INFORMATION

Psicothema was founded in Asturias (northern Spain) in 1989, and is published jointly by the Psychology Faculty of the University of Oviedo and the Psychological Association of the Principality of Asturias (Colegio Oficial de Psicología del Principado de Asturias).
We currently publish four issues per year, which accounts for some 100 articles annually. We admit work from both the basic and applied research fields, and from all areas of Psychology, all manuscripts being anonymously reviewed prior to publication.

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  • Director: Laura E. Gómez Sánchez
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Personal and macro-systemic factors as predictors of quality of life in chronic schizophrenia

Yolanda Fontanil Gómez1, María Ángeles Alcedo Rodríguez1 and María Isabel Gutiérrez López2


1 Universidad de Oviedo and 2 Servicio de Salud Mental del Principado de Asturias

Background: The goal of this research was to establish possible predictive factors for both subjective and externally assessed quality of life in people with chronic schizophrenia. Methods: Sixty-eight people with schizophrenia took part in the study and were assessed using the World Health Organisation Quality of Life Assessment - Brief Version (WHOQOL-BREF), the Quality of Life Scale (QLS), the Positive and Negative Syndrome Scale for Schizophrenia (PANSS), the Global Assessment of Functioning (GAF), the Social Functioning Scale (SFS) tests. Correlations and multiple regression analysis were conducted to determine possible predictors of quality of life. Results: The residential environment (rural/urban), diagnosis, age at onset of disorder, global functioning and social functioning explained 68% of the total variance based on proxies’ assessment quality of life. Living arrangements and social functioning emerged as predictor variables for subjective quality of life, explaining a 47.3% of the total variance. Conclusions: Socio-cultural factors, such as social integration or the quality of interpersonal relationships, have more influence on these peoples’ physical and psychological health than certain personal factors, such as psychopathology. It is therefore advisable to pay attention to the environment and macro-systemic variables when developing intervention plans to improve their quality of life.

Factores personales y macrosistémicos como predictores de la calidad de vida en esquizofrenia crónica. Antecedentes: el objetivo de este estudio ha sido la evaluación de los posibles factores predictores de la calidad de vida, tanto subjetiva como evaluada externamente, de las personas con esquizofrenia. Método: un total de 68 personas con esquizofrenia participaron en el estudio y fueron evaluadas a través de la WHOQOL-BREF y QLS (calidad de vida), la PANSS (psicopatología), la GAF (funcionamiento global) y la SFS (funcionamiento social). Se realizaron análisis de regresión múltiple mediante el método de pasos sucesivos con el fin de determinar los posibles factores predictores. Resultados: el entorno de residencia (rural/urbano), el diagnóstico, la edad de inicio del trastorno, el funcionamiento global y el funcionamiento social explicaron el 68% de la varianza de la calidad de vida evaluada externamente. El tipo de convivencia y el funcionamiento social emergen como variables predictoras de la calidad de vida subjetiva, explicando un 47,3% de la varianza total. Conclusiones: factores como la integración social y la calidad de las relaciones interpersonales tienen más influencia en la calidad de vida de estas personas que factores personales como la psicopatología. Los planes de intervención para mejorar su calidad de vida deben incluir estos factores macrosistémicos.

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Impact Factor JCR SSCI Clarivate 2023 = 3.2 (Q1) / CiteScore SCOPUS 2023 = 6.5 (Q1)