난치성 만성정신분열증 환자의 생활의 질에 미치는 정신사회치료 프로그램의 효과에 대한 예비연구

• 영문명: A Preliminary Study of the Effect of Psychosocial Treatment Program on Quality of Life in Refractory Chronic Schizophrenia
• 발행기관: 대한신경정신의학회
• 저자명: 이홍식 전지용 김찬형 송동호 이종호 서호석 김선경 배민진
• 간행물 정보: 『신경정신의학』제34권 제4호, 1050~1058쪽, 전체 9쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 1995.07.30

영문 초록

Objects :Recent studies of psychosocial adjustment after hospitalization have found that the combination of maintenance antipsychotic drug treatment and psychosocial treatment including psychoeducational program are highly predictive of social rehabilitation and reduction of subsequent relapse. Two groups of patients with refractory chronic schizophrenia were preliminarily compared to determine the effect of a psychosocial treatment program on the quality of life in refractory chronic schizophrenics in an open comparative trial. Methods One group (N = ll) was assigned to approximately six months of the psychosocial treatment program (including psychoeducation program and activity program such as interpersonal relationship program, social skill training, self management program, outings, etc), in a group format, twice a week and a fixed maintenance dosage of clozapine * while the other(N=8) was involved in only maintenance dosage of the same drug. Quality of life scale(QLS) was used to provide an objective measure of changes in patient’s psychosocial functioning and a general assessment of psychopathology was made using the Brief Psychiatric Rating Scale (BPRS). Results : Both BPRS total, positive score and the QLS total score, especially in the intrapsychic foundation factor of the scale showed a statistically significant improvement in the psychosocial treatment group. But there was no significant change in both BPRS and QLS scores over a 6-month period in the non-psychosocial treatment group. A significant negative correlation was found between the negative symptom and changes of QLS total, instrumental role and common object and activites scores respectively after receiving a 6-month of the psychosocial treatment program. Conclusion : These results suggest that a psychosocial treatment program including the integration of psychoeducation and a skill training oriented activity program serve as an outpatient treatment modality to improve the quality of life in refractory chronic schizophrenia. To further clarify the effect of psychosocial treatment in chronic schizophrenia, a randomized trial should be done.

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Psychosocial treatment program Quality of life Chronic schizophrenia