earticle

영어

Objective : The purposes of this study were to investigate relationships between occupational performance skills and symptoms in persons with schizophrenia and to identify factors affecting occupational performance skills. Methods : The participants were 30 in-patients diagnosed with schizophrenia. The Assessment of Motor and Process Skills(AMPS) was used for measuring occupational performance skills and the Brief Psychiatric Rating Scale-Extended(BPRS-E) was employed to evaluate psychopathologies. Self perception of difficulties was measured with the Behavior and Symptom Identification Scale(BASIS-32) and social and interpersonal skills were measured with the Health of Nation Outcome Scale(HoNOS) and the Abbreviated Life Skills Profile-16(LSP-16). The correlations between the AMPS scores and the other scales were examined and stepwise multiple regression analysis was performed to identify the predictive variables that explain changes of occupational performance skills. Results : Occupational performance skills of schizophrenic patients were related to their psychotic symptoms. Especially negative symptom and manic symptom were related to both motor and process skills and coefficients were statistically significant. Statistically significant relationship was found between disorientation and process skills. In stepwise multiple regression analysis, the LSP-16 total scores and behavioral problem of the HoNOS were identified variables that explained the changes of motor skills. The LSP-16 total scores and manic symptom of the BPRS-E were identified as the major predictive variables of motor skills. Conclusion : Various variables affecting occupational performance skills were identified. These results could help to establish specialized and systematic occupational therapy intervention in mental health. Further research is warranted to support effectiveness of occupational therapy program.

한국어

목적 : 정신분열병 환자의 작업수행기술과 증상과의 연관성을 조사하고 작업수행기술에 영향을 미치는 요인들을 확인하고자 하였다. 연구방법 : 정신분열병으로 진단받은 입원환자 30명을 대상으로 작업수행기술 측정을 위해 운동처리기술평가(Assessment of Motor and Process Skills; AMPS)를 사용하였고 정신병리는 간이정신병리평가(Brief Psychiatric Rating Scale-Extended; BPRS-E)를 활용하였다. 주관적 어려움은 정신사회적 기능-증상 평가척도(Behavior and Symptom Identification Scale; BASIS-32), 사회적 기능과 대인관계 평가를 위해서는 건강성과척도(Health of Nation Outcome Scale; HoNOS)와 단축형생활기술척도(Abbreviated Life Skills Profile-16; LSP-16)를 활용하였다. AMPS의 운동 기술 점수, 처리 기술점수와 다른 척도들 간의 상관성을 살펴보았으며 단계적 다중회귀분석을 이용하여 작업수행기술에 영향을 미치는 요인들을 알아보았다. 결과 : 정신분열병 환자의 작업수행기술은 환자의 증상과 연관이 있었다. 특히 음성증상과 조증 증상은 작업수행의 운동기술과 처리기술 모두 통계적으로 유의한 상관성을 보였으며, 혼란은 처리기술과 유의한 상관성이 있었다. 작업수행의 운동 기술을 예측하는 주요 변인은 LSP-16의 총점과 HoNOS의 행동문제로 나타났다. 또한 작업수행의 처리 기술을 예측하는 주요 변인은 LSP-16 총점, BPRS-E의 조증이었다. 결론 : 정신분열병 환자의 작업수행능력에 영향을 미치는 요인은 다양하게 나타났다. 향후 정신과 작업치료 프로그램의 효과에 대한 지속적인 연구를 바탕으로 정신분열병환자의 작업수행능력 향상을 위한 체계적인 작업치료 중재가 이루어지길 기대한다.