Möglichkeiten und Grenzen subjektiver Lebensqualität schizophrener Patienten als Outcomekriterium psychiatrischer Therapie

Michael Franz

doi:10.1055/s-2006-940194

Psychiatrische Praxis, Table of Contents

Psychiatr Prax 2006; 33(7): 317-322
DOI: 10.1055/s-2006-940194

Übersicht

Möglichkeiten und Grenzen subjektiver Lebensqualität schizophrener Patienten als Outcomekriterium psychiatrischer Therapie

Possibilities and Limitations of the Use of Quality of Life as Outcome-Indicator in Schizophrenic PatientsMichael Franz¹

¹Universitätsklinikum Gießen und Marburg, Standort Gießen, Klinik für Psychiatrie und Psychotherapie, Arbeitsgruppe Sozialpsychiatrie/Versorgungsforschung

Abstract

Zusammenfassung

Anliegen: Literaturübersicht zu den vorliegenden empirischen Ergebnissen der Erfassung subjektiver Lebensqualität schizophren erkrankter Menschen. Methode: Literaturrecherche und Darstellung eigener Forschungsergebnisse. Fokus auf Patienten unter deprivierten Lebensbedingungen. Ergebnisse: Es finden sich keine konsistenten Zusammenhänge zwischen objektiven Lebensbedingungen und deren subjektiver Bewertung. Als wichtigste Einflussfaktoren erweisen sich Depressivität, Persönlichkeitsfaktoren und Adaptationsmechanismen. Schlussfolgerungen: Subjektive und objektive Variablen hängen nicht linear zusammen. Zur Überwindung der dargestellten Interpretationsprobleme subjektiver Lebensqualitätsstudien werden Mindeststandards für die Anwendung subjektiver Lebensqualität als Outcomeindikator vorgeschlagen.

Abstract

Objective: A systematic review on empirical results of studies that assess Quality of Life (QoL) in schizophrenic patients. Method: A systematic overview of the literature is provided with focus on schizophrenic patients under deprived living conditions. Results: No consistent relationships are found between objective living conditions and their subjective evaluation by means of QoL-ratings. The latter are influenced by the level of depression, personality factors and adaptation. Conclusions: Objective and subjective variables represent distinct latent constructs. Standards for the use of subjective QoL as outcome indicator are suggested.

Full Text

References

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PD Dr. Michael Franz

Universitätsklinikum Gießen Marburg, Standort Gießen · Arbeitsgruppe Sozialpsychiatrie

Am Steg 24

35392 Gießen

Email: michael.franz@psychiat.med.uni-giessen.de