노인 만성 조현병 환자군에서 병태생리, 인지기능, 병식, 삶의 질 간의 관련성

• 영문명: The Relationship among Psychopathology, Cognitive Function, Insight and Quality of Life in Elderly Patients with Chronic Schizophrenia
• 발행기관: 대한노인정신의학회
• 저자명: 홍경기(Kyungki Hong) 이준노(Joon-Noh Lee) 임선진(Seon-Jin Yim) 김정민(Jung Min Kim) 나의현(Euihyeon Na) 홍문화(Moon-Hwa Hong) 한혜리(Hyeree Han)
• 간행물 정보: 『노인정신의학』노인정신의학 제18권 제2호, 55~63쪽, 전체 8쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2014.10.31

영문 초록

Objective：The aim of this study was to investigate the association with psychopathology, cognitive function, insight and quality of life (QOL) in elderly patients with chronic schizophrenia over age 55. Methods：103 schizophrenic patients over age 55 with illness duration over 10 years, are enrolled in a cross-sectional study. The subjects were assessed by the Korean version of 4th Revision of Schizophrenia Quality of Life Scale, Korean Version of Scales to Assessment Unawareness of Mental Disorder, Positive and Negative Syndrome Scale (PANSS) and the cognitive function battery designed for this study. Multiple regression stepwise selection models were executed to identify the relations among variables, and the contributing factors to QOL. Results：Among schizophrenic patients with lower illness-severity with PANSS total score below 75, higher PANSS positive subscale score and lower number of hospitalization were related to lower QOL. Among patients with higher illness-severity with PANSS total score of 75 and over, higher PANSS general psychopathology subscale score, better intelligence, better delayed recall function, worse attention, better awareness of medication effect and later onset were related to lower QOL. Conclusion：Results of our study suggest that improvement in positive symptom and general psychopathology could increase the QOL in elderly patients with chronic schizophrenia over age 55. And the management which could improve attention, awareness of need for medication would attribute the QOL.

목차

Abstract

서론

대상 및 방법

결과

고찰

REFERENCES

키워드

노인 조현병 병태생리 인지기능 병식 삶의 질 Elderly Schizophrenia Psychopathology Cognition Awareness Quality of life