A Matched-Control Study On Quality Of Life And Coping Style In Patients With Schizophrenia

ObjectiveTo compare quality of life and coping style in patients with schizophrenia with normal persons and expect to provide a theoretical basis for Clinical psychological therapy, family support treatment.Methods151patients with schizophrenia were diagnosed by the Chinese version of Structured Clinical Interview for the DSM-IV Axis I Disorders (SCID-I-P) as a Study Group.151individuals without any psychiatric diagnosis were matched by1:1to the Study Group by gender, age and village as a control group. All participants were in the database of an epidemiological survey for mental disorders in persons of^18years in Shandong province.All subjects were tested by a self-made general information questionnaire and a disease information questionnaire. All subjects were assessed by General Health Questionnaire (GHQ-12), Simplified Coping Style Questionnaire (SCSQ), Global Assessment Function (GAF) and Simplified Quality of Life Questionnaire. All statistical analyses were performed using SPSS18.0software. Independent-Samples Test, Paired Samples Test, One-Way ANOVA analysis, multivariate analysis of variance and correlation analysis were applied in this study. The difference was statistically significant at P<0.05.Results1. Coping Style ①Scores of active coping factor in patients with schizophrenia were lower and passive coping factor were higher than the control group. All discrepancies were statistically significant (P<0.01).②Only discrepancie on scores of active coping factor and passive coping factor among different occupations was statistically significant without impact of group factor (P<0.05).③The more severe social dysfunction, the stronger suicidal ideation and the more suicide behavior of patients with schizophrenia were, the lower their scores of active coping factor were (P<0.01). Scores of passive coping factor on disorganized schizophrenia and patients with schizophrenia who have suicidal ideation and suicide behavior were high (P<0.01).2. Quality of Life①Scores of all items and total score of quality of life in patients with schizophrenia were lower than normal control group (P<0.01).②Discrepancies on scores of quality of life in each factor in all subjects were not statistically significant without impact of group factor (P>0.05).③The more severe social dysfunction, the stronger suicidal ideation and the more suicide behavior of patients with schizophrenia were, the lower their scores of quality of life were(P<0.01).3. The relationship of quality of life and social function with coping styleThe scores of quality of life and social function are positive correlation of active coping factor (r=0.474, P<0.01; r=0.458, P<0.01). The scores of quality of life and social function are negative correlation of passive coping factor (r=-0.375, P<0.01; r=-0.175, P<0.05)..Conclusions1. Qulity of life and active coping ability of patients with schizophrenia are poorer than normal persons, and they are likely to take passive coping strategy when facing stress events.2. There are no significant relationship between coping style and quality of life of patients with schizophrenia with their General Information (such as gender, age and so on.).3. The more severe social dysfunction, the stronger suicidal ideation and the more suicide behavior of patients with schizophrenia are, the poorer their quality of life and active coping ability are and the easier they to take passive coping strategy are.4. They are easy to take passive coping stategy and have poor active coping ability when they have poor quality of life and social function.