本研究針對高雄市輕度精神障礙者進行調查與分析,主要目的是驗證生活品質模型,並進一步分組討論有工作與無工作者在生活品質模型上的差異。本文的生活品質模型是由WHOQOL量表的結構所修改而來,模型中包含三個主要構面:生理健康、生活環境、社會關係。本文根據輕度精神障礙者受訪資料,用以驗證生活品質模型的配適度,經驗證結果認為本文的生活品質模型具有合理性。此外,本文將工作變項納入討論,經由驗證性的因素分析與結構方程模型的群組比較,顯示本文的生活品質模型在各群組上均有良好的配適度,並且在模型參數上也有小幅度的差異存在。這意謂生活品質模型的建構,具有群組(有工作、無工作)的顯著差異。在二階CFA模型方面,有工作的輕度精神障礙研究樣本,在生理健康潛在變項上是高於無工作的輕度精神障礙研究樣本(標準化係數0.69>0.53)、在生活環境潛在變項上也是高於無工作的輕度精神障礙研究樣本(標準化係數0.90>0.65),但社會關係潛在變項是略低於無工作的輕度精神障礙研究樣本(標準化係數0.81<0.90)。在高雄市輕度精神障礙者生活品質的研究中發現,樣本資料支持本文生活品質模型的成立,同時也驗證工作的有無的確會在生活品質模型參數上產生差異。 The goal of this study is to verify its model of quality of life through investigation and analysis on individuals with mild mental disorders in Kaohsiung. A group analysis is also conducted to evaluate the difference in quality of life between the work and non-work groups.This study uses a modified WHOQOL questionnaire to collect data from individuals with mild mental disorders, and assesses the goodness of fit of the model of quality of life from three dimensions: physical health, environment, and social relationship. The results show that the model of quality of life in this study has acceptable goodness of fit. Furthermore, this study includes “work” as a variable for discussion. Through confirmatory factor analysis and structural equation modeling on group analysis, the results show that our model of quality of life has satisfactory model fit for the groups. In addition, moderate variations also exist in the modeling parameters; that is, the construct of our model of quality of life reflects the significant difference between the groups (work and non-work).
As to the three latent variables in the second-order CFA model, the sample of our study reveals that employed individuals with mild mental disorders are higher in “physical health” than the non-work group (standardized coefficient 0.69>0.53). Similarly, the work group has a higher coefficient than the non-work group in “environment” (standardized coefficient 0.90>0.65). However, the work group is lower in “social relationship” than the non-work group (standardized coefficient 0.81<0.90).The findings from the sample data in this study of the quality of life of the individuals with mental disorders in Kaohsiung have not only supported the model of quality of life postulated in this study, but also confirmed that work or non-work does make a difference in the quality of life with respect to the modeling parameters in this study.