Quality of life of male outpatients with personality disorders or psychotic disorders: a comparison.
Quality of life of male outpatients with personality disorders or psychotic disorders: a comparison.
复制标题
DOI：
10.1002/cbm.703
复制
发表时间：
2008-01-01
期刊：
影响因子：
--
通讯作者：
De Ruiter, Corine
中科院分区：
文献类型：
--
作者：
Bouman, Yvonne H A;Van Nieuwenhuizen, Chijs;De Ruiter, Corine
背景：生活质量（QoL）作为社区精神病学的一项结果指标已变得越来越重要。生活质量是指一个人的幸福感和满意度与他目前的生活条件。它通过客观的社会指标和生活领域特有的主观指标来衡量。人格障碍（PD）或严重精神障碍（MMD）患者的社会适应能力较差，但其相对主观生活质量尚不清楚.目的：比较PD或MMD男性门诊患者的总体生活质量和具体的社会和主观指标.方法：在荷兰法医门诊机构接受PD治疗的135名男性样本与79名MMD男性样本进行了比较，使用兰开夏郡生活质量概况（LQoLP）的扩展荷兰版本。几乎所有的客观指标的生活质量显着较差的男性MMD比PD，但组没有不同的领域特定的主观生活质量评级。事实上，PD患者的总体主观生活质量低于MMD患者组。PD门诊患者似乎有一个更复杂的概念生活质量比MMD门诊患者的主观生活质量评分的方差几乎一半是与他们的日常活动和他们的客观安全感。进一步研究帕金森病患者的生活质量是必要的，以测试主观不满意度在多大程度上是帕金森病内在的，并探索改善它的可能性，有针对性的治疗
BACKGROUND: Quality of life (QoL) has become increasingly important as an outcome measure in community-based psychiatry. QoL refers to an individual's sense of well-being and satisfaction with his current life conditions. It is measured both through objective social indicators and life domain-specific subjective indicators. People with a personality disorder (PD) or a major mental disorder (MMD) tend to show poor social adjustment, but their relative subjective QoL is not known.AIM: To compare the QoL of male outpatients in treatment for PD or MMD overall and by means of specific social and subjective indicators.METHODS: A sample of 135 men under treatment for PD in Dutch forensic outpatient facilities were compared with 79 men with MMD using the extended Dutch version of the Lancashire Quality of Life Profile (LQoLP).RESULTS: Almost all of the objective indicators of QoL were significantly poorer among men with MMD than those with PD, but the groups did not differ on domain-specific subjective ratings of QoL. Indeed, global subjective QoL was lower in the PD than in the MMD patient group. PD outpatients seemed to have a more complex concept of QoL than the MMD outpatients for whom almost half of the variance in subjective QoL rating was related to their everyday activities and their objective sense of safety.CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: Further study of QoL among PD patients would be warranted to test the extent to which subjective dissatisfaction is intrinsic to PD and to explore the possibility of improving it with targeted treatments.