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Satisfaction with Life of Schizophrenia Outpatients and Their Caregivers: Differences between Patients with and without Self-Reported Sleep Complaints

机译:对精神分裂症门诊患者及其护理人员的生活满意度:有和没有自我报告的睡眠投诉的患者之间的差异

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Patients with schizophrenia often present sleep complaints, but its relationship with general satisfaction with life (SWL) and burden for caregivers has been understudied. We aimed to assess the differences in SWL between patients with and without self-reported sleep disturbances and that of their caregivers. In a noninterventional study, 811 schizophrenia adult outpatients were screened for their subjective perception of having (or not) sleep disturbances and evaluated with the Brief Psychiatric Rating Scale (BPRS) and the Pittsburgh Sleep Quality Index (PSQI). Patients self-reporting sleep disturbances were significantly more symptomatic (P<0.001), presented significantly worse family support (P=0.0236), and self-reported worse SWL in all domains. Caregivers of patients with schizophrenia self-reporting sleep disturbances also reported worse SWL in all domains, as compared to caregivers of patients without subjective sleep disturbances. Patient and caregivers’ SWL was significantly correlated to patients’ quality of sleep (P<0.0001for all domains). Patient’ and caregivers’ SWL was negatively affected by patients’ poor quality of sleep. We found that patients self-reporting sleep disturbances showed greater symptom severity, worse quality of sleep, worse SWL, and less caregiver support. SWL was also worse for caregivers of patients with schizophrenia reporting sleep disturbances.
机译:精神分裂症患者通常会出现睡眠不适,但其与一般生活满意度(SWL)和护理人员负担之间的关系尚未得到研究。我们的目的是评估有和没有自我报告的睡眠障碍患者及其护理人员之间的SWL差异。在一项非干预性研究中,对811例精神分裂症成人门诊患者进行筛查,以了解他们对是否患有睡眠障碍的主观感觉,并使用简要精神病评定量表(BPRS)和匹兹堡睡眠质量指数(PSQI)进行评估。在所有领域,自我报告的睡眠障碍患者的症状明显较多(P <0.001),家庭支持明显降低(P = 0.0236),自我报告的SWL较差。与没有主观睡眠障碍的患者的照护者相比,患有精神分裂症自我报告型睡眠障碍的患者的照护者在所有方面也报告了更严重的SWL。病人和护理人员的SWL与病人的睡眠质量显着相关(所有领域的P <0.0001)。患者和护理人员的SWL受到患者睡眠质量差的负面影响。我们发现患者自我报告的睡眠障碍表现出更大的症状严重性,较差的睡眠质量,较差的SWL和较少的看护者支持。对于报告有睡眠障碍的精神分裂症患者的照顾者,SWL也较差。

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