Variables Influencing Subjective Well-Being in Patients with Schizophrenia.

Oh, Jinseung; Ko, Young Hoon; Paik, Jong Woo; Lee, Moon Soo; Han, Changsu; Jeong, Hyun Ghang; Ham, Byung Joo; Kim, Yong Ku; Kim, Seung Hyun

doi:2014.17.2.93

Korean J Schizophr Res > Volume 17(2); 2014 > Article

Original Article

Korean Journal of Schizophrenia Research 2014;17(2):93-99.
DOI: https://doi.org/10.16946/kjsr.2014.17.2.93 Published online October 31, 2014.

Variables Influencing Subjective Well-Being in Patients with Schizophrenia.

Jinseung Oh, Young Hoon Ko, Jong Woo Paik, Moon Soo Lee, Changsu Han, Hyun Ghang Jeong, Byung Joo Ham, Yong Ku Kim, Seung Hyun Kim

¹Department of Psychiatry, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea. gurokim@gmail.com
²Department of Psychiatry, Korea University Ansan Hospital, Korea University College of Medicine, Seoul, Korea.
³Department of Psychiatry, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.
⁴Department of Psychiatry, School of Medicine, Kyung Hee University, Seoul, Korea.

Abstract

OBJECTIVES
The purpose of this study was to analyze the relationship between subjective well-being and other clinical parameters such as sociodemographic and clinical variables, which include positive and negative symptoms, depressive symptoms, insight, and side effects.
METHODS
Fifty-one outpatients diagnosed with schizophrenia were recruited in this study. Subjective well-being was assessed using a self-rating scale, the Subjective Well-being under Neuroleptics-Short form (SWN-K). Sociodemographic variables were also evaluated and other evaluations were conducted using the Positive and Negative Syndrome Scale (PANSS), Calgary Depression Scale for Schizophrenia (CDSS), Liverpool University Neuroleptic Side Effect Rating Scale (LUNSERS), Korean Version of the Revised Insight Scale for Psychosis (KISP), and Multidimensional Scale of Perceived Social Support (MSPSS). The relationship between subjective well-being and these clinical variables was assessed.
RESULTS
Education years and social support scores were positively correlated with the total SWN-K scores, but severity of illness, severity of depression, severity of side effect, and the scores on insight were negatively correlated. The stepwise multiple regression analyses indicated that the total SWN-K score of the patients with schizophrenia was associated with negative symptoms and insight.
CONCLUSION
Better insight and more severe negative symptoms in patients with schizophrenia may be associated with worse subjective well-being.
Resultsindicate that careful evaluation of subjective well-being is essential for proper management of patients with schizophrenia.

Key Words: Schizophrenia · Subjective well-being · SWN-K · Insight · Negative symptom