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中国社区精神分裂症患者的生活质量

Quality of life in community-dwelling patients with schizophrenia in China.

作者信息

Xiang Yu-Tao, Hou Ye-Zhi, Yan Fang, Dixon Lisa B, Ungvari Gabor S, Dickerson Faith, Li Weng-Yong, Li Wen-Xiu, Zhu Yu-Ling, Chan Sandra S M, Lee Edwin H M, Chiu Helen F K

机构信息

Beijing Anding Hospital, Capital Medical University, Beijing, China.

出版信息

J Nerv Ment Dis. 2012 Jul;200(7):584-7. doi: 10.1097/NMD.0b013e31825bfc71.

Abstract

The aim of this study was to assess Chinese schizophrenia patients' quality of life (QOL) and identify its demographic and clinical correlates. A random sample of 540 community-dwelling schizophrenia patients was interviewed using standardized assessment instruments. The patients' basic sociodemographic and clinical data and QOL were collected. Compared with the general population, patients had significantly lower scores in the physical and psychological QOL domains. Multivariate analyses showed that better social support independently predicted higher QOL in all domains, whereas more severe positive symptoms predicted worse psychological and environmental domains. Overall psychopathology predicted both worse physical and psychological domains; depressive symptoms and being married predicted worse physical and social QOL, respectively. Our results suggest that therapeutic and psychosocial interventions alleviating positive and depressive symptoms and improving poor social support and marriage-related problems in Chinese patients with schizophrenia might be of considerable benefit in improving their QOL.

摘要

本研究旨在评估中国精神分裂症患者的生活质量(QOL),并确定其人口统计学和临床相关因素。使用标准化评估工具对540名社区精神分裂症患者的随机样本进行了访谈。收集了患者的基本社会人口学和临床数据以及生活质量。与一般人群相比,患者在身体和心理生活质量领域的得分显著较低。多变量分析表明,更好的社会支持独立预测所有领域更高的生活质量,而更严重的阳性症状预测心理和环境领域更差。总体精神病理学预测身体和心理领域都更差;抑郁症状和已婚分别预测身体和社会生活质量更差。我们的结果表明,减轻中国精神分裂症患者的阳性和抑郁症状、改善不良社会支持和婚姻相关问题的治疗和心理社会干预可能对改善他们的生活质量有相当大的益处。

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