Holubova Michaela, Prasko Jan, Hruby Radovan, Kamaradova Dana, Ociskova Marie, Latalova Klara, Grambal Ales
Department of Psychiatry, Faculty of Medicine and Dentistry, Palacký University, Olomouc, Czech Republic.
Department of Psychiatry, Faculty of Medicine and Dentistry, Palacký University, Olomouc, Czech Republic ; Department of Psychiatry, University Hospital Olomouc, Czech Ministry of Health, Olomouc, Czech Republic.
Neuropsychiatr Dis Treat. 2015 Dec 10;11:3041-8. doi: 10.2147/NDT.S96559. eCollection 2015.
The modern psychiatric view of schizophrenia spectrum disorders and their treatment has led to an increasing focus on coping strategies and the quality of life of these patients. In the present study, the authors examined the relationship between demographic data, the severity of symptoms, coping strategies, and the quality of life in psychotic patients. It is important to study the inner experience and striving of these individuals as it has been linked to their well-being and treatment adherence.
Psychiatric outpatients who met International Classification of Diseases, Tenth Revision criteria for a psychotic disorder (schizophrenia, schizoaffective disorder, or delusional disorder) were recruited in the study. Questionnaires measuring the coping strategies (The Stress Coping Style Questionnaire [SVF-78]), the quality of life (Quality of Life Satisfaction and Enjoyment Questionnaire [Q-LES-Q]), and symptom severity (objective and subjective Clinical Global Impression - objCGI; subjCGI) were assessed. The data were analyzed using one-way analysis of variance, Mann-Whitney U test, Pearson and Spearman correlation coefficients, and multiple regression analysis.
A total of 109 psychotic patients were included in the study. The quality of life was significantly related to both the positive and negative coping strategies. The severity of disorder was highly negatively correlated with the quality of life score. The results of multiple stepwise regression analysis using the quality of life as a dependent variable showed that symptom severity (subjCGI, difference between subjCGI, and objCGI), negative coping strategies, positive coping strategies, and the difference between positive and negative coping strategies explain more than half variance.
Our study suggests the importance of utilizing the positive coping strategies in improving the quality of life in patients with psychotic disorders.
现代精神病学对精神分裂症谱系障碍及其治疗的观点已导致越来越关注这些患者的应对策略和生活质量。在本研究中，作者考察了精神病患者的人口统计学数据、症状严重程度、应对策略和生活质量之间的关系。研究这些个体的内心体验和努力很重要，因为这与他们的幸福感和治疗依从性相关。
招募符合《国际疾病分类》第十版精神病性障碍（精神分裂症、分裂情感性障碍或妄想性障碍）标准的精神科门诊患者参与研究。评估测量应对策略（应激应对方式问卷[SVF - 78]）、生活质量（生活质量满意度与享受问卷[Q - LES - Q]）以及症状严重程度（客观和主观临床总体印象——objCGI；subjCGI）的问卷。使用单因素方差分析、曼 - 惠特尼U检验、皮尔逊和斯皮尔曼相关系数以及多元回归分析对数据进行分析。
本研究共纳入109名精神病患者。生活质量与积极和消极应对策略均显著相关。疾病严重程度与生活质量得分高度负相关。以生活质量为因变量的多元逐步回归分析结果表明，症状严重程度（subjCGI、subjCGI与objCGI之差）、消极应对策略、积极应对策略以及积极与消极应对策略之差解释了超过一半的方差。
我们的研究表明在改善精神病性障碍患者生活质量方面运用积极应对策略的重要性。
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