Department of Psychiatry, Hospital Tuanku Jaafar Seremban, Malaysia.
Department of Psychiatry, Faculty of Medicine, University Kebangsaan, Malaysia.
Compr Psychiatry. 2017 May;75:94-102. doi: 10.1016/j.comppsych.2017.02.009. Epub 2017 Feb 28.
To understand the needs of patients with schizophrenia for recovery, this study examined the type and level of social support and its association with quality of life (QOL) among this group of patients in the city of Kuala Lumpur.
A cross-sectional study was conducted on 160 individuals with schizophrenia receiving community psychiatric services in Hospital Kuala Lumpur (HKL). The WHOQOL-BREF, Brief Psychiatric Rating Scale (BPRS) and Multidimensional Scale of Perceived Social Support (MSPSS) were used to assess QOL, severity of symptoms and social support, respectively. The study respondents were predominantly Malay, aged less than 40, males, single, unmarried, had lower education levels and unemployed.
About 72% of the respondents had poor perceived social support, with support from significant others being the lowest, followed by friends and family. From multiple regression analysis, social support (total, friend and family) significantly predicted better QOL in all domains; [B=0.315 (p<0.001), B=0.670 (p<0.001), B=0.257 (p<0.031)] respectively in Physical Domain; [B=0.491 (p<0.001), B=0.735 (p<0.001), B=0.631 (p<0.001)] in Psychological Domain; [B=1.065 (p<0.001), B=0.670 (p<0.017), B=2.076 (p<0.001)] in Social Domain and; [B=0.652 (p<0.001), B=1.199 (p<0.001), B=0.678 (p<0.001)] in Environmental Domain. Being married and having shorter duration of illness, lower BPRS (total) scores, female gender and smoking, were also found to significantly predict higher QOL.
Social support is an important missing component among people with schizophrenia who are already receiving formal psychiatric services in Malaysia.
了解精神分裂症患者康复的需求，本研究检查了吉隆坡这组患者的社会支持类型和水平及其与生活质量（QOL）的关系。
对吉隆坡医院（HKL）接受社区精神科服务的 160 名精神分裂症患者进行了横断面研究。使用 WHOQOL-BREF、简明精神病评定量表（BPRS）和多维感知社会支持量表（MSPSS）分别评估 QOL、症状严重程度和社会支持。研究对象主要是马来人，年龄小于 40 岁，男性，单身，未婚，教育程度较低，失业。
约 72%的受访者感知社会支持较差，其中最重要的他人支持最低，其次是朋友和家人。多元回归分析显示，社会支持（总分、朋友和家人）显著预测了所有领域的更好的 QOL；[B=0.315（p<0.001），B=0.670（p<0.001），B=0.257（p<0.031）]分别在生理领域；[B=0.491（p<0.001），B=0.735（p<0.001），B=0.631（p<0.001）]在心理领域；[B=1.065（p<0.001），B=0.670（p<0.017），B=2.076（p<0.001）]在社会领域；[B=0.652（p<0.001），B=1.199（p<0.001），B=0.678（p<0.001）]在环境领域。已婚、患病时间较短、较低的 BPRS（总分）评分、女性和吸烟也被发现显著预测更高的 QOL。
在马来西亚，已经接受正式精神科服务的精神分裂症患者中，社会支持是一个重要的缺失因素。
