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KMID : 0897520030080010018
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Journal of Korean Association of Social Psychiatry
2003 Volume.8 No. 1 p.18 ~ p.27
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The Change of Neurocognitive Function and Quality of Life through Mental Health Center Rehabilitation Programs in Chronic Schizophrenia
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Lee Kyung-Jin
Chung In-Won
Hwang Soon-Taeg
Yi Yun-Gyeong
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Abstract
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Objective： Schizophrenc patients have disability in learning social skill due to damages on the cognitive function. As a result, they face many difficulties in social rehabilitation and such difficulties influences the Quality of life. The psychosocial treatment of Mental Health Center has the great impact on schizophrenic patients, especially in the rehabilitation stage. This study was to explore the improvement of neurocognitions such as executive function, memory by applying the rehabilitation training program and was to focus on the relationships among neurocognitions, clinical symptoms and quality of life.
Methods： Seven schizophrenic patients who participated in the rehabilitation training program of the Cheongwongun Mental Health Center and ten schizophrenic patients who had never been in well-setting psychosocial programs and had been followed up in psychiatric outpatient clinics mainly for pharmacotherapeutic services were recruited in this study. All of the seventeen patients were classified as chronic schizophrenia according to the Diagnositic and Statistical Manual of Mental Disorders IV(DSM-IV). The assessments were carried out on baseline, 1st follow-up(7 weeks), and 2nd follow-up(19 weeks), respectively. The neurocognitive functions were evaluated by Wisconsin Card Sorting Test(WCST) and Proteus Maze Test(PMT), Trail Making Test A, B(TMTA, TMTB) specifically for the executive function and Wechsler Memory Scale(WMS) for the memory function. The clinical symptoms were assessed by Positive and Negative Syndrome Scale(PANSS). And Beck Depression Inventory(BDI) and Korean version of Quality of Life Scale(K-QoLS) were used for exploring depressive symptoms and functional outcome, respectively.
Results： The patients in rehabilitation training program showed the decrease of error responses and non-persiverative errors in WCST and also showed the decrease of positive symptoms and negative symptoms. And the functional outcome measured by K-QoLS showed also better improvements compared to the control group.
Conclusion： This study suggested that the rehabilitation training be helpful to chronic schizophrenic patients by improving the clinical status and the quality of life for the adaptation to the social and familial environments.
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KEYWORD
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Quality of life, Executive function, Memory, Rehabilitation program
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