30 APPLICATION OF FAMILY EDUCATION SOCIOLOGY IN THE ASSESSMENT OF SOCIAL THINKING DISORDERS IN SCHIZOPHRENIA PATIENTS

IF 5.3 1区 医学 Q1 PSYCHIATRY Schizophrenia Bulletin Pub Date : 2025-02-18 DOI:10.1093/schbul/sbaf007.030
Renqing Dai
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Abstract

Background Schizophrenia patients often have significant social thinking disorders, manifested as significantly limited ability to understand the intentions, emotions, and social rules of others, which seriously affects the patient’s social function recovery. Sociology of family education has gradually been introduced into the field of mental illness intervention, emphasizing the improvement of patients’ social thinking and behavioral abilities through family interaction and educational models. Methods The study aims to explore the application effect of sociological methods of family education in the assessment of social thinking disorders in patients with schizophrenia, in order to provide innovative tools for clinical evaluation and guide the optimization of intervention measures. The study recruited 80 patients and their primary family caregivers who met the diagnostic criteria for schizophrenia. They were randomly divided into an experimental group and a control group, with 40 patients and caregivers in each group. On the basis of receiving routine psychiatric treatment, the experimental group participated in a 3-month family education intervention course, which included optimizing family interaction patterns, training social thinking, and simulating social situations; The control group only received routine psychiatric treatment. Before and after intervention, the Social Cognition Assessment Scale (SCAS) was used to assess patients’ social thinking abilities, including three dimensions: emotion recognition, social reasoning, and intention understanding. At the same time, the Family Education Quality Questionnaire (FEQQ) was used to evaluate the implementation effect of family education interventions. Statistical analysis uses paired sample t-test and independent sample t-test. Results The total score of the SCAS for the experimental group patients significantly increased from 45.3±5.6 to 60.8±6.2 after intervention (P<0.01), while the control group only slightly increased from 44.8±5.4 to 46.2±5.8, with no statistically significant difference (P>0.05). In the core dimensions, the emotional recognition score of the experimental group patients increased from 14.2±2.1 to 19.1±2.4 (P<0.01), social reasoning increased from 16.3±3.2 to 22.5±3.5 (P<0.01), and intention understanding increased from 14.8±2.3 to 19.2±2.7 (P<0.01). The improvement of the control group in these dimensions was relatively small and not statistically significant (P>0.05). The results of the FEQQ showed that the experimental group had a pre-intervention score of 32.4±4.5, which significantly increased to 46.7±5.3 after intervention (P<0.01), while the control group only slightly increased from 33.0±4.2 to 33.8±4.6 (P>0.05). The experimental results showed that sociological intervention in family education significantly improved patients’ social thinking ability and the quality of family education, providing effective support for the social function recovery of schizophrenia patients. Discussion The research results indicate that methods based on family education sociology have significant effects in improving social thinking disorders in patients with schizophrenia, especially in key abilities such as emotion recognition and social reasoning. In addition, the improvement of the quality of family education significantly enhances the supportive role of caregivers in the rehabilitation of patients, providing important references for the comprehensive assessment and intervention of social thinking disorders. In future clinical work, personalized family education programs can be combined to further optimize the social function recovery path of patients with schizophrenia. Funding No. 22JDSZ3017; No. 23ZYJ0206.
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背景 精神分裂症患者往往存在明显的社会思维障碍,表现为对他人意图、情感和社会规则的理解能力明显受限,严重影响患者社会功能的恢复。家庭教育社会学逐渐被引入精神疾病干预领域,强调通过家庭互动和教育模式提高患者的社会思维和行为能力。方法 本研究旨在探讨家庭教育社会学方法在精神分裂症患者社会思维障碍评估中的应用效果,以期为临床评估提供创新工具,指导干预措施的优化。该研究招募了 80 名符合精神分裂症诊断标准的患者及其主要家庭照顾者。他们被随机分为实验组和对照组,每组 40 名患者和护理人员。实验组在接受常规精神治疗的基础上,参加为期 3 个月的家庭教育干预课程,内容包括优化家庭互动模式、训练社交思维、模拟社交情境等;对照组仅接受常规精神治疗。干预前后,采用社会认知评估量表(SCAS)评估患者的社会思维能力,包括情绪识别、社会推理和意图理解三个维度。同时,采用家庭教育质量问卷(FEQQ)评估家庭教育干预的实施效果。统计分析采用配对样本 t 检验和独立样本 t 检验。结果 实验组患者干预后SCAS总分由(45.3±5.6)分显著上升至(60.8±6.2)分(P<0.01),而对照组仅由(44.8±5.4)分轻微上升至(46.2±5.8)分,差异无统计学意义(P>0.05)。在核心维度上,实验组患者的情感识别得分从(14.2±2.1)分提高到(19.1±2.4)分(P<0.01),社会推理得分从(16.3±3.2)分提高到(22.5±3.5)分(P<0.01),意向理解得分从(14.8±2.3)分提高到(19.2±2.7)分(P<0.01)。对照组在这些方面的提高相对较小,且无统计学意义(P>0.05)。FEQQ 的结果显示,实验组在干预前的得分为 32.4±4.5,干预后显著增加到 46.7±5.3(P<0.01),而对照组仅从 33.0±4.2略微增加到 33.8±4.6(P>0.05)。实验结果表明,社会学干预家庭教育能显著提高患者的社会思维能力和家庭教育质量,为精神分裂症患者社会功能的恢复提供有效支持。讨论 研究结果表明,基于家庭教育社会学的方法对改善精神分裂症患者的社会思维障碍有显著效果,尤其是在情感识别、社会推理等关键能力方面。此外,家庭教育质量的提高也显著增强了护理人员在患者康复中的支持作用,为社会思维障碍的综合评估和干预提供了重要参考。在今后的临床工作中,可结合个性化的家庭教育方案,进一步优化精神分裂症患者的社会功能康复路径。基金编号:22JDSZ3017;23ZYJ0206。
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来源期刊
Schizophrenia Bulletin
Schizophrenia Bulletin 医学-精神病学
CiteScore
11.40
自引率
6.10%
发文量
163
审稿时长
4-8 weeks
期刊介绍: Schizophrenia Bulletin seeks to review recent developments and empirically based hypotheses regarding the etiology and treatment of schizophrenia. We view the field as broad and deep, and will publish new knowledge ranging from the molecular basis to social and cultural factors. We will give new emphasis to translational reports which simultaneously highlight basic neurobiological mechanisms and clinical manifestations. Some of the Bulletin content is invited as special features or manuscripts organized as a theme by special guest editors. Most pages of the Bulletin are devoted to unsolicited manuscripts of high quality that report original data or where we can provide a special venue for a major study or workshop report. Supplement issues are sometimes provided for manuscripts reporting from a recent conference.
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