Predictors of subjective quality of life in schizophrenic patients living in the community. A Nordic multicentre study

Predictors of subjective quality of life in schizophrenic patients living in the community. A Nordic multicentre study
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DOI:
10.1177/002076409904500403
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发表时间:
1999-12-01
影响因子:
7.5
通讯作者:
Vinding, H
Vinding, H
中科院分区:
医学4区
文献类型:
--
作者:
Hansson, L;Middelboe, T;Vinding, H

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作为北欧多中心研究的一部分,调查社区样本的精神分裂症患者的生活和护理状况,本部分研究的目的是研究全球主观生活质量和客观生活条件,临床特征,包括精神病理学和护理需求的数量,主观因素,如满意度与不同的生活领域,社会网络和自尊之间的关系。从10个地点的418例精神分裂症患者的样本。最后的多元回归分析的结果,解释了52.3%的方差,表明五个主观因素显着相关的全球主观生活质量,连同一个客观指标,有一个亲密的朋友。没有临床特征与总体主观生活质量相关。对健康的满意度解释了最大的方差,占方差的36.3%,自尊占方差的7.3%。结论是客观生活条件和主观体验的生活质量之间的实际关系仍然不清楚。此外,似乎很明显,自尊、掌握和自主感等人格相关因素也在主观生活质量的评估中发挥着作用,这意味着在对精神分裂症患者进行临床和社会干预时考虑这些因素很重要为了改善这些人的生活质量。
As part of a Nordic multi-centre study investigating the life and care situation of community samples of schizophrenic patients the aim of the present part of the study was to examine the relationship between global subjective quality of life and objective life conditions, clinical characteristics including psychopathology and number of needs for care, subjective factors such as satisfaction with different life domains, social network, and self-esteem. A sample of 418 persons with schizophrenia from 10 sites was used. The results of a final multiple regression analysis, explaining 52.3% of the variance, showed that five subjective factors were significantly associated with global subjective quality of life, together with one objective indicator, to have a close friend. No clinical characteristics were associated with global subjective quality of life. The largest part of the variance was explained by satisfaction with health, 36.3% of the variance, and serf-esteem, 7.3% of the variance. It is concluded that the actual relationship between objective life conditions and subjectively experienced quality of life still remains unclear. Furthermore, it seems obvious that personality related factors such as self-esteem, mastery and sense of autonomy also play a role in the appraisal of subjective quality of life, which implies that factors like these are important to consider in clinical and social interventions for patients with schizophrenia in order to improve quality of life for these persons.