Katschnig H
Department of Psychiatry, University of Vienna, Austria.
Acta Psychiatr Scand Suppl. 2000(407):33-7. doi: 10.1034/j.1600-0447.2000.00006.x.
The purpose of this paper is to examine critically results of quality-of-life research in schizophrenic patients living in the community.
Based on the relevant literature results of specific studies are discussed in the light of the methodological problems of assessing quality of life in these people.
Subjectively assessed quality of life was found to be higher in the less educated and in female patients, and when a sense of control is experienced. If negative or extrapyramidal symptoms are experienced and stigmatization is perceived, subjective quality of life is reported as being poorer. These results are discussed in view of the additional needs and fewer resources of this population, their stigma-dilemma and their occasional difficulties in adequately assessing quality of life.
It is argued that subjective and quantitative measures of quality of life in schizophrenic patients should be supplemented by external assessment and qualitative methods.
本文旨在批判性地审视社区精神分裂症患者生活质量研究的结果。
基于相关文献，根据评估这些人群生活质量的方法学问题，对具体研究结果进行讨论。
发现受教育程度较低的患者、女性患者以及有控制感时，主观评估的生活质量较高。如果出现阴性或锥体外系症状以及感受到污名化，主观生活质量则较差。鉴于该人群的额外需求、资源较少、污名困境以及他们在充分评估生活质量方面偶尔遇到的困难，对这些结果进行了讨论。
有人认为，精神分裂症患者生活质量的主观和定量测量应辅以外部评估和定性方法。
