Psychosocial rehabilitation, disability, and quality of life in patients with schizophrenia residing in long-stay homes

Autor: Kurian Jose, Rajith K. Ravindren
Rok vydání: 2021
Předmět:
Zdroj: Indian Journal of Social Psychiatry, Vol 37, Iss 4, Pp 446-451 (2021)
ISSN: 0971-9962
Popis: Background: Schizophrenia is a chronic mental illness that results in significant disability. Many patients have difficulties in self-care, communication, and employment. The study assessed the effectiveness of a psychiatric rehabilitation program in reducing disability and improving quality of life (QOL) in patients with schizophrenia residing in long-stay homes. Methods: Forty-two patients with schizophrenia who were inmates of two long-stay homes were the subjects. A rehabilitation program consisting of training in activities of daily living, social skills, medication self-adherence, cognitive training, and psychoeducation was imparted for 6 months. Pre- and post-intervention evaluations were done using IDEAS and WHOQOL-BREF. Wilcoxon signed-rank test was used to assess the significance of the change in outcomes. Results: Scores in self-care, interpersonal activities, communication, and work domain of IDEAS showed a significant reduction with large effect sizes. Domains one, two, and four of WHOQOL-BREF also showed significant improvements with medium to large effect sizes. Conclusion: The rehabilitation program reduces disability and improves the QOL in patients with chronic schizophrenia. Our model of rehabilitation is inexpensive and can be delivered by lay health workers under supervision.
Databáze: OpenAIRE