Department of Psychology, University of North Carolina, Chapel Hill, North Carolina 27599-3270, USA.
Early Interv Psychiatry. 2010 May;4(2):174-81. doi: 10.1111/j.1751-7893.2010.00178.x.
Psychological well-being is a subjective component of quality of life (QOL) that has been previously unexplored in individuals recovering from an initial psychotic episode. This study examined predictors of psychological well-being among individuals with first-episode psychosis (FEP) and compared it to a non-clinical college-aged comparison group.
The Scales of Psychological Well-Being (SPWB) Environmental Mastery and Purpose in Life subscales were administered to both clinical (n = 41) and control (n = 39) participants. Clinical participants were also assessed on symptom measures and QOL, and all participants completed a measure of perceived social support. Multiple regression analyses were carried out to determine predictors of well-being in the FEP sample.
SPWB scores were significantly lower for the FEP group in comparison to the control group. Additionally, greater perceived social support and lower levels of depression were found to be significant predictors of psychological well-being in the clinical sample, whereas gender and negative symptoms were not significant predictors.
These results suggest that the development of a psychotic episode is associated with decreased subjective well-being, and that depression and social support may play an important role in this aspect of an individual's recovery. Additionally, the SPWB appear to be tapping into an important construct that has been relatively unexamined in first-episode research and may have potential utility in clinical practice and future treatment development.
心理幸福感是生活质量（QOL）的一个主观组成部分，此前在经历首发精神病发作的个体中尚未得到探索。本研究考察了首发精神病（FEP）个体中心理幸福感的预测因素，并将其与非临床大学生对照组进行了比较。
对临床组（n=41）和对照组（n=39）参与者均进行了《心理幸福感量表》（SPWB）环境掌控和生活目的分量表的评估。临床参与者还接受了症状测量和生活质量评估，所有参与者均完成了感知社会支持的测量。进行了多元回归分析，以确定 FEP 样本中幸福感的预测因素。
与对照组相比，FEP 组的 SPWB 评分显著降低。此外，在临床样本中，更高的感知社会支持和更低的抑郁水平被发现是心理幸福感的显著预测因素，而性别和阴性症状则不是显著预测因素。
这些结果表明，精神病发作的发生与主观幸福感降低有关，抑郁和社会支持可能在个体康复的这一方面发挥重要作用。此外，SPWB 似乎在探索首发研究中相对未被研究的重要结构，并且在临床实践和未来治疗发展中可能具有潜在的效用。
