Fernros Lotta, Furhoff Anna-Karin, Wändell Per E
Centre for Family Medicine, Karolinska Institutet, Huddinge, Sweden.
Qual Life Res. 2005 Mar;14(2):521-8. doi: 10.1007/s11136-004-1467-6.
A cross-sectional survey of quality of life of people attending a self-development course involving psychophysiological mind-body medicine (MBM) activities.
A questionnaire study using a health-related quality of life (HRQoL) instrument, the SWED-QUAL, with 13 subscales scored 0-100, and questions about utilisation of alternative and standard health care, medication and sick leave.
A training centre for MBM, established 15 years ago.
One hundred and seven eligible course attendants (response rate 88%, age 20-70 years) during the year 2000 assessed their HRQoL just before entering the course. Attendance was self-initiated, without referral. The results on HRQoL were compared with those of control subjects from the general Swedish population.
Six of the thirteen HRQoL subscales were strongly and significantly reduced (p < 0.0001) in the study group: Negative affectivity, Role limitation due to emotional health, Positive affectivity, Cognitive functioning, Family functioning and Marital functioning. Long-term sick leave (>6 months) was three times as frequent in the study group as in the general population. Use of psychotropic medication was slightly increased compared to the general population, at least among the younger male participants. The education level was high, health care utilisation was average and body functioning was good.
This group of well-educated men and women gave their emotional health an unexpectedly low rating, on a par with that given by people with chronic diseases.
对参加一门涉及心理生理心身医学(MBM)活动的自我发展课程的人群进行生活质量横断面调查。
采用一项问卷调查研究,使用与健康相关的生活质量(HRQoL)工具SWED - QUAL,该工具具有13个分量表,评分范围为0至100,并设有关于替代和标准医疗保健的使用、药物治疗及病假情况的问题。
一个15年前设立的MBM培训中心。
2000年期间,107名符合条件的课程参与者(回复率88%,年龄20 - 70岁)在即将参加课程前评估了他们的HRQoL。参与是自发的,无转诊情况。将HRQoL结果与来自瑞典普通人群的对照组结果进行比较。
研究组中13个HRQoL分量表中的6个显著降低(p < 0.0001):消极情感、因情绪健康导致的角色受限、积极情感、认知功能、家庭功能和婚姻功能。研究组中长期病假(>6个月)的发生率是普通人群的三倍。与普通人群相比,精神药物的使用略有增加,至少在年轻男性参与者中如此。教育水平较高,医疗保健利用率为中等,身体功能良好。
这群受过良好教育的男性和女性对自己的情绪健康给出了出乎意料的低评分,与慢性病患者给出的评分相当。