1. Quality of life in stabilized patients with schizophrenia is mainly associated with resilience and self-esteem
- Author
-
Fabienne Wartelsteiner, Anna-Sophia Welte, Georg Kemmler, W. W. Fleischhacker, Beatrice Frajo-Apor, Alex Hofer, Yohsuke Mizuno, Silvia Pardeller, Hiroyuki Uchida, and Catherine Sondermann
- Subjects
Adult ,Male ,medicine.medical_specialty ,media_common.quotation_subject ,behavioral disciplines and activities ,03 medical and health sciences ,0302 clinical medicine ,Quality of life ,mental disorders ,medicine ,Humans ,Psychiatry ,Depression (differential diagnoses) ,media_common ,Psychiatric Status Rating Scales ,Positive and Negative Syndrome Scale ,Self-esteem ,Middle Aged ,Resilience, Psychological ,medicine.disease ,Self Concept ,humanities ,030227 psychiatry ,Diagnostic and Statistical Manual of Mental Disorders ,Psychiatry and Mental health ,Cross-Sectional Studies ,Schizophrenia ,Beck Hopelessness Scale ,Quality of Life ,Female ,Schizophrenic Psychology ,Psychological resilience ,Psychology ,030217 neurology & neurosurgery ,Clinical psychology ,Psychopathology - Abstract
Objective Improving quality of life (QoL) is an important objective in the treatment of schizophrenia. The aim of the current study was to examine to what extent resilience, self-esteem, hopelessness, and psychopathology are correlated with QoL. Method We recruited 52 out-patients diagnosed with schizophrenia according to DSM-IV criteria and 77 healthy control subjects from the general community. In patients, psychopathology was quantified by the Positive and Negative Syndrome Scale. The following scales were used in both patients and control subjects: the Berliner Lebensqualitatsprofil, the Resilience Scale, the Rosenberg Self-Esteem Scale, and the Beck Hopelessness Scale to assess QoL, resilience, self-esteem, and hopelessness respectively. Results Patients with schizophrenia presented with significantly less QoL, resilience, self-esteem, and hope compared to healthy control subjects. In patients, QoL correlated moderately with resilience, self-esteem, and hopelessness and weakly with symptoms. With respect to the latter, particularly depression and positive symptoms were negatively correlated with QoL. Conclusion Our results highlight the complex nature of QoL in patients suffering from schizophrenia. They underscore that significant efforts are necessary to enhance resilience and self-esteem and to diminish hopelessness as well as affective and positive symptoms in patients with schizophrenia.
- Published
- 2016