=0.000<0.01). The total marital quality score of the above universities group was higher than that of primary school group,junior middle school group and polytechnic school group(P<0.01).On the total family function,there was no significant difference among different educational level patients(F=1.797,P=0.112 > 0.05). The total marital quality score of the joint residence with spouse and children group was higher than that of spouse group(P=0.040<0.05). The total family function score of the joint residence with spouse and children group was lower than that of parents and spouse group(P=0.026<0.05). The scores of the total marital quality,idealistic distortion,marital satisfaction,character compatibility,communication between couples,the way of conflict resolution, amateur life, children and marriage, the role of equality and belief consistency of male group were higher than those of female group(the t from 2.336 to 4.593,P<0.05).On the family function,there was no significant difference between the male group and the female group(the t from -1.771 to 1.026,P> 0.05).The marital quality and family function of negative family history group were better than those of positive family history group(the t from-4.674 to 5.886, P<0.05).The multiple stepwise regression analysis showed that the main factors that affected marital quality were family average monthly income, disease sort,disease course, total family function and sex (t=4.564,7.414,-8.870,-14.466,-4.563,P<0.01).The main factors that affected total family function were disease sort and disease course(t=-16.495,8.310,P<0.01).
Conclusion 1.The marital quality of the psychiatric patients was poorer than that of the healthy people. In the three groups of psychiatric patients,the marital quality of the schizophrenia was the poorest, and that of the mood disorders group was secondly poorer,and that of the neurosis patients group was a little better than that of the other two groups . 2. The total marital quality of high income was better than that of low income.The total family function of the schizophrenia group was the poorest,and that of the neurosis patients group was a little better than that of the other two groups.The total marital quality and total family function of the longer disease course group were the worse. 3. The total marital quality and total family function of the unemployed group were poorer than those of other occupation groups. The total marital quality of social charity group was better than that of private expense group. The total marital quality and total family function of higher family average monthly income were better. The total marital quality of the above universities group was better than that of the other educational level groups. On the total family function,there was no significant difference among different educational level patients . The total marital quality and total family function of the joint residence with spouse and children group were the best. 4 .The total marital quality and total family function of the city patients were better than those of village patients. The marital quality of the male group was better than that of the female group. The marital quality and family function of negative family history group were better than those of positive family history group.
方法精神疾病症状缓解的已婚的精神分裂症患者305例、心境障碍患者96例、神经症患者201例,采用自制调查问卷、Olson婚姻质量问卷及家庭功能评定量表进行调查分析。
结果精神疾病患者的婚姻满意度、性格相容性、夫妻交流、解决冲突方式、经济安排、业余活动、性生活、子女和婚姻、与亲友的关系、角色平等性、信仰一致性因子分都比正常人明显降低,(t=-14.268到-2.856之间,均P<0.01)。精神分裂症组婚姻总质量和家庭总功能最差,心境障碍组其次,神经症组比其他两组好,差异有统计学意义(t=2.320到15.716之间,均P<0.05)。城市患者婚姻总质量、家庭总功能好于农村患者(t=4.787,-2.418,均P<0.05)。无业组比技术人员组、公务员组、工人组、公司职员组婚姻质量总分都低(均P<0.05);公务员组比农林牧渔劳动者组婚姻质量总分高(P=0.037<0.05)。公务员组、公司职员组比无业组家庭总功能分低(均P<0.05)。5年及以下病程组比其他各组婚姻总质量和家庭总功能好(均P<0.05)。5—10年病程组比20年以上病程组婚姻总质量分高(P<0.05)。社保组比自费组婚姻质量总分高(P=0.047<0.05),社保组比农村合作医疗组婚姻质量总分高(P=0.016<0.05)。社保组比农村合作医疗组家庭总功能分低(P=0.021<0.05)。家庭人均月收入大于1300元组比收入小于800元组的婚姻质量总分高(P=0.000<0.01有统计学意义),月收入大于1300元组比收入800—1300元组的婚姻质量总分也高(P=0.000<0.01有统计学意义)。月收入大于1300元组比收入小于800元组的家庭总功能分低(P=0.000<0.01有统计学意义),月收入大于1300元组比收入800—1300元组的家庭总功能分也低(P=0.000<0.01有统计学意义)。大学及以上组婚姻总质量好于小学、初中、中专组(均P<0.01)。而受教育程度对家庭总功能无显著影响(F=1.797,P=0.112> 0.05)。共同居住者为配偶和子女组比配偶组婚姻总质量分高(P=0.040<0.05);配偶和子女组比父母和配偶组家庭总功能分低(P=0.026<0.05)。男性组婚姻质量总分、过分理想化、婚姻满意度、性格相容性、夫妻交流、冲突解决方式、业余活动、子女与婚姻、角色平等性、信仰一致性比女性组分高(t=2.336到4.593之间,均P<0.05)。家庭功能男女比较差异无统计学意义(t=-1.771到1.026,均P> 0.05)。家族史阴性组婚姻质量和家庭功能好于阳性组(t=-4.674到5.886之间,均P<0.05)。由多元逐步回归分析得出,影响婚姻质量的主要因素有家庭收入、疾病种类、病程、家庭总功能、性别(t=4.564,7.414,-8.870,-14.466,-4.563,均P<0.01),影响家庭总功能的主要因素有疾病种类和病程(t=-16.495,8.310,均P<0.01)。
结论1.精神疾病患者婚姻质量较正常人差。在三组精神疾病患者中,婚姻质量精神分裂症组都最差,心境障碍组其次,神经症组分别好于心境障碍组及精神分裂症组。2.精神疾病患者收入高的婚姻质量比收入低的婚姻质量好。精神分裂症组、心境障碍组的家庭功能不如神经症组,而精神分裂症组最差。而病程越长,家庭功能和婚姻质量越不好。3.无业组的婚姻总质量和家庭总功能差于其他的职业组。自费患者比有保险者婚姻质量差。家庭经济平均收入越高婚姻总质量及家庭总功能越好。受过大学及以上教育的人婚姻质量明显高于受教育程度较低者。而受教育程度对家庭总功能无显著影响。与配偶和子女共同居住的患者婚姻总质量和家庭总功能较好。4.城市患者比农村患者婚姻总质量、家庭总功能好。男性婚姻质量比女性较好。家族史阴性的患者比阳性的患者婚姻质量好。
Objectives To explore the status and influencing factors of marital quality and family function in psychiatric patients for formulating practicable family therapy program.
Methods Self-made questionnaire,Olson Marital Quality Inventory and Family Assessment Device were administered to evaluate the condition of married patients,whoes psychosis symptom relieve,including 305 schizophrenics, 96 mood disorders and 201 neurosis patients.
Results The results showed that the scores of marital satisfaction,character compatibility,communication between couples, the way of conflict resolution, economic arrangements, amateur life,sexual life,children and marriage, relationship with family and friends,the role of equality and belief consistency of the psychiatric patients were significantly lower than those of the healthy people(the t from -14.268 to -2.856,P<0.01 ).The total marital quality and total family function of the schizophrenia group were the poorest,and those of the mood disorders group were secondly poorer,and those of the neurosis patients group were a little better than those of the other two groups ,which all showed significant difference(the t from 2.320 to 15.716,P<0.05). The total marital quality and total family function of the city patients were better than those of village patients(t=4.787,-2.418, P<0.05). The total marital quality score of the unemployed group was lower than that of technician group, civil servant group,worker group and company staff group(P<0.05). The total marital quality score of civil servant group was higher than that of forestry and animal husbandry laborers group(P=0.037<0.05). The total family function score of civil servant group and company staff group was lower than that of the unemployed group(P<0.05).The total marital quality and total family function of 5 years disease course and below group were better than those of other year section groups(P<0.05). The total marital quality score of 5—10 years disease course group was higher than that of the above 20 years group (P<0.05).The total marital quality score of social charity group was higher than that of private expense group(P=0.047<0.05),and that of social charity group was higher than that of rural cooperative medical group(P=0.016<0.05).The total family function score of social charity group was lower than that of rural cooperative medical group(P=0.021<0.05). The total marital quality score of family average monthly income above 1300 yuan group was higher than that of income below 800 yuan group(P=0.000<0.01),and was higher than that of income of 800—1300 yuan group(P=0.000<0.01). The total family function score of monthly income above 1300 yuan group was lower than that of income below 800 yuan group (P=0.000<0.01), and was lower than that of income of 800—1300 yuan group (P=0.000<0.01). The total marital quality score of the above universities group was higher than that of primary school group,junior middle school group and polytechnic school group(P<0.01).On the total family function,there was no significant difference among different educational level patients(F=1.797,P=0.112 > 0.05). The total marital quality score of the joint residence with spouse and children group was higher than that of spouse group(P=0.040<0.05). The total family function score of the joint residence with spouse and children group was lower than that of parents and spouse group(P=0.026<0.05). The scores of the total marital quality,idealistic distortion,marital satisfaction,character compatibility,communication between couples,the way of conflict resolution, amateur life, children and marriage, the role of equality and belief consistency of male group were higher than those of female group(the t from 2.336 to 4.593,P<0.05).On the family function,there was no significant difference between the male group and the female group(the t from -1.771 to 1.026,P> 0.05).The marital quality and family function of negative family history group were better than those of positive family history group(the t from-4.674 to 5.886, P<0.05).The multiple stepwise regression analysis showed that the main factors that affected marital quality were family average monthly income, disease sort,disease course, total family function and sex (t=4.564,7.414,-8.870,-14.466,-4.563,P<0.01).The main factors that affected total family function were disease sort and disease course(t=-16.495,8.310,P<0.01).
Conclusion 1.The marital quality of the psychiatric patients was poorer than that of the healthy people. In the three groups of psychiatric patients,the marital quality of the schizophrenia was the poorest, and that of the mood disorders group was secondly poorer,and that of the neurosis patients group was a little better than that of the other two groups . 2. The total marital quality of high income was better than that of low income.The total family function of the schizophrenia group was the poorest,and that of the neurosis patients group was a little better than that of the other two groups.The total marital quality and total family function of the longer disease course group were the worse. 3. The total marital quality and total family function of the unemployed group were poorer than those of other occupation groups. The total marital quality of social charity group was better than that of private expense group. The total marital quality and total family function of higher family average monthly income were better. The total marital quality of the above universities group was better than that of the other educational level groups. On the total family function,there was no significant difference among different educational level patients . The total marital quality and total family function of the joint residence with spouse and children group were the best. 4 .The total marital quality and total family function of the city patients were better than those of village patients. The marital quality of the male group was better than that of the female group. The marital quality and family function of negative family history group were better than those of positive family history group.
引文
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20 Julianne Holt-Lunstad,Wendy Birmingham,Brandon Q.Jones.Is there something unique about marriage?The relative impact of marital status,relationship quality,and network social support on ambulatory blood pressure and mental health.The Society of Behavioral Medicine,2008,35:239-244
21王德明,王雪梅,金永乐等.109对新婚夫妇婚姻质量与个性因素的相关研究.中国临床心理学杂志,2005,13(2):235-236,243
22 Gregory G. Homish,et al.The drinking partnership and marital satisfaction:the longitudinal influence of discrepant drinking.Journal of Consulting and Clinical Psychology ,2007,75(1):43-51
23叶文振,徐安琪.婚姻质量:西方学者的研究成果及其学术启示.人口研究,2000,24(4):67-75
24 Nardi Steverink,Siegwart Lindenberg.Which social needs are important for subjective well-being? What happens to them with aging? Psychology and Aging,2006,21(2):281-290
25王唯平,王仁峰,苏磊,唐茂芹.精神分裂症患者婚姻质量的研究.国际精神病学杂志,2005,(3):21-24
26石林,张金峰.夫妻收入差异与婚姻质量关系的调查研究.中华女子学院学报,2002,6(3):35-40
27卢莉,郭宏,阎惠质等.已婚妇女婚姻质量及心身健康研究.中国心理卫生杂志,1998,12(4):227-228
28李伟,程灶火,王湘等.婚姻质量与个性、婚姻动因的关系.中国临床心理学杂志,2002,10(1):17-19
29赵江涛.美满婚姻的实证研究四题.中州学刊,2009,2:118-120
30吴福喜,邓河晃,黎丽燕.女性精神分裂症患者的婚姻质量与婚姻调适测定.中国行为医学杂志,2000,9(3):46-49
31杨丽全,陈金寿,郑建盛等.老年高血压患者家庭功能与抑郁的对应关系研究.护理学杂志,2008,23(5):66-67
32段春月,范玲.婚姻质量及家庭功能对孕妇心理的影响.中国妇幼保健,2007,22(24):3374-3375
33黄丽,沈晓红.抗癌明星的心身特点初步研究.中国心理卫生杂志,1999,13(2):72-73
34 Banthia R,Malcarne VL,Varni JW,et al.The effects of dyadic strength and coping styles on psychological distress in couples faced with prostate cancer.J Behav Med,2003,26(1):31-52
35闻吾森,王义强,孙建胜.社会支持、心理控制感和心理健康的关系研究.中国心理卫生杂志,2000,14(4):258-260
36李凌江,杨德森.个性与婚姻质量.中国行为医学杂志,1993,2(1):48-51
37 Berglund N.Family intervention in schizophrenia impact on family burden and attitude.Soc Psychiatry,2003,38(3):116-121
38张锦涛,方晓义,戴丽琼.夫妻沟通模式与婚姻质量的关系.心理发展与教育,2009,2:108-115
39 Gian C. Gonzaga,et al.Similarity,convergence and relationship satisfaction in dating and married couples.Journal of Personality and Social Psychology,2007,93(1):34-48
1马振芬,李秀玲,刘庆海等.个别系统家庭干预对精神分裂症患者家庭功能和社会功能的作用:随机对照研究.中国临床康复,2004,8(30):6591-6593
2陈昌惠,张维熙,李淑然等.精神分裂症病程与结局12年随访.中华精神科杂志,1998,31(2):84-86
3张凯,吴瑜,贾杰,谭庆荣.双相情感障碍患者家庭亲密度与适应性的调查.上海精神医学,2003,15(1):13-14
4张敬悬,翁正,刘庆桂等.家庭成员抑郁症状与其家庭职能关系的研究.中国临床心理学杂志,1995,3(4):225-229
5翁正,张敬悬,柴新生等.山东城乡自杀死亡发生动态前瞻性研究.上海精神医学,1993,新5(增1):69-73
6刘贤臣,王均乐,张敬悬.中学教师抑郁症状及影响因素的调查分析.中国社会医学,1990,29(4):36-38
7 GI Keitner等.家庭功能与重症抑郁的病程.国外医学社会医学分册,1987,5(3):180-182
8何如宽等.1,380例住院精神病人和婚姻状况调查.健康心理学杂志,2002,10(4):263-264
9 Mary Ann Test,Jan S. Greenberg,Jeffrey D. Long,et al.Construct validity of a measure of subjective satisfaction with life of adults with serious mental illness.Psychiatric Services,2005,56(3):292-300
10卢莉,郭宏,阎惠质等.已婚妇女婚姻质量及心身健康研究.中国心理卫生杂志,1998,12(4):227-228
11李凌江,杨德森.生活事件,家庭行为方式与婚姻稳定性.中国心理卫生杂志,1990,4(6):256-261
12陈震华,喻东山,彭昌孝.241例婚姻满意度调查.健康心理学杂志,2000,8(2):154-155
13詹来英,张丽,翟爱玲.婚姻支持对精神分裂症病情及生活质量的影响.护理学杂志,2008,23(11):65-67
14刘学俊,邹义仕,武志强.婚姻与个性的相关性研究.健康心理学杂志,2002,10(1):58-60
15 Weisfeld G.,Russell R.,Weisfeld C.,et al.Correlates of satisfaction in British marriages.Ethology and Sociobiology,1992,13:125-145
16 Gian C. Gonzaga,et al.Similarity,convergence and relationship satisfaction in dating and married couples.Journal of Personality and Social Psychology,2007,93(1):34-48
17 Anderson C.,Keltner D.,John O.P. Emotional convergence between people over time.Journal of Personality and Social Psychology,2003,84:1054-1068
18 Gregory G. Homish,et al.The drinking partnership and marital satisfaction:the longitudinal influence of discrepant drinking.Journal of Consulting and Clinical Psychology ,2007,75(1):43-51
19 Leonard K.E.,Homish G.G. Changes in marijuana use over the transition into marriage.Journal of Drug Issues,2005,35:409-430
20傅正闯,孙轻骑,黄建龙等.神经症患者的性行为及婚姻质量分析.上海精神医学,2005,17(3):136-138
21 Nardi Steverink,Siegwart Lindenberg.Which social needs are important for subjective well-being? What happens to them with aging? Psychology and Aging,2006,21(2):281-290
22 Mona El-sheikh,et al.Marital psychological and physical aggression and children’s mental and physical health:direct,mediated,and moderated effects.Journal of Consulting and Clinical Psychology,2008,76(1):138-148
23黄丽,沈晓红.抗癌明星的心身特点初步研究.中国心理卫生杂志,1999,13(2):72-73
24 Banthia R,Malcarne VL,Varni JW,et al.The effects of dyadic strength and coping styles on psychological distress in couples faced with prostate cancer.J Behav Med,2003,26(1):31-52
25闻吾森,王义强,孙建胜.社会支持、心理控制感和心理健康的关系研究.中国心理卫生杂志,2000,14(4):258-260
26李凌江,杨德森.个性与婚姻质量.中国行为医学杂志,1993,2(1):48-51
27 Jan S. Greenberg,Kraig J. Knudsen,Kelly A. Aschbrenner.Prosocial family processes and the quality of life of persons with schizophrenia.Psychiatric Services,2006,57(12):1771-1777
28吕春梅,吕迪春,吕望强等.家庭护理对精神分裂症患者生活质量与家庭功能的影响.上海护理杂志,2006,6(5):4-6
29李轶琛,徐汉明,王鹏等.结构式家庭心理治疗对已婚精神病患者家庭及婚姻状况的影响.中国康复,2007,22(2):140-141
2朱乐信,翁正,张敬悬.社区新发精神分裂症危险因素研究.临床精神医学杂志,1996,6(4):201-203
3孙成建.精神分裂症患者婚姻质量调查.临床心身疾病杂志,2006,12(6):418-419
4 Mary Ann Test,Jan S. Greenberg,Jeffrey D. Long,et al.Construct validity of a measure of subjective satisfaction with life of adults with serious mental illness.Psychiatric Services,2005,56(3):292-300
5李轶琛,王继中,周新芳等,家庭治疗合并富马酸奎硫平对已婚精神病人家庭质量的疗效观察.中国民康医学,2006,18(6):444-445
6李凌江.Olson婚姻质量问卷(ENRICH).心理卫生评定量表手册.中国心理卫生杂志,1993,7(增刊):113～120
7汪向东,王希林,马弘.心理卫生评定量表手册[J] .中国心理卫生杂志,1999 , (增刊) :149 - 152
8陈昕.唐山市电力职工婚姻质量与家庭功能的关系研究[学位论文].河北:华北煤炭医学院,2009:15-18
9何如宽等.1380例住院精神病人和婚姻状况调查.健康心理学杂志,2002,10(4):263-264
10杜海霞,李强,郭敬华等.利培酮和氯氮平对首发精神分裂症患者社会功能的影响[J].中国临床康复,2003,7(30):4116-4117
11 Jan S. Greenberg,Kraig J. Knudsen,Kelly A. Aschbrenner.Prosocial family processes and the quality of life of persons with schizophrenia.Psychiatric Services,2006,57(12):1771-1777
12 Mona El-sheikh,et al.Marital psychological and physical aggression and children’s mental and physical health:direct,mediated,and moderated effects.Journal of Consulting and Clinical Psychology,2008,76(1):138-148
13盘圣明,韩宝淦,钟杏圣. 71例离婚案司法精神医学鉴定分析[J].上海精神医学,2002,14(3):160
14 JP Kuipers L.Herkowitx R.A Controled Tialol of social intervention the Famillies of Schizophrenic Patients[J].Psychiatry,1998,14(1):121-134
15黄永兴,王高华,臧德馨.女性精神分裂症患者婚姻恋爱问题分析.健康心理学,1996,4(3):175-176
16陈丽苹,陈长香,李淑杏等.更年期女性的婚姻质量、伴侣状况及与更年期综合征的相关性研究.卫生职业教育,2009,27(5):126-127
17张广歧.医保住院精神病人医疗费用承受能力的调查.精神卫生事业管理,2001,13(1):56
18秦海兵.精神分裂症患者经济负担及其照料者精神负担的对照研究[学位论文].云南:昆明医学院,2007:11-13
19康亚明,刘燕,周建等.373例精神疾病患者生活现状及经济状况调查与分析.中华临床医学研究杂志,2007,13(19):2861-2862
20 Julianne Holt-Lunstad,Wendy Birmingham,Brandon Q.Jones.Is there something unique about marriage?The relative impact of marital status,relationship quality,and network social support on ambulatory blood pressure and mental health.The Society of Behavioral Medicine,2008,35:239-244
21王德明,王雪梅,金永乐等.109对新婚夫妇婚姻质量与个性因素的相关研究.中国临床心理学杂志,2005,13(2):235-236,243
22 Gregory G. Homish,et al.The drinking partnership and marital satisfaction:the longitudinal influence of discrepant drinking.Journal of Consulting and Clinical Psychology ,2007,75(1):43-51
23叶文振,徐安琪.婚姻质量:西方学者的研究成果及其学术启示.人口研究,2000,24(4):67-75
24 Nardi Steverink,Siegwart Lindenberg.Which social needs are important for subjective well-being? What happens to them with aging? Psychology and Aging,2006,21(2):281-290
25王唯平,王仁峰,苏磊,唐茂芹.精神分裂症患者婚姻质量的研究.国际精神病学杂志,2005,(3):21-24
26石林,张金峰.夫妻收入差异与婚姻质量关系的调查研究.中华女子学院学报,2002,6(3):35-40
27卢莉,郭宏,阎惠质等.已婚妇女婚姻质量及心身健康研究.中国心理卫生杂志,1998,12(4):227-228
28李伟,程灶火,王湘等.婚姻质量与个性、婚姻动因的关系.中国临床心理学杂志,2002,10(1):17-19
29赵江涛.美满婚姻的实证研究四题.中州学刊,2009,2:118-120
30吴福喜,邓河晃,黎丽燕.女性精神分裂症患者的婚姻质量与婚姻调适测定.中国行为医学杂志,2000,9(3):46-49
31杨丽全,陈金寿,郑建盛等.老年高血压患者家庭功能与抑郁的对应关系研究.护理学杂志,2008,23(5):66-67
32段春月,范玲.婚姻质量及家庭功能对孕妇心理的影响.中国妇幼保健,2007,22(24):3374-3375
33黄丽,沈晓红.抗癌明星的心身特点初步研究.中国心理卫生杂志,1999,13(2):72-73
34 Banthia R,Malcarne VL,Varni JW,et al.The effects of dyadic strength and coping styles on psychological distress in couples faced with prostate cancer.J Behav Med,2003,26(1):31-52
35闻吾森,王义强,孙建胜.社会支持、心理控制感和心理健康的关系研究.中国心理卫生杂志,2000,14(4):258-260
36李凌江,杨德森.个性与婚姻质量.中国行为医学杂志,1993,2(1):48-51
37 Berglund N.Family intervention in schizophrenia impact on family burden and attitude.Soc Psychiatry,2003,38(3):116-121
38张锦涛,方晓义,戴丽琼.夫妻沟通模式与婚姻质量的关系.心理发展与教育,2009,2:108-115
39 Gian C. Gonzaga,et al.Similarity,convergence and relationship satisfaction in dating and married couples.Journal of Personality and Social Psychology,2007,93(1):34-48
1马振芬,李秀玲,刘庆海等.个别系统家庭干预对精神分裂症患者家庭功能和社会功能的作用:随机对照研究.中国临床康复,2004,8(30):6591-6593
2陈昌惠,张维熙,李淑然等.精神分裂症病程与结局12年随访.中华精神科杂志,1998,31(2):84-86
3张凯,吴瑜,贾杰,谭庆荣.双相情感障碍患者家庭亲密度与适应性的调查.上海精神医学,2003,15(1):13-14
4张敬悬,翁正,刘庆桂等.家庭成员抑郁症状与其家庭职能关系的研究.中国临床心理学杂志,1995,3(4):225-229
5翁正,张敬悬,柴新生等.山东城乡自杀死亡发生动态前瞻性研究.上海精神医学,1993,新5(增1):69-73
6刘贤臣,王均乐,张敬悬.中学教师抑郁症状及影响因素的调查分析.中国社会医学,1990,29(4):36-38
7 GI Keitner等.家庭功能与重症抑郁的病程.国外医学社会医学分册,1987,5(3):180-182
8何如宽等.1,380例住院精神病人和婚姻状况调查.健康心理学杂志,2002,10(4):263-264
9 Mary Ann Test,Jan S. Greenberg,Jeffrey D. Long,et al.Construct validity of a measure of subjective satisfaction with life of adults with serious mental illness.Psychiatric Services,2005,56(3):292-300
10卢莉,郭宏,阎惠质等.已婚妇女婚姻质量及心身健康研究.中国心理卫生杂志,1998,12(4):227-228
11李凌江,杨德森.生活事件,家庭行为方式与婚姻稳定性.中国心理卫生杂志,1990,4(6):256-261
12陈震华,喻东山,彭昌孝.241例婚姻满意度调查.健康心理学杂志,2000,8(2):154-155
13詹来英,张丽,翟爱玲.婚姻支持对精神分裂症病情及生活质量的影响.护理学杂志,2008,23(11):65-67
14刘学俊,邹义仕,武志强.婚姻与个性的相关性研究.健康心理学杂志,2002,10(1):58-60
15 Weisfeld G.,Russell R.,Weisfeld C.,et al.Correlates of satisfaction in British marriages.Ethology and Sociobiology,1992,13:125-145
16 Gian C. Gonzaga,et al.Similarity,convergence and relationship satisfaction in dating and married couples.Journal of Personality and Social Psychology,2007,93(1):34-48
17 Anderson C.,Keltner D.,John O.P. Emotional convergence between people over time.Journal of Personality and Social Psychology,2003,84:1054-1068
18 Gregory G. Homish,et al.The drinking partnership and marital satisfaction:the longitudinal influence of discrepant drinking.Journal of Consulting and Clinical Psychology ,2007,75(1):43-51
19 Leonard K.E.,Homish G.G. Changes in marijuana use over the transition into marriage.Journal of Drug Issues,2005,35:409-430
20傅正闯,孙轻骑,黄建龙等.神经症患者的性行为及婚姻质量分析.上海精神医学,2005,17(3):136-138
21 Nardi Steverink,Siegwart Lindenberg.Which social needs are important for subjective well-being? What happens to them with aging? Psychology and Aging,2006,21(2):281-290
22 Mona El-sheikh,et al.Marital psychological and physical aggression and children’s mental and physical health:direct,mediated,and moderated effects.Journal of Consulting and Clinical Psychology,2008,76(1):138-148
23黄丽,沈晓红.抗癌明星的心身特点初步研究.中国心理卫生杂志,1999,13(2):72-73
24 Banthia R,Malcarne VL,Varni JW,et al.The effects of dyadic strength and coping styles on psychological distress in couples faced with prostate cancer.J Behav Med,2003,26(1):31-52
25闻吾森,王义强,孙建胜.社会支持、心理控制感和心理健康的关系研究.中国心理卫生杂志,2000,14(4):258-260
26李凌江,杨德森.个性与婚姻质量.中国行为医学杂志,1993,2(1):48-51
27 Jan S. Greenberg,Kraig J. Knudsen,Kelly A. Aschbrenner.Prosocial family processes and the quality of life of persons with schizophrenia.Psychiatric Services,2006,57(12):1771-1777
28吕春梅,吕迪春,吕望强等.家庭护理对精神分裂症患者生活质量与家庭功能的影响.上海护理杂志,2006,6(5):4-6
29李轶琛,徐汉明,王鹏等.结构式家庭心理治疗对已婚精神病患者家庭及婚姻状况的影响.中国康复,2007,22(2):140-141