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了解精神障碍患者生活优先级与生活满意度之间的关系。

Understanding the relationship between life priorities and life satisfaction in individuals with mental disorders.

作者信息

Yoshioka Daisuke, Yamanashi Takehiko, Arima Kazushi, Kajitani Naofumi, Kiyama Noriko, Sawada Minami, Asakura Sizuri, Miura Akihiko, Matsuo Ryoichi, Komatsu Koji, Noma Hisashi, Iwata Masaaki

机构信息

Department of Psychiatry, Faculty of Medicine Tottori University Tottori Japan.

Department of Psychiatry National Hospital Organization Tottori Medical Center Tottori Japan.

出版信息

PCN Rep. 2025 Jul 30;4(3):e70166. doi: 10.1002/pcn5.70166. eCollection 2025 Sep.

Abstract

AIM

Mental healthcare has recently shifted from focusing solely on treating psychiatric symptoms to enhancing patients' subjective well-being. However, research on the factors contributing to life satisfaction among individuals with mental disorders remains limited. This study investigated the life aspects that patients with schizophrenia, depression, and bipolar disorder considered important, their satisfaction with these aspects, and how these factors affect overall life satisfaction.

METHODS

A survey was conducted among 152 outpatients at our hospital and six other affiliated hospitals. The participants evaluated their overall life satisfaction, rated the importance of various life aspects, assessed their satisfaction with each, and identified what they considered most important in their lives. A multiple regression analysis revealed the predictors of life satisfaction. Text mining was used to analyze free-text responses.

RESULTS

The average life satisfaction scores were comparable with those of the general Japanese population. The multiple regression analysis revealed that satisfaction with mental health, romantic relationships, and work were significant predictors of life satisfaction, unlike demographic factors such as age, sex, and diagnosis. The text mining analysis revealed that family was the most frequently mentioned life priority across all diagnostic groups.

CONCLUSION

By integrating targeted interventions for improving life satisfaction with a deeper understanding of patients' fundamental values, mental healthcare can provide more comprehensive and practical support.

摘要

目的

精神卫生保健最近已从仅专注于治疗精神症状转向提高患者的主观幸福感。然而,关于导致精神障碍患者生活满意度的因素的研究仍然有限。本研究调查了精神分裂症、抑郁症和双相情感障碍患者认为重要的生活方面、他们对这些方面的满意度,以及这些因素如何影响总体生活满意度。

方法

对我院及其他六家附属医院的152名门诊患者进行了一项调查。参与者评估了他们的总体生活满意度,对各种生活方面的重要性进行了评分,评估了他们对每个方面的满意度,并确定了他们认为生活中最重要的事情。多元回归分析揭示了生活满意度的预测因素。文本挖掘用于分析自由文本回复。

结果

平均生活满意度得分与日本普通人群相当。多元回归分析显示,与年龄、性别和诊断等人口统计学因素不同,对心理健康、恋爱关系和工作的满意度是生活满意度的重要预测因素。文本挖掘分析显示,家庭是所有诊断组中最常被提及的生活优先事项。

结论

通过将提高生活满意度的针对性干预措施与对患者基本价值观的更深入理解相结合,精神卫生保健可以提供更全面、更实际的支持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d266/12308908/671d037541bc/PCN5-4-e70166-g002.jpg

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