The quality of life in patients with schizophrenia in community mental health service – selected factors
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Laboratory of Mental Health, Medical University of Lublin, Lublin, Poland
Neuropsychiatric Hospital in Lublin, Lublin, Poland
Department of Psychiatry Medical University of Lublin, Lublin, Poland
Marta Makara-Studzińska   

Laboratory of Mental Health, Medical University of Lublin, Chodźki 15, 20-093 Lublin, Poland. Tel: 81 718 65 92.
J Pre Clin Clin Res. 2011;5(1):31–34
The quality of life for patients with schizophrenia is an important issue nowadays, as the idea of de-institutionalisation in psychiatry is being implemented. The aim of this study was to analyze different determinants of the quality of life in patients with schizophrenia. The survey covered a group of 115 patients with schizophrenia from community mental health service centres in the Lublin Province of eastern Poland. The following methods were used: WHOQOL-BREF (WHO Quality of Life, BREF is a shorter version of the original instrument that may be more convenient for use in large research studies or clinical trials), HADS (Hamilton Anxiety and Depression Scale), PANSS (Positive and Negative Syndrome Scale), GAF (Global Assessment of Functioning). It was found that the quality of life was significantly lower in males, subjects who were divorced or widowed, living with parents, with worse living conditions and worse financial situation, financially dependent, with shorter period of time after last hospitalization, longer total period of time spent in hospital, lower GAF score, higher PANSS score, suicide attempt in the past, comorbid depressive and anxiety disorder, negative attitude of their families towards them and their treatment, and not-attending psychoeducation activities. It is crucial to treat the comorbid depressive and anxiety disorders in patients with schizophrenia due to the correlation between the serverity of those symptoms and the quality of life. The work policy should provide employment for patients in a stable psychic state, because patients who are unemployed and thus financially dependent declare a worse quality of life compared to those who are professionally active.
Lehman AF. Th e well-being of chronic mental patients. Arch Gen Psychiatry 1983;40:369-373.
Spiridonow K, Kasperek B, Meder J. Comparison of subjective quality of life of chronically ill patients with schizophrenia and healthy subjects. Psychiatr Pol 1998;32(3):297-306 (in Polish).
Chan S, Yu IW. Quality of life of clients with schizophrenia. Issues and Innovations in nursing practice. J Adv Nurs 2004;45(1):72-83.
Voruganti L, Heslegrave R, Awad AG, Seeman MV. Quality of life measurement in schizophrenia: reconciling the quest for subjectivity with the question of reliability. Psychol Med 1998;28:165-172.
Gorna K, Jaracz K, Rybakowski F, Rybakowski J. Determinants of objective and subjective quality of life in fi rst-time-admission schizophrenic patients in Poland a longituinal study. Qual Life Res 2008;17:237-247.
Xiang Y-T, Weng Y-Z, Leung Ch-M, Tang W-K, Ungvari GS. Subjective quality of life in outpatients with schizophrenia in Hong Kong and Beijing: relationship to socio-demographic and clinical factors. Qual Life Res 2008;17:27-36.
Caron J, Lecomte Y, Stip E, Renaud S. Predictors of quality of life in schizophrenia. Commun Ment Health J 2005;41(4):399-417.
Jarema M: Th e study of quality of life as an alternative form of evaluation. New Med 1996;3:15-16 (in Polish).
Dimitriou P, Anthony D, Dyson S. Quality of life for patients with schizophrenia living in the community in Greece. J Psychiatr Ment Health Nurs 2009;16:546-552.
Skantze K, Malm U, Dencker S, May P, Corrigan P. Comparison of quality of life with standard of living in schizophrenic outpatients. Br J Psychiatry 1992;161:797-801.
Cardoso CS, Caiaff a WT, Bandeiro M, Siqueira AR, Silva-Abreu MN, Penido-Fonesca JO. Factors associated with low quality of life in schizophrenia. Cad Saude Publica 2005;21(5):1338-1348.
Wyatt RJ. Neuroleptics and the natural course of schizophrenia. Schizophr Bull 1997;23:3-9.
Chan S, Cheng BS. Creating positive attitudes, the eff ects of knowledge, and clinical experience of psychiatry in student nurse education. Nurse Educ Today 2001;21:434-443.
Chino B, Nemoto T, Fujii C, Mizuno M. Subjective assessments of the quality of life, well-being and self-effi cacy in patients with schizophrenia. Psychiat Clin Neurosci 2009;63:521-528.
Narvaez JM, Twamley EW, McKibbin ChL Heaton RK, Patterson TL. Subjective and objective quality of life in schizophrenia. Schizophr Res 2008;98:201-208.
Ponizovsky AM, Grinshpoon A, Levav I, Ritsner MS. Life satisfaction and suicidial attempts among persons with schizophrenia. Compr Psychiat 2003;44:442-447.
Bergson-Tops A, Hansson L. Quantitative and qualitative aspects of social network in schizophrenic patients living in the community. Relationship to sociodemographic characteristics and clinical factors and subjective quality of life. Int J Soc Psychiat 2001;47(3):67-77.
Halford WK, Harrison C, Moutrey C, Simpson S. Preliminary results from a psychoeducational program to rehabilitate chronic patients. Psychiat Serv 1995;46:1189-1191.
Gorna K, Jaracz K, Rybakowski J. Th e importance of social support for quality of life of patients with schizophrenia. Pol Psychiat 2004;38(3):443-452 (in Polish).