조현병 환자에서 노숙과 연관된 임상적 요인 : 사회적 기능을 중심으로

Clinical Correlators of Homelessness in Patients with Schizophrenia : Focused on Social Function

ObjectivesZZThe purpose of this study is to investigate the differences between homeless with schizophrenia and non-homeless with schizophrenia, and to identify the correlators of homelessness in schizophrenic patients. MethodsZZForty two schizophrenic inpatients were divided into the homeless group (n=19) and non-homeless group (n=23). Psychopathologic measures, neurocognitive tests, hinting task, and the Social and Occupational Function Assessment Scale (SOFAS) were administered in both groups. ResultsZZSOFAS showed high correlation with homelessness in schizophrenic inpatients. Duration of Untreated Psychosis, negative component of Positive and Negative Syndrome Scale, Continuous Performance Test (CPT) correct number, and hinting task were all mediated by SOFAS to explain homelessness in schizophrenic inpatients. In particular, CPT correct number showed direct correlation with homelessness without mediation by SOFAS. ConclusionZZThe results of this study suggest that cognitive rehabilitation and social skill training may be helpful in prevention of homelessness of schizophrenic patients. Social cognition and neurocognitive test including CPT may be useful for evaluating the risk of homelessness in schizophrenic patients.