A follow up study of quality of life for patients with schizophrenia
Date Issued
2006
Date
2006
Author(s)
Wang, Shu-Ching
DOI
zh-TW
Abstract
The purposes of this study were to realize the life quality of schizophrenic patients, and its tendency of transition, to explore the relationships between objective life quality, self-concept, affect balance, psychotic symptoms and subjective satisfaction of life and further analysis of the predictors for life quality, to collect the information in different stages of the disease, and to understand the patient’s life in the community ultimately.
The data were collected by conducting the Taiwanese version of the Lancashire Quality of Life Profile（LQOLP）structured questionnaire with 79 subjects purposively sampled who were admitted to the rehabilitation center or outpatients at a university hospital in Taipei, and evaluated one year later. After collecting the whole data, statistical methods such as percentage, mean, standard deviation, t test, ANOVA and Pearson’s correction and linear regression were applied.
The results indicated that：
（1）There were changes with statistical significance in merely ”work” and ”leisure” domains of objective life conditions after 1-year follow-up; nevertheless, the changes within other domains were not significant statistically.
（2）Improvements of these clients were found in self-concept, affect balance and psychotic symptoms 1 year later. But the subjective satisfaction was inclined to drift downward; the most extreme levels of relative dissatisfaction among the patients were with social relationship, finances and health domains.
（3）The correlation between the objective indices and subjective satisfaction from the most high to low were living situation, health, safety, and social relationship domains; these were statistical significant. But finances, family relationship and leisure ones were not.
（4）Overall subjective satisfaction with life was found to be positively correlated with positive self-concept, negative self-concept, positive affect balance and negative affect balance, and negatively correlated with mood symptoms. No significant correlation with positive or negative symptoms was noticed.
（5）The most important predicting factors when using the 14 variables of the 2nd year to predict the results of multiple regression analysis about the 2nd year's overall subjective satisfaction including “positive self-
concept”, “negative affect balance” and “living situation” of the objective indices explained 24.4%, 10.8% and 5.2% of the variance respectively and 40.4% of variance totally.
（6）When using the 14 variables of the 1st year to predict the results of multiple regression analysis about the 2nd year's overall subjective satisfaction, we noted the only one important predictive factor was
”mood symptoms” and explained 12.9% of the variance.
（7）The most important predicting factors when using the 7 domains of subjective satisfaction of the 1st year to predict the results of multiple regression analysis about the 2nd year's overall subjective satisfaction including “living situation” and ”leisure” domains explained 31.2% and 5.9% of the variance respectively and 37.1% of variance totally.
The results of the study would serve as a guide toward the tendency of QOL in schizophrenic patients over time and important predictive factors, which might hold meaningful, influence on clinical care.
Subjects
精神分裂症
生活品質
追蹤性研究
Schizophrenia
Quality of life
a follow up study
Type
other
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