The influence of Antonovsky's sense of coherence on schizophrenic outpatients' perceived quality of life: a longitudinal field study

Background Antonovsky's sense of coherence (SOC) as well as psychoeducational interventions has a convincing impact on the quality of life (QOL) of patients suffering from schizophrenia. This study explores the influence of SOC on QOL among participants of a PEFI group (PG) compared to a contro...

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Veröffentlicht in:BMC psychiatry 2013-01, Vol.13 (1)
Hauptverfasser: Gassmann, Walter, Christ, Oliver, Lampert, Jana, Berger, Hartmut
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Christ, Oliver
Lampert, Jana
Berger, Hartmut
description Background Antonovsky's sense of coherence (SOC) as well as psychoeducational interventions has a convincing impact on the quality of life (QOL) of patients suffering from schizophrenia. This study explores the influence of SOC on QOL among participants of a PEFI group (PG) compared to a control group (CG). Methods In a quasi-experimental field study 46 schizophrenic outpatients had an option to participate together with their family members the PG (n = 25) or the CG (n = 21). They were assessed amongst others with the Quality of Life Questionnaire (WHOQOL-BREF), the Global Assessment of Functioning Scale (GAF), the Positive and Negative Syndrome Scale (PANSS) and the Sense of Coherence Scale (SOC-29). The efficacy of the PG on QOL was compared to the CG within two different SOC levels. Results Before intervention patients with high SOC scores had significant higher levels in GAF and QOL and a trend of lower PANSS scores. The strongest relationship was found between SOC and QOL. Regarding the SOC level after intervention PG participants had higher QOL values than the CG within the last three measurements. The highest benefit due to QOL was observed within PG participants with high SOC scores. Conclusions The results of the study suggest that SOC is a good predictive variable for clinical outcomes including QOL. Generally, the influence of the SOC level on QOL was stronger than the effect of PEFI. Hence schizophrenic patients with high SOC scores did benefit most from participating in a PG regarding their QOL. To optimize the effect of PEFI more efforts are needed to enhance the SOC of the participants. Altogether PEFI seems to be an important completion to the standard treatment for schizophrenic outpatients. Keywords: Multifamily intervention, Sense of coherence, Schizophrenia, Quality of life
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This study explores the influence of SOC on QOL among participants of a PEFI group (PG) compared to a control group (CG). Methods In a quasi-experimental field study 46 schizophrenic outpatients had an option to participate together with their family members the PG (n = 25) or the CG (n = 21). They were assessed amongst others with the Quality of Life Questionnaire (WHOQOL-BREF), the Global Assessment of Functioning Scale (GAF), the Positive and Negative Syndrome Scale (PANSS) and the Sense of Coherence Scale (SOC-29). The efficacy of the PG on QOL was compared to the CG within two different SOC levels. Results Before intervention patients with high SOC scores had significant higher levels in GAF and QOL and a trend of lower PANSS scores. The strongest relationship was found between SOC and QOL. Regarding the SOC level after intervention PG participants had higher QOL values than the CG within the last three measurements. The highest benefit due to QOL was observed within PG participants with high SOC scores. Conclusions The results of the study suggest that SOC is a good predictive variable for clinical outcomes including QOL. Generally, the influence of the SOC level on QOL was stronger than the effect of PEFI. Hence schizophrenic patients with high SOC scores did benefit most from participating in a PG regarding their QOL. To optimize the effect of PEFI more efforts are needed to enhance the SOC of the participants. Altogether PEFI seems to be an important completion to the standard treatment for schizophrenic outpatients. 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This study explores the influence of SOC on QOL among participants of a PEFI group (PG) compared to a control group (CG). Methods In a quasi-experimental field study 46 schizophrenic outpatients had an option to participate together with their family members the PG (n = 25) or the CG (n = 21). They were assessed amongst others with the Quality of Life Questionnaire (WHOQOL-BREF), the Global Assessment of Functioning Scale (GAF), the Positive and Negative Syndrome Scale (PANSS) and the Sense of Coherence Scale (SOC-29). The efficacy of the PG on QOL was compared to the CG within two different SOC levels. Results Before intervention patients with high SOC scores had significant higher levels in GAF and QOL and a trend of lower PANSS scores. The strongest relationship was found between SOC and QOL. Regarding the SOC level after intervention PG participants had higher QOL values than the CG within the last three measurements. The highest benefit due to QOL was observed within PG participants with high SOC scores. Conclusions The results of the study suggest that SOC is a good predictive variable for clinical outcomes including QOL. Generally, the influence of the SOC level on QOL was stronger than the effect of PEFI. Hence schizophrenic patients with high SOC scores did benefit most from participating in a PG regarding their QOL. To optimize the effect of PEFI more efforts are needed to enhance the SOC of the participants. Altogether PEFI seems to be an important completion to the standard treatment for schizophrenic outpatients. Keywords: Multifamily intervention, Sense of coherence, Schizophrenia, Quality of life</description><subject>Care and treatment</subject><subject>Comparative analysis</subject><subject>Medical research</subject><subject>Medicine, Experimental</subject><subject>Methods</subject><subject>Patient outcomes</subject><subject>Psychiatric services</subject><subject>Quality of life</subject><subject>Schizophrenia</subject><issn>1471-244X</issn><issn>1471-244X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid/><recordid>eNptj0FLAzEQRoMoWKtnrwEPPW3dyabZ1FspVoWClx68lWwy6UbTpDa7hXr2h7takR5kDjPzeN_AEHIN-RBAilvgJWSM85cMigzyE9L7I6dH8zm5SOk1z6GUI-iRz0WN1AXrWwwaabR0EpoY4i697QeJJgzph-pY4_agBJp07T7ipu6A0zS2zUY1DkOTBnSDW41uh4a-t8q7Zv8d9s7iHVXUx7ByTWtcUJ5ah97Q1K37S3JmlU949dv7ZDG7X0wfs_nzw9N0Ms9WomQZMywXzCihwFaiwmIsuC6FNKo0jI-FBgQGVpRSMAlVhbZSUuUGcm5Bgiz65OZwdqU8LrunY7NVeu2SXk5GBRcgxox11vAfqyuDa6djQOs6fhT4AnuXc_0</recordid><startdate>20130107</startdate><enddate>20130107</enddate><creator>Gassmann, Walter</creator><creator>Christ, Oliver</creator><creator>Lampert, Jana</creator><creator>Berger, Hartmut</creator><general>BioMed Central Ltd</general><scope/></search><sort><creationdate>20130107</creationdate><title>The influence of Antonovsky's sense of coherence on schizophrenic outpatients' perceived quality of life: a longitudinal field study</title><author>Gassmann, Walter ; Christ, Oliver ; Lampert, Jana ; Berger, Hartmut</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-g672-2d2062da6a1fb6be3964c768da7d2496c1e121f6786281bbefba8a0d104f18183</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Care and treatment</topic><topic>Comparative analysis</topic><topic>Medical research</topic><topic>Medicine, Experimental</topic><topic>Methods</topic><topic>Patient outcomes</topic><topic>Psychiatric services</topic><topic>Quality of life</topic><topic>Schizophrenia</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gassmann, Walter</creatorcontrib><creatorcontrib>Christ, Oliver</creatorcontrib><creatorcontrib>Lampert, Jana</creatorcontrib><creatorcontrib>Berger, Hartmut</creatorcontrib><jtitle>BMC psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gassmann, Walter</au><au>Christ, Oliver</au><au>Lampert, Jana</au><au>Berger, Hartmut</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The influence of Antonovsky's sense of coherence on schizophrenic outpatients' perceived quality of life: a longitudinal field study</atitle><jtitle>BMC psychiatry</jtitle><date>2013-01-07</date><risdate>2013</risdate><volume>13</volume><issue>1</issue><issn>1471-244X</issn><eissn>1471-244X</eissn><abstract>Background Antonovsky's sense of coherence (SOC) as well as psychoeducational interventions has a convincing impact on the quality of life (QOL) of patients suffering from schizophrenia. This study explores the influence of SOC on QOL among participants of a PEFI group (PG) compared to a control group (CG). Methods In a quasi-experimental field study 46 schizophrenic outpatients had an option to participate together with their family members the PG (n = 25) or the CG (n = 21). They were assessed amongst others with the Quality of Life Questionnaire (WHOQOL-BREF), the Global Assessment of Functioning Scale (GAF), the Positive and Negative Syndrome Scale (PANSS) and the Sense of Coherence Scale (SOC-29). The efficacy of the PG on QOL was compared to the CG within two different SOC levels. Results Before intervention patients with high SOC scores had significant higher levels in GAF and QOL and a trend of lower PANSS scores. The strongest relationship was found between SOC and QOL. Regarding the SOC level after intervention PG participants had higher QOL values than the CG within the last three measurements. The highest benefit due to QOL was observed within PG participants with high SOC scores. Conclusions The results of the study suggest that SOC is a good predictive variable for clinical outcomes including QOL. Generally, the influence of the SOC level on QOL was stronger than the effect of PEFI. Hence schizophrenic patients with high SOC scores did benefit most from participating in a PG regarding their QOL. To optimize the effect of PEFI more efforts are needed to enhance the SOC of the participants. Altogether PEFI seems to be an important completion to the standard treatment for schizophrenic outpatients. Keywords: Multifamily intervention, Sense of coherence, Schizophrenia, Quality of life</abstract><pub>BioMed Central Ltd</pub><doi>10.1186/1471-244X-13-10</doi></addata></record>
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subjects Care and treatment
Comparative analysis
Medical research
Medicine, Experimental
Methods
Patient outcomes
Psychiatric services
Quality of life
Schizophrenia
title The influence of Antonovsky's sense of coherence on schizophrenic outpatients' perceived quality of life: a longitudinal field study
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