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조현병 외래 환자에 대한 가족 태도에 미치는 요인

Factors Affecting the Family Attitude Toward the Outpatients With Schizophrenia

김현수|김철권|최세지
대한조현병학회 (Korean Academy of Schizophrenia)|2022.10|대한조현병학회지 (Korean Journal of Schizophrenia Research)|제25권 제2호|pp. 43-53

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참고문헌

키워드

SchizophreniaAntipsychoticsExpressed emotionBASIS-32BPRSDrug attitude scaleFamily attitudeInsight scaleRecovery assessment scaleSF-36.
주제분류정신과학

초록

Objectives: To identify various factors that might affect a high expressed emotion recognized by primary caregivers of the schizo- phrenic outpatients. Methods: Of patients who had been receiving outpatient treatments at department of psychiatry of Dong-A university hospital, 154 patients with a DSM-V diagnosis of schizophrenia with stable symptoms and their primary caregivers were enrolled in this study. Family attitude (family attitude scale) was assessed through an interview with primary caregivers. In these patients, symp- toms (brief psychiatric rating scale), problem behavior (behavior and symptom identification scale), general health status (short- form 36 health survey), recovery (recovery assessment scale), drug attitude (drug attitude inventory), insight (self-appraisal of illness questionnaire) were assessed through a self reporting questionnaire. Multiple regression analysis were performed in consid- eration of 15 factors (age, sex, the level of education, marital status, job status, age of onset, duration of illness, number of hospi- talization, chlorpromazine equivalent dose, symptoms, problem behavior, general health status, recovery, drug attitude, insight) as explanatory variables for a family attitude. Results: On a multiple regression analysis, the following five factors were found to be significant explanatory variables for a fam- ily attitude that is experienced by primary caregivers of the schizophrenic outpatients: job status, duration of illness, number of hospitalization, problem behavior, and drug attitude. A coefficient of determination for these five explanatory variables was 0.58. The high expressed emotion group had significantly higher number of hospitalizations and problem behavior, but lower employ- ment, poorer genral health status, negative drug attitude, and lack of insight compared to the low expressed emotion group. Conclusion: Our results showed that five factors such as job status, duration of illness, number of hospitalization, problem behav- ior, and drug attitude were found to be significant explanatory variables for family attitude that is experience by primary caregiv- ers of the schizophrenic outpatients. Because these five variables account for 58% of total family attitude, however, further studies are needed to identify other factors that might affect a family attitude.

Abstract

Objectives: To identify various factors that might affect a high expressed emotion recognized by primary caregivers of the schizo- phrenic outpatients. Methods: Of patients who had been receiving outpatient treatments at department of psychiatry of Dong-A university hospital, 154 patients with a DSM-V diagnosis of schizophrenia with stable symptoms and their primary caregivers were enrolled in this study. Family attitude (family attitude scale) was assessed through an interview with primary caregivers. In these patients, symp- toms (brief psychiatric rating scale), problem behavior (behavior and symptom identification scale), general health status (short- form 36 health survey), recovery (recovery assessment scale), drug attitude (drug attitude inventory), insight (self-appraisal of illness questionnaire) were assessed through a self reporting questionnaire. Multiple regression analysis were performed in consid- eration of 15 factors (age, sex, the level of education, marital status, job status, age of onset, duration of illness, number of hospi- talization, chlorpromazine equivalent dose, symptoms, problem behavior, general health status, recovery, drug attitude, insight) as explanatory variables for a family attitude. Results: On a multiple regression analysis, the following five factors were found to be significant explanatory variables for a fam- ily attitude that is experienced by primary caregivers of the schizophrenic outpatients: job status, duration of illness, number of hospitalization, problem behavior, and drug attitude. A coefficient of determination for these five explanatory variables was 0.58. The high expressed emotion group had significantly higher number of hospitalizations and problem behavior, but lower employ- ment, poorer genral health status, negative drug attitude, and lack of insight compared to the low expressed emotion group. Conclusion: Our results showed that five factors such as job status, duration of illness, number of hospitalization, problem behav- ior, and drug attitude were found to be significant explanatory variables for family attitude that is experience by primary caregiv- ers of the schizophrenic outpatients. Because these five variables account for 58% of total family attitude, however, further studies are needed to identify other factors that might affect a family attitude.

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관해된 조현병 외래환자의 주 보호자의 부담요인김진원, 김철권대한조현병학회 · 대한조현병학회지2017 · 제20권 제2호조현병 외래환자의 주인의식에 미치는 요인김준기, 김철권, 안지영대한조현병학회 · 대한조현병학회지2018 · 제21권 제2호Factors Affecting Quality of Life and Family Burden among the Families of Patients with Schizophrenia김원형, 김철응, 김현지, 맹세리, 배재남, 이정섭대한조현병학회 · 대한조현병학회지2016 · 제19권 제2호조현병 외래 환자의 개인적 회복 관련 요인김준기, 김철권대한조현병학회 · 대한조현병학회지2024 · 제27권 제2호5년 이상 외래 치료를 받고 있는 조현병 환자의 약물 순응도에 영향을 미치는 요인박현, 김상훈, 김정호, 임홍규, 하강수대한신경정신의학회 · 신경정신의학2016 · 제55권 제4호정신분열병 외래 환자가 경험하는 낙인에 미치는 요인강승기, 김철권대한신경정신의학회 · 신경정신의학2011 · 제50권 제4호

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