Brekke J S, Levin S, Wolkon G H, Sobel E, Slade E
University of Southern California School of Social Work, University Park, Los Angeles 90089.
Schizophr Bull. 1993;19(3):599-608. doi: 10.1093/schbul/19.3.599.
This study examines the relationship between psychosocial functioning and subjective experience in 193 individuals diagnosed with schizophrenia or schizoaffective disorder according to Research Diagnostic Criteria. Psychosocial functioning was measured as work functioning, social functioning, living situation, symptomatology, and intrapsychic aspects of the deficit syndrome. Subjective experience consisted of measures of self-esteem, satisfaction with life, and subjective distress. Multivariate analyses resulted in two major findings. The first finding is a model of psychosocial functioning that consists of two factors: disorder-related variables (symptomatology and intrapsychic deficits) and functional status variables (work, social, and living situation). The second major finding is a two-tiered model of the relationship between psychosocial functioning and subjective experience. The model suggests a primary and pervasive relationship between the disorder-related variables and subjective experience and a secondary and less pronounced relationship between functional status variables and subjective experience. The implications of these findings for treatment and rehabilitation and for the study of subjective experience in schizophrenia are discussed.
本研究根据《研究诊断标准》，对193名被诊断为精神分裂症或分裂情感性障碍的个体的心理社会功能与主观体验之间的关系进行了考察。心理社会功能通过工作功能、社会功能、生活状况、症状表现以及缺陷综合征的内心层面来衡量。主观体验包括自尊、生活满意度和主观痛苦的测量指标。多变量分析得出了两个主要发现。第一个发现是一个心理社会功能模型，该模型由两个因素组成：与障碍相关的变量（症状表现和内心缺陷）和功能状态变量（工作、社会和生活状况）。第二个主要发现是心理社会功能与主观体验之间的一个两层模型。该模型表明，与障碍相关的变量和主观体验之间存在主要且普遍的关系，而功能状态变量和主观体验之间存在次要且不太明显的关系。文中讨论了这些发现对治疗与康复以及对精神分裂症主观体验研究的意义。
