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台湾东部精神分裂症患者的性取向与生活质量

Sexuality and Quality of Life in Eastern Taiwan People With Schizophrenia.

作者信息

Chung Mei Hua, Chao Jian-Kang, Ma Mi Chia, Lin Ru Wei

机构信息

Graduate Institute of Bioresources, National Pingtung University of Science & Technology, Pingtung, Taiwan.

Department of Psychiatry, Yuli Branch, Taipei Veterans General Hospital, Hualien, Taiwan.

出版信息

Psychiatry Investig. 2023 Jan;20(1):1-8. doi: 10.30773/pi.2022.0097. Epub 2023 Jan 25.

Abstract

OBJECTIVE

Patients with schizophrenia are living at the border of society and their sexuality is often neglected. The aim of the study is to explore the association among The Brief Psychiatric Rating Scale (BPRS), quality of life (QoL), Taiwanese Depression Questionnaire, and Sexual Desire Inventory in people with schizophrenia (PwS).

METHODS

This study used a cross-sectional design with 277 psychiatric inpatients. A descriptive analysis, difference analysis, and logistic regression model were presented to identify relevant variables that may affect the probability of good QoL.

RESULTS

The study showed that male PwS had higher scores of standard deviation (SD) than females in PwS. The study also showed that smoking, early illness onset age, and shorter illness duration demonstrated a significantly higher SD. The logistic regression analysis showed that BPRS, depression, and SD significantly affected the probability of QoL. By structural equation model, SD would be positively correlated with mental status and SD would indirectly influence QoL.

CONCLUSION

Our results showed psychological and sociological factors interactions may contribute to the QoL and SD for PwS. This study also demonstrated a close relationship between SD, depression, and BPRS. These factors may predict the probability of good life quality for the PwS.

摘要

目的

精神分裂症患者生活在社会边缘,他们的性取向常常被忽视。本研究旨在探讨简明精神病评定量表(BPRS)、生活质量(QoL)、台湾抑郁问卷和精神分裂症患者(PwS)的性欲量表之间的关联。

方法

本研究采用横断面设计,纳入277名精神科住院患者。进行描述性分析、差异分析和逻辑回归模型分析,以确定可能影响良好生活质量概率的相关变量。

结果

研究表明,男性精神分裂症患者的标准差(SD)得分高于女性。研究还表明,吸烟、发病年龄早和病程短的患者标准差显著更高。逻辑回归分析表明,BPRS、抑郁和标准差显著影响生活质量概率。通过结构方程模型,标准差与精神状态呈正相关,且标准差会间接影响生活质量。

结论

我们的结果表明,心理和社会学因素的相互作用可能影响精神分裂症患者的生活质量和标准差。本研究还证明了标准差、抑郁和BPRS之间的密切关系。这些因素可能预测精神分裂症患者良好生活质量的概率。

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