The Influence of Psychosocial Dysfunctions in Chronic Schizophrenia Patients in Remission: A Hospital-Based Study

Autor: Anil Kumar Nayak, Sarada Prasanna Swain, Sushree Sangita Behura, Manoj Kumar Dash, Saswati Sucharita Pati
Rok vydání: 2017
Předmět:
Zdroj: Indian Journal of Psychological Medicine
Indian Journal of Psychological Medicine, Vol 39, Iss 2, Pp 157-163 (2017)
ISSN: 0975-1564
0253-7176
DOI: 10.4103/0253-7176.203120
Popis: Byline: Sarada. Swain, Sushree. Behura, Manoj. Dash, Anil. Nayak, Saswati. Pati Background: Psychosocial dysfunctions in the various psychosocial areas in chronic schizophrenic patients predict the long-term course, outcome, and quality of life of these patients, which always varies with years of treatment. Objective: To know the influence and compare the level of psychosocial dysfunctions and severity of disability burden in chronic schizophrenic patients who are in remission with duration of 5 and 20 years. Materials and Methods: The sample was collected from the OPD of Mental Health Institute (COE), S.C.B. Medical College, Cuttack, Odisha, India. This study is a cross-sectional study. A total of 120 remitted schizophrenic patients (60 patients of each group with duration of 5 and 20 years), who fulfilled Nancy Andreasen criteria for Remission were selected for the study. Regional language of dysfunction analysis questionnaire (DAQ) was used to assess the level of psychosocial dysfunctions in personal, familial, social, vocational, and cognitive areas of each patient. Results: Qualitative data were analyzed using Chi-square and quantitative data were analyzed using t-test and correlation as a test of significance. Statistically significant differences (P Introduction The term “psychosocial dysfunction” refers to a change in reference to a particular period, in the life of an individual with respect to age, sex, race, and culture. The functioning of an individual after an illness is always compared with one's own previous level of functioning.[sup][1],[2] Psychosocial dysfunction is the dysfunction in the various psychosocial areas such as personal, vocational/occupational, familial and social, which ultimately depends on the cognitive functioning of an individual. In fact, Schizophrenia is a disorder of the brain which affects one's thoughts, feelings, and acts and after a period of years leads to a marked change in personality, occupational disability, cognitive impairment, and poor health. Dysfunctions in schizophrenic patients refer to lowering of functioning irrespective of whether an adjustment is made with the circumstances or not, whether it is of permanent nature or not and whether it can be corrected in the treatment or not. Hence, after remission of the disease, the different level of dysfunction is a psychological concept, which is concerned with the present functioning of the individual at a particular point of time in comparison to particular reference point in the person's life, without changing one with adjustment, without categorizing it as permanent or temporary and without creating a personal view on curability. Most of the studies in past have focused on the cognitive dysfunctions of schizophrenic patients. However, the other level of dysfunctions which is required for the maintenance of quality of life after reduction of unwanted symptoms are social, personal, vocational, and familial functions. Any disturbances in one or more areas have sufficient impact on the quality of life and daily living of the patients. As most of the patients are treated for a long period with medications, the mental health professionals most of the time neglect the social, personal, vocational, and familial dysfunctions and hence, the interventions accordingly. In the long run, while measuring the “Mental Disability” of these patients, professionals neglect the vocational and cognitive dimensions to a larger extent. …
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