精神分裂症患者就业状况与洞察力和治疗依从性的关系

IF 0.7 Q4 PSYCHIATRY
P. Błądziński, A. Kalisz, P. Adamczyk, A. Arciszewska, Dagmara Mętel, A. Daren, A. Cechnicki
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引用次数: 1

摘要

目的:分析慢性精神分裂症患者接受精神科职业康复治疗的洞察力和服药依从性,并评估这两个因素与就业能力的关系。方法:将51例符合DSM-V诊断标准的慢性精神分裂症患者分为社会企业(SF, n = 22)和职业治疗工作坊(OTW, n = 29)两组。洞察力采用PANSS量表G12项和“我的想法和感受”主观洞察力量表,药物依从性采用MARS量表,症状严重程度采用PANSS和BNSS量表,一般功能功能采用GAF和SOFAS量表;MoCA、RAVLT、RHLB量表和河内塔任务的认知功能。结果:就业组患者的洞察力水平显著提高,症状严重程度显著降低,一般功能和社会功能显著改善。在失业的一组参与者中,较低的洞察力与较低的功能和更多的临床症状和认知障碍有关。药物依从性水平与症状严重程度和认知障碍的存在有关。没有观察到依从性和洞察力之间的相关性。患者对内省的主观评价与精神科医师的评价相关。结论:“我的思想感受”自评问卷对内省的主观评价与G12 PANSS量表对内省的客观评价存在相关性。更高水平的洞察力,较轻的症状严重程度和一般和更好的社会功能与就业有关,而坚持药物治疗则无关。研究结果显示,与就业状况相关的最重要因素与更好的洞察力,较轻的症状严重程度和更好的一般和社会功能有关,而依从性似乎无关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Associations of insight and treatment adherence with employment status of people with schizophrenia
Purpose: Analyze insight and adherence to medication in patients with chronic schizophrenia and undergoing psychiatric occupational rehabilitation as well as to assess the relations between these two factors and employment ability. Methods: A group of 51 participants diagnosed with chronic schizophrenia according to DSM-V criteria were divided into those employed in social firm (SF, n = 22) and participants of occupational therapy workshops (OTW, n = 29). Insight was measured with item G12 of PANSS scale and with “My thoughts and feelings” subjective insight scale, adherence to medication with MARS scale, symptom severity with PANSS and BNSS scales, general functioning with GAF and SOFAS scales; cognitive functions with MoCA, RAVLT, RHLB scales and Tower of Hanoi task. Results: The group of employed subjects had significantly higher level of insight, lower symptom severity and better general and social functioning. In the group of unemployed participants lower insight was related to lower functioning and much higher number of clinical symptoms and cognitive impairments. Level of adherence to medication was related to symptom severity and presence of cognitive impairments. No correlation between adherence and insight was observed. Patients’ subjective assessment of insight correlated with psychiatrists assessment. Conclusions: Subjective assessment of insight measured by “My thoughts and feelings” self-assessment questionnaire correlates with its objective assessment by item G12 PANSS scale. Higher level of insight, lesser symptom severity and general and better social functioning are associated with employment, whereas adherence to medication is not. The study findings revealed that the most important factors which may be associated with employment status in were related to better insight, lesser symptom severity and better general and social functioning, whereas adherence seemed to be irrelevant.
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来源期刊
Postepy Psychiatrii i Neurologii
Postepy Psychiatrii i Neurologii Psychology-Clinical Psychology
CiteScore
0.90
自引率
0.00%
发文量
13
期刊介绍: The quarterly Advances in Psychiatry and Neurology is aimed at psychiatrists, neurologists as well as scientists working in related areas of basic and clinical research, psychology, social sciences and humanities. The journal publishes original papers, review articles, case reports, and - at the initiative of the Editorial Board – reflections or experiences on currently vivid theoretical and practical questions or controversies. Articles submitted to the journal are evaluated first by the Section Editors, specialists in the fields of psychiatry, clinical psychology, science of the brain and mind and neurology, and reviewed by acknowledged authorities in the respective field. Authors and reviewers remain anonymous to each other.
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