Choo Carol C, Chew Peter K H, Ho Cyrus S, Ho Roger C
Department of Psychology, College of Healthcare Sciences, James Cook University, Singapore, Singapore.
Department of Psychological Medicine, National University of Singapore, Singapore, Singapore.
Front Psychiatry. 2019 Jan 18;9:727. doi: 10.3389/fpsyt.2018.00727. eCollection 2018.
There has been a paradigm shift in mental health service delivery, from a focus on reducing symptoms to a more holistic approach, which considers Quality of Life (QoL). This study aimed to explore prediction of Quality of Life (QoL) in Asian patients with a major mental disorder i.e., depression or schizophrenia in Singapore. In the current study, there were 43 patients (65.1% females) with depression. Their ages ranged from 18 to 65 ( = 44.63, = 12.22). The data were combined with the data on patients with schizophrenia, where there were 43 patients (65.1% females) with schizophrenia, their ages ranging from 18 to 65 ( = 44.60, = 12.19). The components of QoL were examined i.e., Physical Component Summary (PCS) and Mental Component Summary (MCS). For all patients, social support and age accounted for 17.3% of the variance in PCS, = 8.66, < 0.001. For patients with depression, disorder severity, age, and duration of treatment accounted for 48.3% of the variance in PCS, = 12.15, < 0.001. For patients with schizophrenia, education (Primary or Lower vs. Post-Secondary or Higher) and emotional coping accounted for 21.3% of the variance in PCS, = 5.40, < 0.01. For all patients, self-efficacy and age accounted for 27.0% of the variance in MCS, = 15.37, < 0.001. For patients with depression, disorder severity accounted for 45.6% of the variance in MCS, = 34.33, < 0.001. For patients with schizophrenia, number of hospitalizations accounted for 18.5% of the variance in MCS, = 9.29, < 0.01. The findings were discussed in regards to implications in interventions to enhance QoL of patients with schizophrenia and depression in Singapore.
心理健康服务的提供模式已经发生了转变，从专注于减轻症状转向了一种更全面的方法，这种方法考虑生活质量（QoL）。本研究旨在探讨新加坡患有重度精神障碍（即抑郁症或精神分裂症）的亚洲患者的生活质量预测情况。在当前研究中，有43名抑郁症患者（女性占65.1%）。他们的年龄在18岁至65岁之间（均值 = 44.63，标准差 = 12.22）。这些数据与精神分裂症患者的数据相结合，其中有43名精神分裂症患者（女性占65.1%），他们的年龄在18岁至65岁之间（均值 = 44.60，标准差 = 12.19）。对生活质量的组成部分进行了检查，即身体成分总结（PCS）和心理成分总结（MCS）。对于所有患者，社会支持和年龄占PCS变异的17.3%，F = 8.66，p < 0.001。对于抑郁症患者，疾病严重程度、年龄和治疗持续时间占PCS变异的48.3%，F = 12.15，p < 0.001。对于精神分裂症患者，教育程度（小学或以下与中学后或更高）和情绪应对占PCS变异的21.3%，F = 5.40，p < 0.01。对于所有患者，自我效能感和年龄占MCS变异的27.0%，F = 15.37，p < 0.001。对于抑郁症患者，疾病严重程度占MCS变异的45.6%，F = 34.33，p < 0.001。对于精神分裂症患者，住院次数占MCS变异的18.5%，F = 9.29，p < 0.01。针对提高新加坡精神分裂症和抑郁症患者生活质量的干预措施的影响对研究结果进行了讨论。
