Predictors of quality of life among Chinese people with schizophrenia.
This study was designed to investigate the association of quality of life, perceived stigma, and medication adherence among Chinese patients with schizophrenia, and to ascertain the predictors of quality of life. A cross-sectional correlation study was conducted with 146 participants. All participants completed self-report scales: the Schizophrenia Quality of Life Scale, Link's Stigma Scale, and the Morisky Medication Adherence Scale. Pearson parametric correlations and stepwise multiple regressions were performed. The total quality of life score and psychosocial subscale was significantly positively correlated with perceived stigma, coping orientation of withdrawal, and feelings of stigma, and negatively correlated with age and medication adherence. The means of all subscale scores except perceived devaluation-discrimination and different/guilty feelings were significantly higher than the midpoint of 2.5. The best predictors of quality of life and psychosocial domains were stigma-related feelings: feeling misunderstood, feeling different/shame, and age. Our findings suggest that an individual's negative emotional response may strengthen internalized stigma and decrease quality of life. As the best predictor, age indicated that adaptation to mental illness may relieve perceived stigma and achieve favorable quality of life.
HOPE School of Nursing, Wuhan University, Wuhan, China.
Xiao Qin
http://orcid.org/0000-0001-9422-6868
XQ
Wang
HOPE School of Nursing, Wuhan University, Wuhan, China.
Marcia A
MA
Petrini
Department of Community Health Sciences, UCLA Fielding School of Public Health, Los Angeles, California, USA.
Donald E
DE
Morisky
D000293:Adolescent; D000328:Adult; D002681:China; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D055118:Medication Adherence / Q000523:psychology; D008875:Middle Aged; D011594:Psychometrics / Q000295:instrumentation / Q000706:statistics & numerical data; D011788:Quality of Life / Q000523:psychology*; D012559:Schizophrenia; D012649:Self Concept; D057545:Social Stigma; D011795:Surveys and Questionnaires; D016903:Drug Monitoring
China; medication adherence; quality of life; schizophrenia; stigma