title: Subjective and objective quality of life, levels of life skills, and their clinical determinants in outpatients with schizophrenia.
abstract: The purpose of the present study is to investigate the relationships among subjective and objective quality of life (QOL), and levels of life skills, and their clinical determinants in outpatients with schizophrenia by using schizophrenia disease-specific QOL measures. Data collected from 64 outpatients were analyzed. Subjective QOL was measured with the Schizophrenia Quality of Life Scale (SQLS) and objective QOL with the Quality of Life Scale (QLS). Patients' family members completed the Life Skills Profile (LSP). Clinical symptoms were also assessed with several scales including the Brief Psychiatric Rating Scale (BPRS) and the Calgary Depression Scale for Schizophrenia (CDSS). Only the motivation/energy scale, but not the other scales of the SQLS, correlated with the QLS. The LSP rated by the family showed significant correlations with both the SQLS and the QLS. The CDSS score predicted each scale of the SQLS, and the BPRS negative symptoms score predicted the QLS. The LSP was predicted by the BPRS negative symptoms score and the CDSS score independently. These results indicate that the patient's QOL could be predicted by the life skills measured by a family member and suggest that active treatment for depressive and negative symptoms might be recommended to improve the patient's QOL and life skills.
authors.affiliation: Department of Psychiatry, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto-cho, Tokushima, Tokushima 770-8503, Japan. yxpwc180@ybb.ne.jp
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Aki
authors.forename: Masahito
authors.initials: M
authors.lastname: Tomotake
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Kaneda
authors.forename: Jun-Ichi
authors.initials: J
authors.lastname: Iga
authors.forename: Sawako
authors.initials: S
authors.lastname: Kinouchi
authors.forename: Sumiko
authors.initials: S
authors.lastname: Shibuya-Tayoshi
authors.forename: Shin-Ya
authors.initials: SY
authors.lastname: Tayoshi
authors.forename: Ikuyo
authors.initials: I
authors.lastname: Motoki
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Moriguchi
authors.forename: Satsuki
authors.initials: S
authors.lastname: Sumitani
authors.forename: Ken
authors.initials: K
authors.lastname: Yamauchi
authors.forename: Takahide
authors.initials: T
authors.lastname: Taniguchi
authors.forename: Yasuhito
authors.initials: Y
authors.lastname: Ishimoto
authors.forename: Shu-Ichi
authors.initials: S
authors.lastname: Ueno
authors.forename: Tetsuro
authors.initials: T
authors.lastname: Ohmori
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000553:Ambulatory Care / Q000706:statistics & numerical data; D010054:Brief Psychiatric Rating Scale; D003866:Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D009042:Motivation; D011237:Predictive Value of Tests; D011788:Quality of Life / Q000523:psychology*; D012559:Schizophrenia / Q000175:diagnosis* / Q000628:therapy*; D012565:Schizophrenic Psychology; D012720:Severity of Illness Index