Heinze M, Taylor R E, Priebe S, Thornicroft G
Department of Social Psychiatry, Ereie Universität Berlin, Germany.
Soc Psychiatry Psychiatr Epidemiol. 1997 Jul;32(5):292-7. doi: 10.1007/BF00789042.
This study compared the subjective and objective quality of life and needs of patients with paranoid schizophrenia between inner city areas in Berlin (69 patients) and London (75 patients). Quality of life was assessed by means of the Lancashire Quality of Life Profile (German version Berliner Lebensqualitatsprofi), and need was quantified using the Camberwell Assessment of Need (German version Berliner Bedurfnisinventar). The hypotheses tested were that although Berlin patients may rate more highly on objective quality of life measures, the subjective quality of life would be similar as patients would judge their quality of life against their local expectations. The findings supported the first part of the hypothesis as on the objective measures the Berlin group was significantly better off financially and in living conditions, and had significantly fewer material needs. However, despite having more severe psychopathology, the Berlin groups' scores on global subjective quality of life were also higher. On particular life domains, subjective quality of life did not always reflect objective measures and sometimes went in the reverse direction. We concluded that the relationship between subjective and objective quality of life is complex, and great caution must be exercised in making quality of life comparisons between different cultures.
本研究比较了柏林市中心区（69名患者）和伦敦（75名患者）偏执型精神分裂症患者的主观和客观生活质量及需求。生活质量通过《兰开夏生活质量量表》（德语版《柏林生活质量量表》）进行评估，需求则使用《坎伯韦尔需求评估量表》（德语版《柏林需求量表》）进行量化。所检验的假设是，尽管柏林患者在客观生活质量指标上的评分可能更高，但主观生活质量会相似，因为患者会根据当地期望来评判自己的生活质量。研究结果支持了假设的第一部分，即在客观指标上，柏林组在经济状况和生活条件方面明显更好，物质需求也明显更少。然而，尽管柏林组有更严重的精神病理学症状，但其总体主观生活质量得分也更高。在特定生活领域，主观生活质量并不总是反映客观指标，有时甚至相反。我们得出结论，主观和客观生活质量之间的关系很复杂，在不同文化之间进行生活质量比较时必须极其谨慎。
