Quality of life in patients with schizophrenia: A 2-year cohort study in primary mental health care in rural China

作者：Xiaoyan He, Christine Migliorini, Zhuo‐Hui Huang, Fei Wang, Rui Zhou, Zi-Lang Chen, Yao-Nan Xiao, Qianwen Wang, Shibin Wang, Carol Harvey, Cai‐Lan Hou · 发表于：Frontiers in Public Health · 年份：2022 · DOI：10.3389/fpubh.2022.983733 · 被引用次数：16 · 研究领域：Schizophrenia research and treatment、Family Caregiving in Mental Illness、Mental Health Treatment and Access

Objective: Quality of life (QoL) has been always an important way to evaluate the outcomes of schizophrenia, but there have been few previous longitudinal studies and few in middle-income countries. This study aimed to explore the QoL in Chinese patients with schizophrenia treated in primary mental health care and the risk factors of QoL over time. Methods: Patients with schizophrenia treated in primary mental health care in rural/regional areas in Luoding, Guangdong, PR China, were evaluated with an extended questionnaire including the Chinese version of the World Health Organization Quality of Life (WHOQOL-BREF) at baseline and 2-year follow-up. Bivariate and multivariate analyses were conducted including Generalized Estimated Equation analyses (GEE). Results: Four hundred and ninety-one patients with schizophrenia in primary care completed the 2-year follow up evaluation. The QoL physical, environmental, and social relationships domains showed improvement after the 2-year period, but the psychological domain did not. GEE results showed that earlier age of onset, older age, being employed, being unmarried, the thicker waist circumference, less use of clozapine or other SGAs, fewer hospitalizations, more frequent insomnia, more severe depressive and negative symptoms as well as worse treatment insight were independently associated with poor QoL in patients with schizophrenia. Conclusion: According to our results, to improve the quality of life of patients with schizophrenia ...