Objective and subjective quality of life in schizophrenic patients after a first hospitalization.

K Górna, K Jaracz, F Rybakowski
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Abstract

Purpose: There is no single, universally accepted definition of quality of life (QOL). Both subjective and objective information is necessary to assess QOL. The aim of the study was to evaluate in cross-sectional and prospective manner objective and subjective quality of life in schizophrenic patients 1 month after hospitalization and in one year follow-up.

Material and methods: A study sample consisted of 86 schizophrenic subjects: 52 male and 34 female; age 25.5; +/-5.8 (range 17-47) and control group of matched 52 male and 34 female subjects were enrolled. Subjective QOL scale (WHOQOL-BREF), Social Functioning Scale (SFS) and structured questionnaire were used. Patients were evaluated 1 month (T1) and 13 months (T2) after a discharge from the hospital.

Results: In both T1 and T2 we found similar levels of SFS score and subjective measurement of QOL in patients, which were significantly lower than in healthy controls.

Conclusions: This study showed that both objective and subjective quality of life are significantly decreased directly after hospitalization, and they are relatively stable in 1-year follow-up.

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精神分裂症患者首次住院后的客观和主观生活质量。
目的:生活质量(QOL)没有一个统一的、普遍接受的定义。评价生活质量需要主观和客观的信息。本研究旨在以横断面和前瞻性方式评估精神分裂症患者住院后1个月和随访1年的客观和主观生活质量。材料与方法:86例精神分裂症患者:男性52例,女性34例;年龄25.5;+/-5.8(范围17-47)和对照组匹配的52名男性和34名女性受试者入组。采用主观生活质量量表(WHOQOL-BREF)、社会功能量表(SFS)和结构化问卷。患者出院后1个月(T1)和13个月(T2)进行评估。结果:在T1和T2时,我们发现患者的SFS评分和主观生活质量测量水平相似,明显低于健康对照组。结论:本研究显示,住院后患者的客观生活质量和主观生活质量均直接下降,且随访1年较为稳定。
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