scholarly journals RELATIONSHIP BETWEEN DURATION OF UNTREATED PSYCHOSIS AND COGNITIVE FUNCTIONS USING MODIFIED SCORS (SCHIZOPHRENIA COGNITION RATING SCALE) IN SCHIZOPHRENIA PATIENTS IN SAIFUL ANWAR GENERAL HOSPITAL

Author(s):  
Dearisa Yudhantara ◽  
◽  
Laksmi Muliawati ◽  
Zamroni Afif ◽  
◽  
...  

Mental health is a significant health problem in the world, including Indonesia. Lack of understanding and concern for the community, limitations and unequal distribution of mental health service provider also contribute to obstacles to increase public understanding and concern for mental health. This problem will give an impact on the difficulty of patients in accessing care and treatment. The emergence of the phenomenon of Duration of Untreated Psychosis (DUP) or untreated psychosis in society contributes to the worsening of the disease course of schizophrenic patients. One of the main clinical manifestations seen in schizophrenic patients is a decline in cognitive function. SCoRS is present as an easy and effective instrument in quantitatively measuring cognitive function. In the study used a modified SCoRS instrument that was more adapted to Indonesian’s culture. This study was conducted to determine the relationship between the duration of untreated psychosis and cognitive function using modified SCoRS, especially in schizophrenic patients at Saiful Anwar General Hospital. The research method used observational analytic with cross-sectional approach. Selection of research subjects based on inclusion and exclusion criteria. Then do the appropriate history taking and psychiatric examination. Correlation analysis using Spearman to determine the relationship of variable duration of psychosis without therapy and cognitive function assessed using SCoRS modification (p <0.05). The results prove that there is a significant relationship between the variable duration of therapy without therapy and cognitive function variables assessed using SCoRS modification with a weak correlation level (correlation coefficient 0.340).

Author(s):  
Dearisa Yudhantara ◽  
◽  
Laksmi Muliawati ◽  
Zamroni Afif ◽  
◽  
...  

Mental health is a significant health problem in the world, including Indonesia. Lack of understanding and concern for the community, limitations and unequal distribution of mental health service provider also contribute to obstacles to increase public understanding and concern for mental health. This problem will give an impact on the difficulty of patients in accessing care and treatment. The emergence of the phenomenon of Duration of Untreated Psychosis (DUP) or untreated psychosis in society contributes to the worsening of the disease course of schizophrenic patients. One of the main clinical manifestations seen in schizophrenic patients is a decline in cognitive function. SCoRS is present as an easy and effective instrument in quantitatively measuring cognitive function. In the study used a modified SCoRS instrument that was more adapted to Indonesian’s culture. This study was conducted to determine the relationship between the duration of untreated psychosis and cognitive function using modified SCoRS, especially in schizophrenic patients at Saiful Anwar General Hospital. The research method used observational analytic with cross-sectional approach. Selection of research subjects based on inclusion and exclusion criteria. Then do the appropriate history taking and psychiatric examination. Correlation analysis using Spearman to determine the relationship of variable duration of psychosis without therapy and cognitive function assessed using SCoRS modification (p <0.05). The results prove that there is a significant relationship between the variable duration of therapy without therapy and cognitive function variables assessed using SCoRS modification with a weak correlation level (correlation coefficient 0.340).


2019 ◽  
Vol 1 (3) ◽  
pp. 11
Author(s):  
Fatma N. Kotb

Context: Schizophrenia is one of the perilous mental health problems. It hinders the patient’s capability of thinking clearly, making life decisions, managing their emotions, and building healthy relationships. Aim: This study aimed to explore the relationship between social cognition and sense of belonging among institutionalized schizophrenic patients. Methods: The study used a descriptive research design to achieve the aim of this study. This research carried out in the inpatient unit of Minia Hospital for Mental Health and Addiction Treatment. A convenient sample of 100 institutionalized schizophrenic patients recruited in the current study. Three tools used to collect data of this study include socio-demographic and medical data questionnaire, Observable Social Cognition Rating Scale, and Sense of Belonging scale. Results: The main findings of this study revealed that more than three fourth of schizophrenic patients had low levels of social cognition, and sense of belonging. There was a significant positive relationship between social cognition and sense of belonging of institutionalized schizophrenic patients. Conclusion: The current study concluded that institutionalized schizophrenic patients have a positive connection between their social cognition and a sense of belonging. Recommendations: The study recommended that, schizophrenic patient in a very high need for psycho-educational program for improving their cognitive abilities, which will improve their social cognition and interaction with others and enhance their sense of belonging.


2019 ◽  
Vol 10 (3) ◽  
pp. 291-304
Author(s):  
Fred E. Markowitz ◽  
Sara M. Kintzle ◽  
Carl A. Castro ◽  
Steven L. Lancaster

Many military veterans face considerable challenges reintegrating into civilian life. Evidence suggests the general public holds conflicting attitudes toward veterans. This study examines how perceived public attitudes play a role in veterans’ mental health and well-being. Drawing from and extending interactionist theories of self-concept, stigma, and mental health recovery, we develop and estimate models for the relationships between internalized public attitudes toward veterans (perceived public regard), military identity–related self-worth (private regard), and well-being (depression, self-efficacy, and life satisfaction). Using survey data from the Chicagoland Veterans Study, we found that perceived public regard is negatively related to depression and positively related to self-efficacy and life satisfaction. The relationship between public regard and self-efficacy is fully mediated by private regard, and a significant part of the relationship between perceived public regard and both depression and life satisfaction is mediated by private regard. The study suggests avenues for extending theory and research related to military identity and public understanding of veterans as well as other groups where there may be conflicting public sentiment toward them.


2016 ◽  
Vol 9 (5) ◽  
pp. 67
Author(s):  
Mansoureh Mirzadeh ◽  
Najmeh Shahini ◽  
Masoud Kashani Lotf Abadi ◽  
Maryam Tavakoli ◽  
Arash Javanbakht ◽  
...  

<p>Smoking habits are common in schizophrenic patients. Nicotine can suppress negative symptoms and cognitive impairments. The aim of this study was to determine the efficacy of bupropion on cognitive function in schizophrenic patients.<strong> </strong>This study is a double blind randomized controlled trial in a large referral psychiatric university hospital in Iran. Ninety smoker schizophrenic patients were randomly allocated (based on DSM -IV TR criteria) in two groups (46 patients for case group and 44 patients in control group). They get risperidone up to 6 mg/d and bupropion up to 400 mg/d .clinical assessment (Positive and Negative Syndrome Scale (PANSS), Brief psychiatric rating scale (BPRS) were taken in beginning of study, 14<sup>th</sup> and 28<sup>th</sup> days of study. Cognitive assessment (Stroop, Digit Span, and Wechsler, Wisconsin) were taken in begging of study, the days 2<sup>nd</sup>, 7<sup>th</sup>, 14<sup>th</sup>, 28<sup>th</sup>. All data were analyzed by SPSS Ver. 17 with analytic and descriptive tests. Mean age of patients was 37.66±1.01. Mean duration of disorder was 11.63±.98 years. The scores were significantly lower at the day 28<sup>th</sup> compared to the beginning of the study in both groups in Wechsler, Stroop color word , Stroop word , Stroop color , BPRS, PANSS p value ≤0.05 .The difference between the two treatments was not significant as indicated by the effect of group, the between-subjects factor<strong> </strong><strong>p </strong>value ≥0.05. In this study, the side effects were examined and there was no significant difference between the two groups p value ≥0.05.<strong> </strong>Augmentation of bupropion to routine treatment improves cognitive symptoms of schizophrenia in abstinence of tobacco.</p>


2020 ◽  
Author(s):  
Muhammad Shahzad Aslam ◽  
Yun Jin Kim

BACKGROUND Game addiction has been associated with an array of mental health variables. There is a paucity of descriptive studies investigating such associations and studies, few studies have particularly examined the relationship between game addiction and mental health outcomes, due to a lack of specified instrument for measuring this type of behavioral addiction. OBJECTIVE The objective of this study is to (1) measure and validate the game addiction scale among undergraduate students, (2) examine the relationship between game addiction and anxiety, depression, and self-esteem scale among undergraduate students and (3) contribute to the current discussion (CD) about the implication of game addiction among undergraduate students in Malaysia. METHODS Participants were recruited from a university (n=81), Participants completed a Web-based questionnaire, which included measures of Salience, Tolerance, Mood modification, Relapse, Withdrawal, Conflict, Problems, Hamilton Depression Rating Scale (HAM-D), Hamilton Anxiety Rating Scale (HAM-A) and Rosenberg Self-Esteem Scale (RSES). Demographic items were also addressed and understand the effect of the relationship between the categorical variable and its effect on depression, anxiety, and self-esteem. The hypothesized model was tested using structural equation modeling. RESULTS The prevalence of total anxiety, total depression, and total self-esteem were found (51.85%) 42/81, (48.14%) 39/81 and (55.55%) 45/81 respectively. Construct reliability and the average variance extracted for the factors were verified to demonstrate that this tool was highly reliable to explain the eight (8) factors. Jöreskog’s rho (0.7952-0.9467) demonstrated high degrees of agreement in all construct followed by Dijkstra-Henseler’s rho (0.6444-0.9451) and Cronbach’s alpha (0.6168- 0.9400). Discriminant validity was established with a value of 0.77 for the Fornell-Larcker Criterion. R square value for all exogenous variable recline range between 0.4849-0.7025. Bootstrapping for Structural Model Evaluation support the hypothesis. Gender, nationality, age, scholarship, physical disease, mental illness, alcohol intake was not associated with total anxiety (P=0.857;0.279;0.323;0.973;0.925;0.168;0.246;0.755), total depression (P=0.858;0.052;0.810;0.623;0.345;0.137;0.751), and total self-esteem (P=0.282;0.485;0.292;0.919;0.569;0.873;0.230;0.053). Financial stress was significant with depression (p=0.010) (<0.05). CONCLUSIONS This analysis supports the appropriateness of using game addiction scale among undergraduate students to further establish the psychometric properties of the game addiction items. It also supports that financial stress is associated with depression. However, the researcher’s circumspection to generalize our findings because of the small sample size. CLINICALTRIAL According to the local and national ethical instructions for research (National Committee for Clinical Research, http://www.ncc r.gov.my/index.cfm) guidelines, this study did not require ethical approval. The human biological tissues, good clinical practice (GCP), and clinical trial research subjects were respected.


2021 ◽  
Vol 2 (8) ◽  
pp. 1000-1007
Author(s):  
Glorio Immanuel ◽  
Prima Maharani Putri ◽  
Irma Finurina Mustikawati

This study wanted to look at the relationship and influence of social capital on cognitive function in schizophrenic patients. Social capital is a concept that arises from the results of interaction in society with a long process and is believed to be one of the main components in driving togetherness, mobility of ideas, mutual trust and mutual benefit to achieve mutual progress. Interactions that form networks in togetherness in social capital contain norms, values and mutual understanding that facilitate cooperation in a group. Social capital is generally associated with health and is considered an important etiology in schizophrenia where in the early stages of schizophrenia there are significant cognitive symptoms making it very difficult for people with the disorder to work, study or work in social life. This research method uses the design of latitude cut study, conducted in dr. hospital. soeselo and using MMSE instruments. The results of the study found a link between social capital and cognitive symptoms in schizophrenic patients where in individuals with good social capital was shown to better adjust to cognitive function. Conclusions on individuals with good social capital can adjust better because individuals have had better coping, perception and adjustment about themselves and their environment, individuals already have the ability to maintain their communication and interaction in public life.


1994 ◽  
Vol 165 (S24) ◽  
pp. 89-95 ◽  
Author(s):  
Kailin Luo ◽  
Dongshan Yu

This paper describes the development of community mental health services in Nanjing and reports on a retrospective study that compared the two-year outcome for 78 schizophrenic patients who attended four enterprise-based sheltered workshops (experimental group) with that of 78 schizophrenic patients who attended an out-patient clinic (control group). Despite having a longer course of illness and more prior hospital admissions than patients in the control group, at the end of the two years patients treated in enterprise-based sheltered workshops had significantly less psychosocial dysfunction (mean Social Dysfunction Screening Schedule score 3.4 (s.d. 0.2) v. 7.4 (s.d. 0.7), t = 49.2, d.f. 154, P<0.001) and less severe psychiatric symptomatology (mean Brief Psychiatric Rating Scale score 33.1 (s.d. 2.7) v. 54.1 (s.d. 2.9), t = 47.0, d.f. 1 54, P<0.001). Moreover, compared with the control group, over the two year period a smaller proportion of the experimental group experienced a clinical relapse (14.1% v. 38.5%, χ2 = 5.10, d.f. 1, P<0.05) or hospital readmission (7.7% v. 21.8%, χ2= 10.7, d.f. 1, P<0.01). We conclude that the organisation of on-site sheltered workshops for mentally ill factory workers is an effective model for promoting community mental health that merits widespread application in China.


2019 ◽  
Vol 2019 ◽  
pp. 1-9 ◽  
Author(s):  
Nileththi A. De Silva ◽  
Michael A. Gregory ◽  
Shree S. Venkateshan ◽  
Chris P. Verschoor ◽  
Ayse Kuspinar

Purpose. The purpose of this review is to investigate the relationship between life-space mobility and cognition in older adults.Methods. MEDLINE, Embase, CINAHL, and PsycINFO were searched through December 2018 for studies containing measures of life-space mobility and cognitive function. Two independent reviewers screened studies. Eligible studies were combined using a random-effects model, and heterogeneity was assessed using theI2.Results. Thirty-five articles were identified for review. A moderate and statistically significant association (pooledr = 0.30, 95% confidence interval 0.19 to 0.40.) was observed between life-space mobility and cognition among nine studies. Life-space mobility demonstrated small-to-moderate associations with domain-specific cognitive functioning, particularly executive function, learning, memory, and processing speed. Furthermore, individuals who had restricted life-space mobility (Life-Space Assessment ≤ 40) experienced a steeper decline in cognition (β = 0.56 andp = 0.0471) compared to those who did not (Life-Space Assessment ≥ 41).Conclusion. This review examined the association between life-space mobility and cognitive function in older adults. The results suggest that a moderate relationship between life-space mobility and cognition exists, whether adjusted or unadjusted for covariates such as sociodemographics, mental health, functional capacity, and comorbidities.


2021 ◽  
Author(s):  
Benjamin T Kaveladze ◽  
Akash R Wasil ◽  
John B Bunyi ◽  
Veronica Ramirez ◽  
Stephen M Schueller

BACKGROUND User experience and engagement are critical to mental health apps’ abilities to support users. However, limited work has examined the relationship between user experience, engagement, and app popularity. Given that apps vary immensely in their popularity, understanding why some mental health apps are more appealing or engaging to users can inform efforts to develop better apps. OBJECTIVE We aimed to examine relationships between user experience, engagement, and popularity. To do so, we examined links between subjective measures of user experience and objective measures of app popularity and engagement. METHODS We conducted a pre-registered secondary data analysis in a sample of 56 mental health apps. To measure user experience, we used expert ratings on the Mobile App Rating Scale (MARS) and consumer ratings from the Apple app store and Google Play app store. To measure engagement, we acquired estimates of measures of monthly active users (MAU) and user retention. To measure app popularity, we used download count, total app revenue, and MAU again. RESULTS MARS total score was significantly and positively correlated with app-level revenue (T=0.30, P=.002), MAU (T= 0.39, P<.001), and downloads (T=0.41, P<.001). However, neither the MARS total score nor any of its subscales (Engagement, Functionality, Aesthetics, nor Information) were significantly correlated with user retention 1, 7, or 30 days after downloading. Also, MARS total score was not significantly correlated with app store rating. CONCLUSIONS Popular mental health apps receive better ratings of user experience than less popular ones. However, user experience (as operationalized by the MARS) does not predict sustained engagement with mental health apps. Collaboration between industry and academic teams may better advance a science of engagement and help to make mental health apps more effective and appealing.


2021 ◽  
Vol 10 (1) ◽  
pp. 20
Author(s):  
Rina Krismiati Gani ◽  
Erikavitri Yulianti ◽  
Ifa Tunisya

Background: Schizophrenia is a chronic and serious clinical syndrome with very aggravating psychopathology involving perception, cognition, emotion, and behaviour. Currently, cognitive dysfunction is seen as a core disorder of schizophrenia. Duration of Untreated Psychosis (DUP) refers to the period from the onset of psychotic symptoms to the first adequate administration of antipsychotics.Aims: This review aims to analyse the impact of DUP on cognitive function in schizophrenia.Methods: PubMed and Google Scholar were searched using the following keyword: (cognitive function) and (neurodevelopmental OR neurotoxicity hypothesis) and (duration of untreated psychosis or DUP) and (schizophrenia or psychosis or psychotic) using the journal publication filter for the 2014-2020 issue. We also used textbooks published in the last 10 years and were related to writing themes.Review: There are two different opinions about the impact of DUP on the cognitive function of schizophrenic patients: (1) the neurodevelopmental hypothesis says there is no impact of the length of DUP on the cognitive function of schizophrenic patients; (2) the neurotoxicity hypothesis says the length of the DUP will impact the patient's cognitive function. Despite differences of opinion about the impact of DUP on cognitive function in schizophrenia, early intervention in schizophrenic patients is important because DUP is associated with worse general disease symptoms, lower likelihood of remission, more severe positive and negative symptoms, and worse social functioning and overall outcomes.Summary: There are differences of opinion about the impact of DUP on cognitive function in schizophrenic patients.


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