Assessing Quality of Life: A Comparative Study among Patients with Schizophrenia, Bipolar Affective Disorder, and Healthy Control in a South Indian Tertiary Care Setting

Dafney Viola Sequeira, Benison Binny, Nameerah Javed, Vinod K. Mathew, Kasthuri Pandiyan
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Abstract

Aim: To assess and compare the quality of life (QOL) of patients with schizophrenia, bipolar affective disorder (BPAD) patients and healthy control. Methods: This is an observational study carried out in MVJ Medical College and Research Hospital, Bengaluru, India. The WHOQOL-BREF questionnaire was administered to 139 patients with schizophrenia and 139 patients with BPAD that were diagnosed according to the ICD-10 diagnostic criteria, as well as 139 healthy subjects all of whom gave their informed consent. The data were analyzed using SAS 9.2 software. Results: On comparing the three groups, the schizophrenia group scored the least in the physical (53.51±19.36), psychological (51.32±21.37) and environmental health domains (55.59±17.78). The QOL of the BPAD group was comparable to that of the healthy control group and significantly better as compared to that of the schizophrenia group (P<0.0001). Conclusion: The study shows that patients with schizophrenia had significantly lower QOL than patients with BPAD and healthy subjects. Our study emphasizes the significance of addressing psychiatric patients' overall health and QOL in addition to symptom management.
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评估生活质量:南印度三级医疗机构中精神分裂症、双相情感障碍患者与健康对照组患者的比较研究
目的:评估和比较精神分裂症患者、双相情感障碍(BPAD)患者和健康对照组的生活质量(QOL)。方法:这是一项观察性研究:这是一项在印度班加罗尔 MVJ 医学院和研究医院开展的观察性研究。对根据 ICD-10 诊断标准确诊的 139 名精神分裂症患者和 139 名躁狂症患者以及 139 名健康受试者进行了 WHOQOL-BREF 问卷调查,所有受试者均已知情同意。数据使用 SAS 9.2 软件进行分析。结果显示比较三组患者,精神分裂症组在身体健康(53.51±19.36)、心理健康(51.32±21.37)和环境健康(55.59±17.78)方面得分最低。BPAD 组的 QOL 与健康对照组相当,明显优于精神分裂症组(P<0.0001)。结论研究表明,精神分裂症患者的 QOL 明显低于 BPAD 患者和健康人。我们的研究强调,除了对症治疗外,关注精神科患者的整体健康和 QOL 也非常重要。
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