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조현병 환자의 삶의 질에 영향을 끼치는 정신내적 요인 탐색

Investigating the Intrapsychic Factors that Affect Quality of Life in Patients with Schizophrenia

심민영|이정현|권태훈|전진용|송가현
대한조현병학회 (Korean Academy of Schizophrenia)|2018.10|대한조현병학회지 (Korean Journal of Schizophrenia Research)|제21권 제2호|pp. 67-73

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참고문헌

키워드

우울Depression삶의 질조현병불안SchizophreniaAnxietyQuality of life한국판 세계보건기구 삶의 질 간편형 척도WHOQOL-BREF
주제분류정신과학

초록

Objectives : This study was designed to investigate the intrapsychic factors affecting the quality of life of patients with chronic schizophrenia. Methods : Quality of life was measured using the World Health Organization Quality of Life Scale-Brief (WHOQOL-BREF) in 72 community-dwelling patients with schizophrenia. Demographic status, psychopathology, independent living skill, and insight were examined. Based on this, correlation analysis between each scale and multiple regression analysis was performed to examine the factors that can predict the quality of life. Results : The illness duration was over 10 years in 79.2% of patients. The patients with 10-20 years of illness duration showed lower scores of quality of life than those with less than 10 years or more than 20 years. Anxiety/depressive symptom, hostile/suspiciousness were associated with quality of life scores. Among those, anxiety/depressive symptom was the strongest predictor of quality of life in patients with chronic schizophrenia. Conclusion : The management of anxiety and depressive symptoms should be implicated in the treatment of schizophrenic patients to improve the quality of life.

Abstract

Objectives : This study was designed to investigate the intrapsychic factors affecting the quality of life of patients with chronic schizophrenia. Methods : Quality of life was measured using the World Health Organization Quality of Life Scale-Brief (WHOQOL-BREF) in 72 community-dwelling patients with schizophrenia. Demographic status, psychopathology, independent living skill, and insight were examined. Based on this, correlation analysis between each scale and multiple regression analysis was performed to examine the factors that can predict the quality of life. Results : The illness duration was over 10 years in 79.2% of patients. The patients with 10-20 years of illness duration showed lower scores of quality of life than those with less than 10 years or more than 20 years. Anxiety/depressive symptom, hostile/suspiciousness were associated with quality of life scores. Among those, anxiety/depressive symptom was the strongest predictor of quality of life in patients with chronic schizophrenia. Conclusion : The management of anxiety and depressive symptoms should be implicated in the treatment of schizophrenic patients to improve the quality of life.

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