精神分裂症患者的慢性疼痛与生活质量。

Chronic pain and quality of life in schizophrenic patients.

机构信息

School of Nursing, Universidade de São Paulo, Brazil.

出版信息

Braz J Psychiatry. 2013 Mar;35(1):13-20. doi: 10.1016/j.rbp.2011.11.003.

DOI:10.1016/j.rbp.2011.11.003

PMID:23567595

Abstract

OBJECTIVE

To identify the prevalence and characteristics of chronic pain in schizophrenic patients and to compare the quality of life in patients with and without chronic pain.

METHODS

Crossover design with a probablistic sample of 205 adult schizophrenic outpatients (80% paranoid schizophrenia). Socio-demographic, psychiatric disorder, pain and quality of life (WHOQOL- brief) data were collected between June and September 2008.

RESULTS

Mean age was 37 years, 65% were men, and the mean time spent in school was 9 years; 87% were single, 65% lived with parents and 25% had a job. Among patients with chronic pain, 70% did not receive treatment for pain. Regarding quality of life, patients with pain had more physical disabilities compared to those without pain (p < .001). There were no differences in other domains. Comparisons between patients with and without pain did not show any differences in how much they felt their mental health problems disabled them.

CONCLUSION

Chronic pain was common in schizophrenic patients (similar to the general population of a similar age) and decreased their quality of life. It is necessary to pay more attention to this co-morbidity.

摘要

目的

确定精神分裂症患者慢性疼痛的患病率和特征，并比较有和无慢性疼痛患者的生活质量。

方法

采用交叉设计，对 205 名成年精神分裂症门诊患者（80%为偏执型精神分裂症）进行概率抽样。2008 年 6 月至 9 月期间收集社会人口学、精神疾病、疼痛和生活质量（WHOQOL-简明）数据。

结果

平均年龄为 37 岁，65%为男性，平均受教育年限为 9 年；87%未婚，65%与父母同住，25%有工作。慢性疼痛患者中，70%未接受疼痛治疗。关于生活质量，有疼痛的患者比没有疼痛的患者身体残疾程度更高（p <.001）。在其他领域没有差异。有和没有疼痛的患者之间的比较显示，他们的心理健康问题对其造成的残疾程度没有差异。