Lebensqualität schizophren Erkrankter und ihr Zusammenhang mit Krankheitsbewältigungsstrategien und Behandlungsaspekten

Schmid, Rita; Neuner, Tanja; Cording, Clemens; Spießl, Hermann

doi:10.1055/s-2006-940120

Cited by 18 publications

(3 citation statements)

References 6 publications

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“…The course of disease and the relapse rates are influenced as well by the frequently burdened familial climate as by the way of communication within the family members [2,3]. Particularly the feeling of being a burden for the family members can lead to a decrease of quality of life (QOL) within schizophrenic patients [4]. …”

Section: Introductionmentioning

confidence: 99%

The influence of Antonovsky’s sense of coherence (SOC) and psychoeducational family intervention (PEFI) on schizophrenic outpatients’ perceived quality of life: a longitudinal field study

et al. 2013

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BackgroundAntonovsky’s sense of coherence (SOC) as well as psychoeducational interventions has a convincing impact on the quality of life (QOL) of patients suffering from schizophrenia. This study explores the influence of SOC on QOL among participants of a PEFI group (PG) compared to a control group (CG).MethodsIn a quasi-experimental field study 46 schizophrenic outpatients had an option to participate together with their family members the PG (n = 25) or the CG (n = 21). They were assessed amongst others with the Quality of Life Questionnaire (WHOQOL-BREF), the Global Assessment of Functioning Scale (GAF), the Positive and Negative Syndrome Scale (PANSS) and the Sense of Coherence Scale (SOC-29). The efficacy of the PG on QOL was compared to the CG within two different SOC levels.ResultsBefore intervention patients with high SOC scores had significant higher levels in GAF and QOL and a trend of lower PANSS scores. The strongest relationship was found between SOC and QOL. Regarding the SOC level after intervention PG participants had higher QOL values than the CG within the last three measurements. The highest benefit due to QOL was observed within PG participants with high SOC scores.ConclusionsThe results of the study suggest that SOC is a good predictive variable for clinical outcomes including QOL. Generally, the influence of the SOC level on QOL was stronger than the effect of PEFI. Hence schizophrenic patients with high SOC scores did benefit most from participating in a PG regarding their QOL. To optimize the effect of PEFI more efforts are needed to enhance the SOC of the participants. Altogether PEFI seems to be an important completion to the standard treatment for schizophrenic outpatients.

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Section: Introductionmentioning

confidence: 99%

The influence of Antonovsky’s sense of coherence (SOC) and psychoeducational family intervention (PEFI) on schizophrenic outpatients’ perceived quality of life: a longitudinal field study

et al. 2013

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“…Further studies confirmed the validity of the KKG due to associations to external variables [42-44] and a number of studies have been published using this questionnaire [e.g. [45-47]].…”

Section: Methodsmentioning

confidence: 75%

Multiple dimensions of health locus of control in a representative population sample: ordinal factor analysis and cross-validation of an existing three and a new four factor model

Otto

Bischof

Rumpf

et al. 2011

BMC Med Res Methodol

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BackgroundBased on the general approach of locus of control, health locus of control (HLOC) concerns control-beliefs due to illness, sickness and health. HLOC research results provide an improved understanding of health related behaviour and patients' compliance in medical care. HLOC research distinguishes between beliefs due to Internality, Externality powerful Others (POs) and Externality Chance. However, evidences for differentiating the POs dimension were found. Previous factor analyses used selected and predominantly clinical samples, while non-clinical studies are rare. The present study is the first analysis of the HLOC structure based on a large representative general population sample providing important information for non-clinical research and public health care.MethodsThe standardised German questionnaire which assesses HLOC was used in a representative adult general population sample for a region in Northern Germany (N = 4,075). Data analyses used ordinal factor analyses in LISREL and Mplus. Alternative theory-driven models with one to four latent variables were compared using confirmatory factor analysis. Fit indices, chi-square difference tests, residuals and factor loadings were considered for model comparison. Exploratory factor analysis was used for further model development. Results were cross-validated splitting the total sample randomly and using the cross-validation index.ResultsA model with four latent variables (Internality, Formal Help, Informal Help and Chance) best represented the HLOC construct (three-dimensional model: normed chi-square = 9.55; RMSEA = 0.066; CFI = 0.931; SRMR = 0.075; four-dimensional model: normed chi-square = 8.65; RMSEA = 0.062; CFI = 0.940; SRMR = 0.071; chi-square difference test: p < 0.001). After excluding one item, the superiority of the four- over the three-dimensional HLOC construct became very obvious (three-dimensional model: normed chi-square = 7.74; RMSEA = 0.059; CFI = 0.950; SRMR = 0.079; four-dimensional model: normed chi-square = 5.75; RMSEA = 0.049; CFI = 0.965; SRMR = 0.065; chi-square difference test: p < 0.001). Results were confirmed by cross-validation. Results based on our large community sample indicated that western general populations separate health-related control-beliefs concerning formal and informal assistance.ConclusionsFuture non-clinical HLOC studies in western cultures should consider four dimensions of HLOC: Internality, Formal Help, Informal Help and Chance. However, the standardised German instrument needs modification. Therefore, confirmation of our results may be useful. Future research should compare HLOC structure between clinical and non-clinical samples as well as cross-culturally.

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“…Ein gewisses Problem bei Zufriedenheitsbefragungen ist eine Tendenz zu generell sehr hohen Zufriedenheitswerten, die wenig Differenzierungen zulässt [7]. Die Korrelation der Patientenzufriedenheit mit der Einschätzung des Behandlungsergebnisses ist höchstens mäßig [8,9], die Patientenzufriedenheit ist abhängig von der Diagnose und korreliert wesentlich mit der Arzt-Pa- tient-Beziehung, aber auch mit Strukturaspekten ("Hotelfaktor") [10][11][12] [16]. Eine Nachanalyse der Daten der CGI-I mit den wesentlich aufwendigeren psychopathologischen Ratings in der PANSS-oder BPRS-Skala mit Perzentilenvergleichen ergab gute Korrelationen [17,18].…”

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PGI-I (Patient's Global Impression) als Outcome und Qualitätsindikator bei stationärer Behandlung: Ergebnisse und Übereinstimmung mit Beurteilungen der Behandler

Steinert¹,

Eisele²,

Längle³

et al. 2010

Psychiat Prax

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Lebensqualität schizophren Erkrankter und ihr Zusammenhang mit Krankheitsbewältigungsstrategien und Behandlungsaspekten

Abstract: Active problem-focused coping, social and occupational integration and physical well-being play an important role for schizophrenic patients' quality of life and should be considered in treatment regimens.

Cited by 18 publications

References 6 publications

The influence of Antonovsky’s sense of coherence (SOC) and psychoeducational family intervention (PEFI) on schizophrenic outpatients’ perceived quality of life: a longitudinal field study

The influence of Antonovsky’s sense of coherence (SOC) and psychoeducational family intervention (PEFI) on schizophrenic outpatients’ perceived quality of life: a longitudinal field study

Multiple dimensions of health locus of control in a representative population sample: ordinal factor analysis and cross-validation of an existing three and a new four factor model

PGI-I (Patient's Global Impression) als Outcome und Qualitätsindikator bei stationärer Behandlung: Ergebnisse und Übereinstimmung mit Beurteilungen der Behandler

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