日本 で の 統合失調症 の 患者 の 幸福 に 関連 し て いる 身体 的,精神 的,社会 的 特徴:横断 的 研究
Junna Hattori1, Masaaki Matsunaga1, Yupeng He1
1Department of Public Health, School of Medicine, Fujita Health University, Toyoake, Japan.
Neuropsychopharmacology reports
|September 4, 2025
まとめ
統合失調症の日本人の幸福度は 良き自己評価の健康,イキガイ,社会的つながり,ストレス軽減に結びついています このグループでは 認知や構造的な社会資本のような 社会的要因が 幸福度と強く関連しています
科学分野:
- 精神科
- 社会科学
- 公衆衛生
背景:
- 統合失調症は 生活の質と幸福度に大きな影響を与えます
- 統合失調症患者の 精神的健康状態を改善するために 幸福に寄与する要因を理解することは 極めて重要です
- 過去の研究では 統合失調症と診断された 日本人の幸福の決定要因を 完全に解明できませんでした
研究 の 目的:
- 統合失調症と診断された日本人の幸福に関連する特徴を特定し分析する.
- 統合失調症の人の幸福に影響する要因を 日本人の一般人と比較する
- 統合失調症の集団における 幸福に寄与する因子の 性別による潜在的な差異を調査する.
主な方法:
- 2022年に統合失調症の患者223人と,統合失調症のない患者1776人を対象に,横断的なオンライン調査が行われました.
- 改変したポアソン回帰法を使用して,幸福に関連する因子について,年齢と性別に調整された流行比率 (PRs) を計算した.
- 年齢と性別によるグループ内差異を調査し,統合失調症と対照群の発見を比較するために,層別分析が行われました.
主要な成果:
- 統合失調症患者の場合,幸福は,よりよい自己評価の健康 (PR=1.75),イキガイ (PR=5.02),より低いうつ症状 (PR=0.43),より低いストレス感 (PR=0.52),より高い認知社会資本 (PR=2.07),構造的社会資本 (PR=1.70),社会的サポート (PR=2.40),親しい友人 (PR=1.88),親しい親戚 (PR=2.34) と,同棲パートナー (PR=1.57) とに関連していました.
- 認知社会資本 (男性:PR=3.45 対女性:PR=1.43) と同居相手 (男性:PR=2.26 対女性:PR=1.25) について,統合失調症グループ内で有意な性別差が観察されました.
- イキガイ,認知社会資本,構造社会資本は 統合失調症の患者と 統合失調症の患者と比べて 幸福との強い関連性を示した.
結論:
- 統合失調症の人の幸福は多面的で,身体的健康,精神的状態 (例えば,うつ病の症状,ストレス),そして強固な社会的つながりの影響を受けます.
- 社会的資本は 特に認知的・構造的な側面は 統合失調症患者の幸福を促進する上で 重要な役割を果たします 性別によって顕著な違いがあります
- 社会的な支援,イキガイ,そして全体的な社会的な統合を目的とした介入は,統合失調症患者の主観的な幸福を改善するために特に有益である可能性があります.
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