Insight and quality of life in long-term hospitalized Japanese patients with chronic schizophrenia
Insight and quality of life in long-term hospitalized Japanese patients with chronic schizophrenia
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DOI：
10.1111/j.1440-1819.2010.02100.x
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发表时间：
2010-01-01
影响因子：
11.9
通讯作者：
Fukui, Kenji
中科院分区：
文献类型：
--
作者：
Nakamae, Takashi;Kitabayashi, Yurinosuke;Fukui, Kenji
目的：本研究的目的是探讨自知力和生活质量（QOL）之间的关系，并在长期住院的慢性精神分裂症患者各自的预测因素。方法：目前的主题是47例日本慢性精神分裂症患者住院>1年（平均住院时间，9.8年）。使用精神障碍意识缺失量表（SUMD）和欧洲五维生活质量量表（EQ-5D）进行评估。社会人口统计学的细节和疾病相关的变量进行了评估，包括使用的阳性和阴性症状Scale.Results：有SUMD和EQ-5D分数之间没有关联。幻觉行为是良好洞察力的预测因子。不和谐的关系预示着不好的洞察力。结论：急性期和慢性期自知力与生活质量的关系及其预测因素可能有所不同。需要进一步的研究来调查这些变化是如何发生的。
Aim: The aim of the study was to investigate the relationship between insight and quality of life (QOL) and the respective predictive factors in long-term hospitalized patients with chronic schizophrenia.Methods: The present subjects were 47 Japanese patients with chronic schizophrenia who were hospitalized for >1 year (mean hospitalization period, 9.8 years). Assessments were made using the Scale of Unawareness of Mental Disorder (SUMD) and the EuroQoL-5 Dimensions (EQ-5D) scale. Sociodemographic details and illness-related variables were also evaluated, including use of the Positive and Negative Syndrome Scale.Results: There was no association between SUMD and EQ-5D scores. Hallucinatory behavior was a predictor of good insight. Poor rapport was a predictor of bad insight. Poor attention was a predictor of bad QOL.Conclusion: The relationship between insight and QOL and the respective predictive factors might be different between acute and chronic stages. Further studies are needed to investigate how these changes occur.