Hattori Junna, Matsunaga Masaaki, He Yupeng, Sakuma Kenji, Kishi Taro, Tanihara Shinichi, Iwata Nakao, Ota Atsuhiko
Department of Public Health, School of Medicine, Fujita Health University, Toyoake, Japan.
Department of Psychiatry, School of Medicine, Fujita Health University, Toyoake, Japan.
Neuropsychopharmacol Rep. 2025 Sep;45(3):e70045. doi: 10.1002/npr2.70045.
To examine the characteristics associated with happiness in Japanese individuals with schizophrenia.
A self-reported online survey was conducted in 2022 among individuals aged 20-75 years, including 223 and 1776 individuals with and without schizophrenia, respectively. We used a modified Poisson regression to assess the factors associated with happiness by calculating the age- and sex-adjusted prevalence ratios (PRs). We examined within-schizophrenia group differences by age and sex strata, and compared these stratified PRs between groups with and without schizophrenia.
Among participants with schizophrenia, happiness was significantly associated with self-rated health status (PR = 1.75), Ikigai (PR = 5.02), depressive symptoms (PR = 0.43), perceived stress (PR = 0.52), cognitive social capital (PR = 2.07), structural social capital (PR = 1.70), social support (PR = 2.40), close friends (PR = 1.88), close relatives (PR = 2.34), and a cohabiting partner (PR = 1.57). Within the schizophrenia group, sex differences were significant for cognitive social capital (men: PR = 3.45; women: PR = 1.43) and cohabiting partners (men: PR = 2.26; women: PR = 1.25), whereas no significant age differences were found. Factors demonstrating a stronger association in participants with schizophrenia than in those without schizophrenia included: Ikigai (with, PR = 5.02; without, PR = 2.91), cognitive social capital (with, PR = 2.07; without, PR = 1.49), and structural social capital (with, PR = 1.70; without, PR = 1.24).
Happiness in individuals with schizophrenia is associated with physical, mental, and social factors, with social factors exhibiting sex-related differences.
研究日本精神分裂症患者中与幸福感相关的特征。
2022年对年龄在20 - 75岁的人群进行了一项自我报告的在线调查，其中分别有223名和1776名患有和未患有精神分裂症的个体。我们使用修正的泊松回归，通过计算年龄和性别调整后的患病率比（PRs）来评估与幸福感相关的因素。我们按年龄和性别分层研究了精神分裂症组内的差异，并比较了精神分裂症组与非精神分裂症组之间这些分层的PRs。
在精神分裂症患者中，幸福感与自我评定的健康状况（PR = 1.75）、生活意义（PR = 5.02）、抑郁症状（PR = 0.43）、感知压力（PR = 0.52）、认知社会资本（PR = 2.07）、结构社会资本（PR = 1.70）、社会支持（PR = 2.40）、亲密朋友（PR = 1.88）、近亲（PR = 2.34）和同居伴侣（PR = 1.57）显著相关。在精神分裂症组内，认知社会资本（男性：PR = 3.45；女性：PR = 1.43）和同居伴侣（男性：PR = 2.26；女性：PR = 1.25）存在显著的性别差异，而未发现显著的年龄差异。与未患精神分裂症的参与者相比，在患精神分裂症的参与者中显示出更强关联的因素包括：生活意义（患，PR = 5.02；未患，PR = 2.91）、认知社会资本（患，PR = 2.07；未患，PR = 1.49）和结构社会资本（患，PR = 1.70；未患，PR = 1.24）。
精神分裂症患者的幸福感与身体、心理和社会因素相关，社会因素存在与性别相关的差异。
