Górecka Joanna E, Czernikiewicz Andrzej
Katedry i Kliniki Psychiatrii Akademii Medycznej w Białymstoku.
Wiad Lek. 2004;57(9-10):408-12.
The aim of this study was an analysis of relationship between the quality of life of schizophrenic patients and clinical parameters (positive symptoms, negative symptoms, symptoms of depression, time from start of treatment, total time of all hospitalizations). The research was carried out on 120 in- and out-patients (from 19 to 65 years of age) who fulfilled ICD-10 and DSM-IV criteria for schizophrenia. They were in a stable state of improvement during actual treatment. The following instruments were used: Quality of Life Scale--QLS (Heinrich et al., 1984), Calgary Depression Scale--CDS (Addington et al., 1990), Brief Psychiatric Rating Scale--BPRS (Overall, Gorham, 1962)--short form to assess positive symptoms, Brief Negative Symptoms Assessment--BNS. The basic statistical method used was correlation analysis between measurable variables with Pearson's index (P). In investigated group the quality of life correlates essentially with negative symptoms (P = -0.838), positive symptoms (P = -0.350), total time of all hospitalizations (P = -0.371), but there is not correlation between the quality of life and symptoms of depression and time from start of schizophrenia treatment. This study shows that the improvement of quality of life of schizophrenic patients is possible by effective treatment mainly negative symptoms, also positive symptoms and shortening of hospitalizations. It seems that QLS is less sensitive to changes in symptoms of depression.
本研究的目的是分析精神分裂症患者的生活质量与临床参数(阳性症状、阴性症状、抑郁症状、治疗开始时间、所有住院的总时长)之间的关系。研究对象为120名符合ICD - 10和DSM - IV精神分裂症标准的门诊和住院患者(年龄在19至65岁之间)。他们在实际治疗期间处于病情稳定改善状态。使用了以下工具:生活质量量表(QLS,Heinrich等人,1984年)、卡尔加里抑郁量表(CDS,Addington等人,1990年)、简明精神病评定量表(BPRS,Overall,Gorham,1962年)的简版来评估阳性症状、简明阴性症状评定量表(BNS)。所使用的基本统计方法是对可测量变量进行Pearson指数(P)相关分析。在研究组中,生活质量与阴性症状(P = -0.838)、阳性症状(P = -0.350)、所有住院的总时长(P = -0.371)基本相关,但生活质量与抑郁症状以及精神分裂症治疗开始时间之间没有相关性。本研究表明,通过有效治疗主要是阴性症状,以及阳性症状和缩短住院时间,精神分裂症患者的生活质量有可能得到改善。似乎QLS对抑郁症状变化的敏感性较低。