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Originalartikel

Selbst- und Lebenskonzeptionen schizophren erkrankter Menschen im mittleren und höheren Lebensalter

Eine Pilotstudie

Published Online:November 20, 2007https://doi.org/10.1024/1011-6877.20.23.175

Abstract

Zusammenfassung: Ziel dieser Studie war es zu untersuchen, wie in der Gemeinde lebende schizophren Erkrankte (N = 35) im mittleren und höheren Lebensalter (55-69 Jahre) ihre eigene Person und ihre Lebenssituation wahrnehmen und bewerten. Die Erhebung erfolgte anhand verschiedener Rating-Skalen und eines Satzergänzungsverfahrens (SELE). Repräsentative Vergleichsdaten der Allgemeinbevölkerung standen aus dem Deutschen Alters-Survey zur Verfügung. Wichtige Aspekte im Leben der schizophren Erkrankten sind in eingeschränktem Wohlbefinden, negativer Sicht des Körpers und der eigenen Person sowie in der großer Bedeutung von Gesundheit und autonomer Lebensführung zu sehen. Verglichen mit der altersentsprechenden Allgemeinbevölkerung weisen sie ein geringeres Kontrollerleben auf, sind in stärkerem Maße einsam und öfter mit ihrem Leben insgesamt unzufrieden. Vor allem die depressive Symptomatik steht in engem Zusammenhang mit verschiedenen Aspekten der Selbst- und Lebenskonzeptionen. Implikationen der Studienergebnisse zur Verbesserung der psychosozialen Situation ambulant betreuter schizophren Erkrankter im mittleren und höheren Lebensalters werden diskutiert.


Self- and Life-Concepts of Middle-Aged and Elderly Schizophrenic Persons - A Pilot Study

Abstract: The present study explores how middle-aged and elderly (55-69 years) community-dwelling schizophrenic persons (N = 35) perceive and evaluate themselves and their life situation. Assessments were performed using several rating scales and a sentence completion questionnaire (SELE). Representative comparative data of the general population were available from the German Aging Survey. Important aspects in the life of the schizophrenic patients are seen in reduced well-being, negative view of the body and the own person as well as in that great importance from health and autonomy. Compared with their age-peers in the general population they feel less in control of their lives, report more often feelings of loneliness, and are more often dissatisfied with their lives. First of all depressive symptoms are highly associated with various aspects of self and life concepts. Implications of the study results for the improvement of the psychosocial situation in middle-aged and elderly schizophrenic outpatients are discussed.

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