Schizophrenia Division and Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Canada; Institute of Medical Science, University of Toronto, Toronto, Canada.
Schizophrenia Division and Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Canada; Institute of Medical Science, University of Toronto, Toronto, Canada; Department of Psychiatry, University of Toronto, Toronto, Canada.
Psychiatry Res. 2016 Aug 30;242:174-179. doi: 10.1016/j.psychres.2016.05.046. Epub 2016 Jun 1.
People with schizophrenia often experience persistent symptoms and impairments in community functioning; however, despite this, many individuals with the illness report high levels of well-being. We explored the level of subjective well-being in a sample of relatively young outpatients with schizophrenia and matched healthy controls. Seventy-five outpatients with schizophrenia and 72 demographically matched healthy controls, aged 18-35 years, participated in the present study. Subjective well-being was defined as a combination of happiness and satisfaction with life, each of which were measured using validated instruments. Symptom severity, insight, and cognition were also evaluated. People with schizophrenia endorsed significantly lower levels of subjective well-being than healthy controls although, there was substantial overlap in scores, and many participants with schizophrenia endorsed a high level of well-being. Both depressive symptoms and motivational deficits demonstrated significant independent predictive value for determining level of well-being. At a group level, the mean level of happiness and life satisfaction was lower among people with schizophrenia than healthy comparison participants. However, despite this mean difference, there exists marked overlap in individual scores between those with and without schizophrenia, demonstrating that many young people with schizophrenia do, in fact, endorse high levels of subjective well-being.
精神分裂症患者常经历持续的症状和社区功能障碍;然而,尽管如此,许多精神分裂症患者报告其幸福感水平较高。我们研究了一组相对年轻的精神分裂症门诊患者和匹配的健康对照组的主观幸福感水平。本研究纳入了 75 名精神分裂症门诊患者和 72 名年龄在 18-35 岁之间的人口统计学匹配的健康对照组。主观幸福感被定义为幸福感和生活满意度的结合,两者均使用经过验证的工具进行测量。还评估了症状严重程度、洞察力和认知能力。尽管得分存在很大重叠,且许多精神分裂症患者表示幸福感较高,但精神分裂症患者的主观幸福感明显低于健康对照组。抑郁症状和动机缺陷对确定幸福感水平具有显著的独立预测价值。在群体水平上,精神分裂症患者的幸福感和生活满意度均值低于健康对照组。然而,尽管存在这种均值差异,但在精神分裂症患者和非精神分裂症患者之间,个体得分存在显著重叠,表明许多年轻的精神分裂症患者实际上确实具有较高的主观幸福感。