scholarly journals Effects of internalized stigma on symptoms and quality of life in schizophrenic patients; mediated by dysfunctional attitude

2016 ◽  
Vol 4 (2) ◽  
pp. 145 ◽  
Author(s):  
Sajida Shaheen ◽  
Rizwana Amin
Keyword(s):  
Quality Of Life ◽  
Mental Illness ◽  
Negative Symptoms ◽  
World Health ◽  
Internalized Stigma ◽  
Rehabilitation Centre ◽  
World Health Organization Quality ◽  
Dysfunctional Attitude ◽  
Schizophrenic Patients

The objective of this study was to determine the effects of internalized stigma on symptoms, quality of life of schizophrenic patients; mediated by dysfunctional attitude. A descriptive correlational research design was used to investigate the relationship between symptoms, quality of life and dysfunctional attitude in schizophrenic patients. Linear regression was used to investigate the mediational effects of dysfunctional attitude. Purposive sampling technique was used for the selection of the participants. The study was conducted on diagnosed schizophrenic patients from psychiatry ward of Nishtar Hospital Multan, Fountain House Rehabilitation Centre Lahore and Punjab Institute of Mental Health Rehabilitation Centre Lahore. The sample of the study was 50 registered patients of schizophrenia. Calculated sample size was 50 schizophrenic patients among them 34 were Males and 16 were Females. Internalized Stigma of Mental Illness Scale was used to see the effects of stigma on schizophrenic patients (ISMI, Ritsher, 2003), along with Positive and Negative Syndrome Scale was used to evaluate the positive and negative symptoms in schizophrenic patients (Kay, et al., 1987), World Health Organization Quality of life BREF Scale (WHOQOL-BREF, 2003) was used to assess the quality of life of schizophrenic patients, along with another scale of Dysfunctional Attitude Scale (DAS, Weissman, 1978) was also used to assess the cognitive functioning of the schizophrenic patients. Studies showed that internalized stigma had significant positive correlation with dysfunctional attitude and negative significant correlation with symptoms and quality of life of schizophrenic patients. Internalized stigma had strong significant effects on the symptoms, quality of life and dysfunctional attitude. Studies also showed that people with mental illness has to face negative stereotype, rejection and finally alienation from society because of stigma which is a big hurdle in their process of recovery and treatment. 

scholarly journals Prevalence and correlates of depression and quality of life among primary caregivers of patients with schizophrenia attending a Nigerian Tertiary Hospital

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S3-S4
Author(s):  
Akinloye Akinfala ◽  
Oladipo Sowunmi ◽  
Imam Sakeeb
Keyword(s):  
Quality Of Life ◽  
Mental Illness ◽  
Rating Scale ◽  
Primary Caregivers ◽  
Previous Treatment ◽  
Female Gender ◽  
World Health ◽  
World Health Organization Quality ◽  
Prevalence Of Depression

AimsTo determine the prevalence and correlates of depression and quality of life and their relationship among primary caregivers of patients with schizophrenia in a psychiatry specialist hospital.MethodA total of 138 caregivers of patients diagnosed with schizophrenia attending the outpatient clinic of the Neuropsychiatric Hospital Aro, Abeokuta were recruited. Sociodemographic questionnaire, Mini International Neuropsychiatric Interview (MINI-PLUS) (depressive module) and World Health Organization Quality of Life-Bref (WHOQOL-Bref) were administered on the caregivers while Brief Psychiatric Rating Scale (BPRS) was used to measure symptoms severity in the patients.ResultThe mean (±SD) age of respondents was 48.3 years (±14.7), 53.6% were females and 33.3% were without partners. The prevalence of depression among the caregivers who participated in the study was 13.8%. Female gender (χ2 = 5.68, df = 1, p = 0.02), hailing from a minority tribe (χ2 = 9.78 df = 1, p < 0.01), and Previous treatment for mental illness (χ2 = 8.24 df = 1, p < 0.01) were associated with depression. Female gender (ß = 1.35, OR = 3.86, p = 0.03), minority tribe (ß = 1.95, OR = 7.03, p < 0.01), and previous treatment for mental illness (ß = 3.19, OR = 24.21, p = 0.01) were independently predictive of depression in the caregivers.Independent predictors of lower quality of life (QOL) were: Parents/siblings relationship for social relationship domain (ß = −7.076, p = 0.037) and spending more than 35 hours per week for Environmental domain (ß = −5.622, p = 0.028).Finally, a significant correlation was also found between Depression and Psychological Domain of QOL (t = 3.048, p < 0.01) and Social Domain of QOL (t = 2.154, p = 0.03).ConclusionThis study shows that primary caregivers of patients with schizophrenia have high prevalence of depression and poor quality of life. There is need to pay attention to the psychological wellbeing and quality of life of caregivers who come in contact with psychiatric services, and not just the patients they accompany.

scholarly journals Quality of life in schizophrenic patients: the influence of sociodemographic and clinical characteristics and satisfaction with social support

2018 ◽  
Vol 40 (3) ◽  
pp. 202-209 ◽  
Author(s):  
Lara Manuela Guedes de Pinho ◽  
Anabela Maria de Sousa Pereira ◽  
Cláudia Margarida Correia Balula Chaves
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Clinical Characteristics ◽  
Assessment Tools ◽  
Support Network ◽  
World Health ◽  
Satisfaction Scale ◽  
World Health Organization Quality ◽  
Schizophrenic Patients

Abstract Objective To evaluate the relationship of sociodemographic and clinical characteristics and satisfaction with social support with the quality of life of schizophrenic patients. Methodology This study included a sample of 268 participants. An interview was conducted to obtain sociodemographic and clinical data, supplemented with two assessment tools used to evaluate quality of life (World Health Organization Quality of Life instrument-Abbreviated version – WHOQOL-Bref) and satisfaction with social support (Social Support Satisfaction Scale – SSSS). Descriptive and inferential analyses were performed. Results Most individuals were male (63.4%), with a mean age of 45.4 years, single (85.4%), living with their family (62.3%) and unemployed (90.3%). As for clinical characteristics, most had the disease for less than 20 years (50.7%), and 55.6% had at least one hospitalization within the last 5 years. Being employed and having had no hospitalization within the last 5 years were positively correlated with one or more WHOQOL-Bref domains. The results of the variables intimacy (p<0.001) and satisfaction with friends (p<0.001) were independently related to the total WHOQOL-Bref score. Conclusion Having a job, having had no hospitalization within the last 5 years and having greater satisfaction with social support are factors that positively influence quality of life among schizophrenics. It is therefore crucial that the psychosocial rehabilitation of patients with schizophrenia take these factors into account, increasing the support network, preventing relapses and promoting occupational activities.

scholarly journals Study of the difference in quality of life and caregiver burden among patients with schizophrenia and rheumatoid arthritis

2021 ◽  
Author(s):  
Shaista Shaban ◽  
Mohd Abrar Ahmad Guroo ◽  
Racheal Bashir
Keyword(s):  
Quality Of Life ◽  
Rheumatoid Arthritis ◽  
Caregiver Burden ◽  
World Health ◽  
Physical Domain ◽  
World Health Organization Quality ◽  
Significant Difference ◽  
Schizophrenic Patients ◽  
The Difference

Background: Quality of life (QOL) is a measure to see an individual’s adaptation and feeling of wellbeing and adjustment with the surroundings. Schizophrenia and rheumatoid arthritis (RA) both are chronic and disabling disorders supposed to have significant effect on quality of life. Also chronicity and disability of these disorders can be directly proportional to the caregiver burden.Methods: Comparative study assessing quality of life and caregiver burden between persons with schizophrenia and RA.Results: 50% of the schizophrenia group as well as the RA group were unemployed, suggesting the magnitude of the disability levels caused by the illness. Only 33% of patients with schizophrenia were married, unlike patients with RA where 83% were married. Of all the four domains of the World Health Organization quality of life instrument (WHO-QOL BREF) both the groups scored highest in the physical domain and least in the psychological domain and the difference between the two groups was not statistically significant in all the four domains. Burden among the caregivers of schizophrenic patients was comparatively high on BAS than caregivers of rheumatoid arthritis. The mean duration of illness in patients with schizophrenia was significantly higher than patients with RA.Conclusions: RA is a chronic disorder and physical in nature with full insight in the patients. While as schizophrenia is characterized as a chronic mental illness with poor prognosis and no insight. QOL is expected to be less in schizophrenic patients. There is no significant difference in QOL except in physical domain in which patients with schizophrenia scored significantly better than patients with RA. The social domain of QOL was the only one in which schizophrenic patients did poorly, though not statistically significant. Also care giver burden was more among caregivers of schizophrenic patients and that can be attributed to lack of insight.

scholarly journals Empowerment perception and health-related quality of life among schizophrenic patients

2021 ◽  
Vol 9 (1) ◽  
pp. 45
Author(s):  
Hsiao-Tan Chiu ◽  
Hui-Man Huang
Keyword(s):  
Quality Of Life ◽  
Rating Scale ◽  
Psychiatric Symptoms ◽  
World Health ◽  
Life Questionnaire ◽  
World Health Organization Quality ◽  
Righteous Anger ◽  
Environment Domain ◽  
Schizophrenic Patients

Objective: The study aims to explore the perception of empowerment, HRQoL and their relationship in schizophrenia patients in rehabilitation ward.Methods: Cross-sectional correlational design and convenience sampling were used to recruit 102 subjects from rehabilitation wards of a psychiatric hospital in southern Taiwan. Three instruments were used: the Brief Psychiatric Rating Scale, the Empowerment Scale (subscales: self-esteem and self-efficacy, power-powerlessness, righteous anger, and community autonomy), and the Taiwanese version of the World Health Organization Quality of Life Questionnaire (WHOQOL-BREF) with four domains (physical health, psychological, social relationship, and environment).Results: (1) Overall empowerment perception and overall HRQoL were at a moderate and above level in patients with schizophrenia in rehabilitation ward. (2) Older patients having a lower empowerment perception with power-powerlessness than youngers; the more severe the psychiatric symptoms, the lower the righteous anger. (3) Male patients scored higher than female patients on overall HRQoL and “environment” domain. The duration of mental illness also influenced at “environment” domain, 6-10 years group scored higher than ≤ 5 years group. (4) Actively participate in rehabilitation activities correlated positively; psychiatric symptoms correlated negatively with overall HRQoL and with each individual domain. (5) Empowerment perception correlated positively with overall HRQoL and with each individual domain.Conclusions: Mental health workers should assist chronic schizophrenic patients in coping with their psychiatric symptoms, allow patients to express negative emotions, and provide opportunities for patients to make their own decisions and exercise their own rights.

scholarly journals Perceived Quality of Life and Associated Factors Among Patients with Severe Mental illness in Ethiopia: A Cross-sectional Study

2021 ◽  
Author(s):  
Seid Shumye ◽  
Tadele Amare ◽  
Habtamu Derajew ◽  
Merdia Endris ◽  
Nebiyu Mengistu ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Illness ◽  
Regression Analysis ◽  
Severe Mental Illness ◽  
Cross Sectional Study ◽  
World Health ◽  
Sectional Study ◽  
Cross Sectional ◽  
World Health Organization Quality

Abstract Background: Severe mental illness is strongly associated with an impaired quality of life. This intern can affect the treatment adherence and outcomes of the illness. However, due attention was not given this alarming issue Therefore; assessment of quality of life of patients with severe mental illness and its correlates is a yardstick measure for the effectiveness of the mental health service.Methods: An institutional based cross-sectional study was conducted from May 1 to 16, 2018 at Amanuel Mental Specialized Hospital. A systematic random sampling technique was used to get a total number of 394 samples. Data were collected using interview-administered questionnaires. World Health Organization Quality of Life Brief Version, The collected data were coded, entered into EpiDATA version 3.1 and analyzed by using SPSS version 20. Simple and multiple linear regression analysis were used to assess the contributing factors of quality of life in the participants and B coefficient with 95% CI confidence interval was used. The statistical significance was accepted at p-value < 0.05.RESULT: Mean quality of life score of patients with severe mental illness for each domain (mean± SD) was 41.3±7.5, 42.8±8.2, 38.9±8.9, and 41.8±6.5 for physical, psychological, social and environmental, respectively. Multiple regression analysis showed the age of participants was strongly positively correlated with all domains of quality of life. It predicts above 45% of the variability in each domain. Social support is also another strong predictor which was negatively correlated with all domains of quality of life, except physical. Conclusion: The study revealed that the mean score quality of life of patients with severe mental illness in each domain was low. This demonstrates a need for improving quality of among people with severe mental illness. Moreover, prevention and early intervention of co-morbid medical conditions is also recommended too.

Alexithyme Patientenmerkmale und Lebensqualität – Eine Querschnittsstudie an 79 ambulanten Patienten mit Angststörungen

2013 ◽  
Vol 61 (1) ◽  
pp. 17-26 ◽  
Author(s):  
Katrin Leenen ◽  
Michael Rufer ◽  
Hanspeter Moergeli ◽  
Hans-Jörgen Grabe ◽  
Josef Jenewein ◽  
...  
Keyword(s):  
Quality Of Life ◽  
World Health ◽  
Life Questionnaire ◽  
World Health Organization Quality ◽  
Fand Sich ◽  
Quality Of Life Questionnaire ◽  
Organization Quality ◽  
Health Organization ◽  
Tas 20

Aus Untersuchungen in der Normalbevölkerung ist bekannt, dass Menschen mit erhöhten Alexithymiewerten eine verminderte Lebensqualität (LQ) aufweisen. Für Patienten mit psychischen Störungen wurde dieser Zusammenhang jedoch kaum untersucht. Ziel dieser Studie war es, den möglichen Zusammenhang zwischen alexithymen Patientenmerkmalen und der LQ bei Patienten mit Angststörungen zu überprüfen. Bei 79 ambulanten Patienten mit Angststörungen wurden alexithyme Charakteristika mit der Toronto Alexithymia Scale (TAS-20), die LQ mit der Kurzversion des World Health Organization Quality of Life Questionnaire 100 (WHOQOL-BREF) erfasst. Darüber hinaus fand eine Erhebung der psychischen Symptombelastung (SCL-90-R) und depressiven Symptomatik (MADRS) statt. Mittels hierarchischer Regressionsanalysen wurde der Zusammenhang zwischen der alexithymen Charakteristika und den unterschiedlichen LQ-Domänen berechnet. Die Patienten zeigten eine im Vergleich zur Normalbevölkerung deutlich verminderte LQ. Als Hauptergebnis fand sich, auch nach Kontrolle von Depression, Ängstlichkeit und Geschlecht, ein signifikanter Zusammenhang zwischen den beiden TAS-20 Subskalen Schwierigkeiten, Gefühle zu identifizieren und zu beschreiben und vor allem der psychischen LQ. Unsere Ergebnisse sprechen dafür, bei der Diagnostik und Therapieplanung von Patienten mit Angststörungen alexithyme Merkmale einzubeziehen. Im Falle von ausgeprägten alexithymen Merkmalen sollten psychotherapeutische Interventionen zur Verbesserung der Schwierigkeiten Gefühle wahrzunehmen und zu kommunizieren in Betracht gezogen werden.

Glittre ADL test in eutrophic, overweight and obese elderly

2020 ◽  
Vol 21 (1) ◽  
pp. 49
Author(s):  
Augusto Baumhardt Guidoti ◽  
Ângelo Pereira Cattani ◽  
Cintia Laura De Araujo ◽  
Fernanda Beatriz Costa Delacoste ◽  
Guilherme Scotta Hentschke ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Functional Capacity ◽  
Elderly Women ◽  
Handgrip Strength ◽  
Exercise Intolerance ◽  
World Health ◽  
Chronic Obstructive ◽  
Cross Sectional ◽  
World Health Organization Quality

The Glittre ADL-test (TGlittre) has been designed and validated to measure functional capacity during daily living activities in patients with chronic obstructive pulmonary disease (COPD) but is now used in several other situations. The aim of this study was to evaluate the applicability of TGlittre in a sample of overweight and obese eutrophic elderly. This was an experimental and cross-sectional study, which included 21 elderly women, allocated by BMI, in eutrophic (n = 8), overweight (n = 6) and obese (n = 7) groups. They were assessed for functional capacity (TGlittre and 6MWT), quality of life (QOL) with the questionnaire World Health Organization Quality of Life for Older People (WHOQOL-OLD) and handgrip strength (HGS). TGlittre correlated with age (p = 0.0040) and with 6MWT (p = 0.0086), but no statistical difference was found in TGlittre's performance time and the distance covered in 6MWT between groups. TGlittre did not correlate with HGS (p = 0.1493) and WHOQOL-Old (p = 0.0905). The data obtained in the present study corroborate that TGlittre is used as a functional measurement variable in the elderly population.Keywords: aged, obesity, exercise intolerance.­­­

scholarly journals Quality of life of schizophrenic patients in a tertiary care hospital in Bangladesh

2017 ◽  
Vol 29 (1) ◽  
pp. 30-34 ◽  
Author(s):  
Mir Hasan Shakil Mahmud ◽  
Bushra Yeasmin ◽  
Shipra Mandal
Keyword(s):  
Quality Of Life ◽  
Physical Health ◽  
Environmental Health ◽  
Social Relationship ◽  
World Health ◽  
P Value ◽  
Health Domain ◽  
Schizophrenic Patients ◽  
Physical Health Domain

Schizophrenia is one of the major mental disorders which affect individual’s thinking ability, social interaction or attention. It affects person’s entire quality of life. The purpose of the study was to find out the quality of life of schizophrenic patient in Bangladesh. Cross sectional study design was used to conduct this study. The convenient sampling procedure was used throughout the process of participant’s selection and the numbers of respondents were 83. The study was carried out at National Institute of Mental Health and Hospital (NIMH), Dhaka. Data was collected by using face to face interview with a structured questionnaire WHOQOL-BREF (The World Health Organization Quality of Life- BREF) scale. It was found that most of the participants lead poor to moderate quality of life in four domains of the WHOQOL-BREF scale. Results showed that mean scores were for physical health (mean 2.7, SD+0.106); psychological health (mean 2.108, SD +0.0787); social relationship (mean 2.226; SD+0.116) and environmental health (mean 2.47; SD+0.077).This study indicated that, quality of life poor on psychological domain. It was also found statistically significance with age and social relationship domain (p value 0.005< 0.05); marital status and physical health domain (p value 0.004<0.05); educational level and physical health domain (p value 0.005<0.05) and environmental health domain (p value 0.025<0.05). There were no statistically significant difference between gender and other variables. Schizophrenia affects all aspects of person’s life such as physically, psychologically, socially and economically. Schizophrenic patients as well as their family members led very poor quality of life.Bang J Psychiatry June 2015; 29(1): 30-34

scholarly journals Quality of life in patients with narcolepsy: a WHOQOL-bref study

2008 ◽  
Vol 66 (2a) ◽  
pp. 163-167 ◽  
Author(s):  
Heloísa Rovere ◽  
Sueli Rossini ◽  
Rubens Reimão
Keyword(s):  
Quality Of Life ◽  
Patient Group ◽  
World Health ◽  
Control Group ◽  
World Health Organization Quality ◽  
Severe Impairment ◽  
Perception Of Quality ◽  
Social Domains ◽  
Health Organization

OBJECTIVE: To evaluate the perception of Quality of Life (QL) in Brazilian patients with narcolepsy. METHOD: 40 adult patients aged between 20 and 72 years (mean=41.55; SD=14.50); (28 F; 12M), with the diagnosis of chronic narcolepsy were followed up at the outpatient clinic (Patient Group). The Control Group was composed of 40 adults. The instrument utilized was the World Health Organization Quality of Life (WHOQOL-BREF). RESULTS: The two groups were homogeneous and no difference was found with regards to age, sex, and demographic characteristics. The perception of QL in physical, psychological and social domains showed lower scores in those patients with narcolepsy than in the control group (p<0.05). Concerning physical domain, all the aspects evaluated were significantly impaired, in patient group, including sleep satisfaction (p<0.001); energy for daily activities (p=0.039); capacity to perform activities (p=0.001); and capacity to work (p=0.001). CONCLUSION: The perception of QL showed severe impairment in patients with narcolepsy for physical, psychological and social domains.

Sign in / Sign up

Export Citation Format

Share Document