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健康感知和自我效能感对精神分裂症患者疾病进程及生活质量的影响-初步研究。

Sense of coherence and perception of self-influence on the disease course among patients with schizophrenia including quality of life - pilot studies.

机构信息

SWPS Uniwersytet Humanistycznospołeczny, Wydział Psychologii we Wrocławiu.

Instytut Psychologii Uniwersytet Jagielloński.

出版信息

Psychiatr Pol. 2023 Apr 30;57(2):311-323. doi: 10.12740/PP/OnlineFirst/140127.

DOI:10.12740/PP/OnlineFirst/140127
PMID:37350705
Abstract

OBJECTIVES

Current research studies reveal many protective and risk factors for relapse among patients with schizophrenia. The main aim of this study was to make an attempt at identifying the relationship between sense of coherence, self-influence on the disease course and quality of life determined by patients' suffering from schizophrenia current state of health.

METHODS

The study involved 50 patients, diagnosed with schizophrenia by the ICD-10 criteria, who were/ were not suffering from relapse in 2-year period from last hospitalization. In order to measure sense of coherence, self-influence on the disease course and quality of life, patients were asked to complete: Sense of Coherence Scale (SOC-29), Brief Measure to Assess Perception of Self-Influence on the Disease Course - Version for Schizophrenia and Sense of the Quality of Life Questionnaire.

RESULTS

Statistical analysis revealed no differences in sense of coherence, perception of self-influence on the disease course and quality of life among patient with relapse or during remission. Nevertheless, the relation between sense of coherence and quality of life was observed in both groups. Patients who were suffering from relapse had their metaphysical (spiritual) quality of life also correlated with perception of self-influence on the disease course.

CONCLUSIONS

This pilot study leads to conclusion that sense of coherence - along with its manageability and meaningfulness components - may be closely related to psychophysical, psychosocial and subjective quality of life for patients suffering from schizophrenia, both in long remission and currently experiencing a relapse.

摘要

目的

目前的研究揭示了许多保护因素和精神分裂症患者复发的风险因素。本研究的主要目的是尝试确定患者的健康状况与感知的疾病影响、疾病认知和生活质量之间的关系。

方法

本研究纳入了 50 名患者,这些患者均符合 ICD-10 标准,且在过去的 2 年住院期间未经历过复发。为了测量感知的疾病影响、疾病认知和生活质量,患者需要完成:感知的疾病影响量表(BIP-S)、领悟社会支持量表(SOC-29)和生活质量问卷(QLQ-SF36)。

结果

统计分析显示,在缓解期和复发期的患者中,感知的疾病影响、疾病认知和生活质量之间没有差异。然而,在这两个组中都观察到了感知的疾病影响与生活质量之间的关系。复发的患者的精神生活质量与感知的疾病影响之间也存在关联。

结论

本研究得出结论,感知的疾病影响(包括可管理性和意义性成分)可能与精神分裂症患者的身心社会和主观生活质量密切相关,无论是在长期缓解期还是目前经历复发的患者。

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