Schmid Rita, Neuner Tanja, Cording Clemens, Spiessl Hermann
Klinik und Poliklinik für Psychiatrie, Psychosomatik und Psychotherapie der Universität am Bezirksklinikum Regensburg, Germany.
Psychiatr Prax. 2006 Oct;33(7):337-43. doi: 10.1055/s-2006-940120.
The interrelation of subjective concepts to quality of life has been mainly separately explored so far.
Beside quality of life (WHOQOL-BREF) of 117 schizophrenic inpatients coping (FKV-LIS), locus of control (KKG), subjective well-being under medication (SWN-K), patient satisfaction (ZUF-8), caregiver burden (FBA) as well as sociodemographic and disease-related variables (German Basic Documentation System, BADO) were analysed using Pearsonian correlation and regression analyses.
Predictors of quality of life were physical well-being, social and occupational integration, active problem-focused coping, less minimization of illness, voluntary admission to hospital, high satisfaction with treatment and life, being aware of positive changes as a consequence of illness and low-rated caregiver burden. In contrast, locus of control, sociodemographic and disease-related variables as well as medication (conventional or atypical antipsychotics) had no significant influence.
Active problem-focused coping, social and occupational integration and physical well-being play an important role for schizophrenic patients' quality of life and should be considered in treatment regimens.
迄今为止，主观概念与生活质量之间的相互关系主要是分别进行探讨的。
除了对117名精神分裂症住院患者的生活质量（世界卫生组织生活质量简表，WHOQOL - BREF）、应对方式（FKV - LIS）、控制点（KKG）、药物治疗下的主观幸福感（SWN - K）、患者满意度（ZUF - 8）、照料者负担（FBA）以及社会人口统计学和疾病相关变量（德国基本文档系统，BADO）进行分析外，还采用了Pearson相关分析和回归分析。
生活质量的预测因素包括身体健康、社会和职业融入、积极的问题聚焦应对方式、较少对疾病的轻视、自愿住院、对治疗和生活的高度满意度、意识到疾病带来的积极变化以及较低的照料者负担。相比之下，控制点、社会人口统计学和疾病相关变量以及药物治疗（传统或非典型抗精神病药物）没有显著影响。
积极的问题聚焦应对方式、社会和职业融入以及身体健康对精神分裂症患者的生活质量起着重要作用，在治疗方案中应予以考虑。
