Associations between Family Relationships and Quality of Kife in Patients with Schizophrenia

조현병 환자에서 가족관계와 삶의 질의 관계

  • Kang, Hangoeunbi (Department of Psychiatry, Naju National Hospital) ;
  • Jung, Ha-Ran (Department of Psychiatry, Naju National Hospital) ;
  • Lee, Ju-Yeon (Department of Psychiatry, Chonnam National University Medical School) ;
  • Kim, Seon-Young (Department of Psychiatry, Chonnam National University Medical School) ;
  • Kim, Jae-Min (Department of Psychiatry, Chonnam National University Medical School) ;
  • Yoon, Jin-Sang (Department of Psychiatry, Chonnam National University Medical School) ;
  • Kim, Sung-Wan (Department of Psychiatry, Chonnam National University Medical School)
  • 강한고은비 (국립나주병원 정신건강의학과) ;
  • 정하란 (국립나주병원 정신건강의학과) ;
  • 이주연 (전남대학교 의과대학 정신건강의학교실) ;
  • 김선영 (전남대학교 의과대학 정신건강의학교실) ;
  • 김재민 (전남대학교 의과대학 정신건강의학교실) ;
  • 윤진상 (전남대학교 의과대학 정신건강의학교실) ;
  • 김성완 (전남대학교 의과대학 정신건강의학교실)
  • Received : 2018.04.28
  • Accepted : 2018.06.15
  • Published : 2018.10.31

Abstract

Objectives : The aim of this study was to examine associations between quality of life in patients with schizophrenia and their family relationships. Methods : A total of 68 patients with schizophrenia participated in the study. Socio-demographic and clinical data were collected, as well as results from the Subjective Well-being under Neuroleptic Treatment Scale-Short Form(SWN-K), Family Emotional Involvement and Criticism Scale(FEICS), a visual analogue scale for evaluating the degree of perceived criticism(VAS), the Family Adaptability and Cohesion Evaluation Scale(FACES), Beck Cognitive Insight Scale(BCIS), and Rosenberg Self Esteem Scale(R-SES). Psychiatrists administered the Positive and Negative Syndrome Scale and the Calgary Depression Scale for Schizophrenia(CDSS), and collected a history of previous suicide attempts. Results : The SWN-K total scores showed significant negative correlations with scores on the FEICS perceived criticism, CDSS, and VAS measures and significant positive correlations with scores on the R-SES, FACES, and BCIS. Multiple regression analysis revealed that FEICS perceived criticism, FACES, and BCIS scores were significantly associated with SWN-K scores. The FACES total score was significantly lower in patients with a history of previous suicide attempt. Conclusion : The quality of life of patients with schizophrenia was negatively associated with greater perceived familial criticism and positively associated with better family cohesion and higher patient insight. In patients with a history of suicide attempts, family adaptability and cohesion were significantly low.

Keywords

Acknowledgement

Supported by : 보건복지부

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