입원중인 만성 정신분열병환자의 삶의 질과 정신병리의 관계
Quality of Life and Psychopathology in Chronic Phase Schizophrenic Inpatients
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초록
본 연구에서 정신분열병은 우울감, 불안감이나 환청이 동반된 경우에 자신의 삶에 대한 만족도가 낮은 것으로 나타났다. 우울이나 불안이 동반된 정신분열병에서 재발 및 자살의 위험성이 더 높다는 보고를 고려한다면, 향후 정신분열병의 치료에서 양성증상 뿐만 아니라 환자의 다양한 정신병리적 특성의 평가가 반드시 필요할 것이다. 또한 치료적인 측면에서도 약물치료적인 접근과 더불어, 정신분열병 환자의 삶의 질을 개선하기 위한 정신사회재활 프로그램의 개발과 활용을 위한 노력이 뒤따라야 할 것이다.
Abstract
Objective: To evaluate the influence of depression, anxiety and auditory hallucination on quality of life in schizophrenic inpatients Method: One hundred and nine schizophrenic patients were included. Depression was evaluated using Beck Depression Inventory(BDI) and anxiety symptom with Beck Anxiety Inventory(BAI). Psychotic symptoms were evaluated using the Positive and Negative Syndrome Scale(PANSS) and Psychotic Symptom Rating scale(PSYRATS). The Quality of life was evaluated using the Schizophrenia Quality of Life Scale(SQLS) Result: BDI, BAI, PANSS total, PANSS general psychopathology subscale, PSYRATS total and PSYRATS hallucination subscale were negatively correlated with quality of life scale in schizophrenia. SQLS were significantly lower in depressed and anxious patients and slightly lower in hallucinatory patients. Conclusion: Because of strong association to their quality of life, we should pay attention to depression, anxiety and auditory hallucination in schizophrenic inpatients.
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