조현병 환자들의 스트레스 대처방식과 삶의 질
Stress Coping Strategies and Quality of Life in Patients with Schizophrenia
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Objectives ZZThe aims of this study were to investigate the pattern of stress coping strategies and the effects of stress coping strategies on quality of life in patients with schizophrenia. MethodsZZStress coping strategies and quality of life were examined using Ways of Coping Checklist and Schizophrenia Quality of Life Scale for 98 patients with schizophrenia. Stress coping strategies were composed of problem-focused coping, social support seeking, emotion-focused coping, and wishful thinking. Among these, problem-focused coping and social support seeking were active coping strategies while emotion-focused coping and wishful thinking were passive coping strategies. Positive and Negative Syndrome Scale (PANSS) and Beck’s Depression Inventory (BDI) were also administered. ResultsZZActive coping scores were higher than passive coping scores in patients with schizophrenia. Quality of life was higher in the active coping group compared to the passive coping group. Active coping usage was a significant predictor of higher quality of life even after controlling for gender, age, PANSS, and BDI scores. ConclusionZZPatients with schizophrenia used more active coping strategies than passive coping strategies, which showed significant association with higher quality of life. A treatment program to provide education on use of active coping strategies in a proper and flexible way might contribute to enhanced quality of life in patients with schizophrenia.
Abstract
Objectives ZZThe aims of this study were to investigate the pattern of stress coping strategies and the effects of stress coping strategies on quality of life in patients with schizophrenia. MethodsZZStress coping strategies and quality of life were examined using Ways of Coping Checklist and Schizophrenia Quality of Life Scale for 98 patients with schizophrenia. Stress coping strategies were composed of problem-focused coping, social support seeking, emotion-focused coping, and wishful thinking. Among these, problem-focused coping and social support seeking were active coping strategies while emotion-focused coping and wishful thinking were passive coping strategies. Positive and Negative Syndrome Scale (PANSS) and Beck’s Depression Inventory (BDI) were also administered. ResultsZZActive coping scores were higher than passive coping scores in patients with schizophrenia. Quality of life was higher in the active coping group compared to the passive coping group. Active coping usage was a significant predictor of higher quality of life even after controlling for gender, age, PANSS, and BDI scores. ConclusionZZPatients with schizophrenia used more active coping strategies than passive coping strategies, which showed significant association with higher quality of life. A treatment program to provide education on use of active coping strategies in a proper and flexible way might contribute to enhanced quality of life in patients with schizophrenia.
참고문헌 (36)
- Lambert M, "Current issues in schizophrenia: overview of patient acceptability, functioning capacity and quality of life", CNS Drugs, 18(Suppl 2), pp.5~17 (2004)
- Yamauchi K, "Predictors of subjective and objective quality of life in outpatients with schizophrenia", Psychiatry Clin Neurosci, 62, pp.404~411 (2008)
- Hofer A, "Quality of life in schizophrenia: the impact of psychopathology, attitude toward medication, and side effects", J Clin Psychiatry, 65, pp.932~939 (2004)
- Tomotake M, "Quality of life and its predictors in people with schizophrenia", J Med Invest, 58, pp.167~174 (2011)
- Eack SM, "Psychiatric symptoms and quality of life in schizophrenia: a meta-analysis", Schizophr Bull, 33, pp.1225~1237 (2007)
- Rudnick A, "Coping and schizophrenia: a re-analysis", Arch Psychiatr Nurs, 23, pp.11~15 (2009)
- Ritsner M, "Quality of life and coping with schizophrenia symptoms", Qual Life Res, 12, pp.1~9 (2003)
- Montemagni C, "Relative contributions of negative symptoms, insight, and coping strategies to quality of life in stable schizophrenia", Psychiatry Res, 220, pp.102~111 (2014)
- Cohen CI, "General coping strategies and their impact on quality of life in older adults with schizophrenia", Schizophr Res, 127, pp.223~228 (2011)
- Rudnick A, "The impact of coping on the relation between symptoms and quality of life in schizophrenia", Psychiatry, 64, pp.304~308 (2001)
- Wiedl KH, "Assessment of coping with schizophrenia. Stressors, appraisals, and coping behaviour", Br J Psychiatry Suppl, pp.114~122 (1992)
- Jansen LM, "Selective impairments in the stress response in schizophrenic patients", Psychopharmacology (Berl), 149, pp.319~325 (2000)
- Ritsner MS, "Coping patterns as a valid presentation of the diversity of coping responses in schizophrenia patients", Psychiatry Res, 144, pp.139~152 (2006)
- Horan WP, "Stress and coping responses to a natural disaster in people with schizophrenia", Psychiatry Res, 151, pp.77~86 (2007)
- van den Bosch RJ, "Coping style and cognitive dysfunction in schizophrenic patients", Br J Psychiatry Suppl, pp.123~128 (1992)
- Choi DA, "(A) Study on the stress and stress coping method of chronic schizphrenic patient: cases of outpatients using the neuropsychiatric hospitals", pp.1992
- Boschi S, "Coping with psychotic symptoms in the early phases of schizophrenia", Am J Orthopsychiatry, 70, pp.242~252 (2000)
- Singh G, "Role of coping strategies and attitudes in mediating distress due to hallucinations in schizophrenia", Psychiatry Clin Neurosci, 57, pp.517~522 (2003)
- Berry K, "Coping strategies and social support in old age psychosis", Soc Psychiatry Psychiatr Epidemiol, 41, pp.280~284 (2006)
- Oh SW, "Influences of stress perception, personality Trait, coping style, and social support on depressive symptoms in schizophrenics", J Korean Neuropsychiatr Assoc, 34, pp.228~239 (1995)
- American Psychiatric Association, "Diagnostic and statistical manual of mental disorders: DSM-IV-TR" (2000), American Psychiatric Association
- Kay SR, "The positive and negative syndrome scale (PANSS) for schizophrenia", Schizophr Bull, 13, pp.261~276 (1987)
- Busner J, "The clinical global impressions scale: applying a research tool in clinical practice", Psychiatry (Edgmont), 4, pp.28~37 (2007)
- Beck AT, "An inventory for measuring depression", Arch Gen Psychiatry, pp.561~571 (1961)
- Chung YC, "A standardization study of Beck Depression Inventory 1-Korean version (K-BDI): reliability and factor analysis", Korean J Psychopathol, 4, pp.77~95 (1995)
- Lazarus RS, "Stress, appraisal, and coping" (1984), Springer Publishing Company
- Aldwin C, "Ways of coping: a process measure", Paper presented at the 88th annual meeting of the American Psychological Association (1980), American Psychological Association
- Kim JH, "Relations of perceived stress, cognitive set and coping behaviors to depression: a focus on freshman’s stress experiences", pp.1987
- Martin CR, "Factor structure of the Schizophrenia Quality of Life Scale Revision 4 (SQLS-R4)", Psychol Health Med, 12, pp.126~134 (2007)
- 김진훈, "한국어판 정신분열병 삶의 질 척도의 개발과 PANSS와의 관련성", 신경정신의학, 45(5), pp.401~410 (2006), 대한신경정신의학회
- 김소형, "만성정신분열병 환자의 삶의 질: 스트레스 대처방식, 증상, 가족의 지지를 중심으로", Korean Journal of Clinical Psychology, 24(1), pp.73~88 (2005), 한국임상심리학회
- Baek SJ, "The effects of personality and stress coping styles on quality of life of schizophrenia patient’s", pp.2008
- Norman RM, "An evaluation of a stress management program for individuals with schizophrenia", Schizophr Res, 58, pp.293~303 (2002)
- Andres K, "Effects of a coping-orientated group therapy for schizophrenia and schizoaffective patients: a pilot study", Acta Psychiatr Scand, 101, pp.318~322 (2000)
- Andres K, "The significance of coping as a therapeutic variable for the outcome of psychological therapy in schizophrenia", Eur Psychiatry, 18, pp.149~154 (2003)
- Nayani TH, "The auditory hallucination: a phenomenological survey", Psychol Med, 26, pp.177~189 (1996)