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重度精神障碍患者五年随访后主观生活质量的预测类型:纵向两步聚类分析

Predictive typology of subjective quality of life among participants with severe mental disorders after a five-year follow-up: a longitudinal two-step cluster analysis.

作者信息

Fleury Marie-Josée, Grenier Guy, Bamvita Jean-Marie

机构信息

Department of Psychiatry, McGill University, Douglas Hospital Research Centre, 6875 LaSalle Blvd, Montreal, QC, Canada, H4H 1R3.

Montreal Addiction Rehabilitation Centre-University Institute, 6875 LaSalle Blvd., Montreal, QC, Canada, H2M 2E8.

出版信息

Health Qual Life Outcomes. 2015 Sep 21;13:150. doi: 10.1186/s12955-015-0346-x.

Abstract

BACKGROUND

This study aims to create a predictive typology of quality of life at five-year follow-up of 204 individuals with severe mental disorders, according to clinical, socio-demographic, and health service use variables.

METHODS

Participant typology was carried out by means of two-step cluster analysis. Independent variables were measured at T0 and subjective quality of life (SQOL) at T2.

RESULTS

Analysis yielded four classes. SQOL at T2 was higher than the mean in Class 4 ("Older, poorly educated single men living in supervised housing, with psychotic disorders but with few serious needs, receiving substantial help from services") and lower than the mean in Class 2 ("Young females with serious needs and co-occurring mental and addiction disorders living in independent apartments").

CONCLUSION

Given that predictive SQOL varies in relation to combinations of associated variables, it would be useful for treatments or service programs to target specific predictors to the different profiles.

摘要

背景

本研究旨在根据临床、社会人口统计学和卫生服务使用变量,对204名严重精神障碍患者进行为期五年的随访,创建生活质量预测类型。

方法

通过两步聚类分析进行参与者类型划分。在T0时测量自变量,在T2时测量主观生活质量(SQOL)。

结果

分析得出四类。T2时的SQOL在第4类(“居住在受监管住房中的老年、受教育程度低的单身男性,患有精神疾病但需求较少,从服务中获得大量帮助”)中高于平均水平,在第2类(“有严重需求且同时患有精神和成瘾障碍、居住在独立公寓中的年轻女性”)中低于平均水平。

结论

鉴于预测性SQOL因相关变量的组合而异,针对不同特征的特定预测因素制定治疗或服务计划将是有用的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4518/4578602/d7d4cb185144/12955_2015_346_Fig1_HTML.jpg

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