Quality of Life in Patients with Chronic Schizophrenia
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 3
Abstract
Background: The concept of Quality of life (QOL) is perhaps more important in those disorders which run a chronic and debilitating course and where the treatment is incomplete swith pharmacotherapy alone and requires varied psychotherapeutic interventions. Aims: To assess Quality Of Life in patients with chronic schizophrenia on maintenance treatment. Material and Methods: Sixty patients of schizophrenia diagnosed as per ICD - 10 with minimum duration of illness being two years and attending outpatient department were recruited in to the study. A written consent of the patient and caregiver for participation in the study was obtained. The interview was semi-structured and all information was recorded in a pre-designed structured proforma. Following this, the patients were administered with WHO QOL scale BREF version, and PANSS scale. Results: Mean QOL scores of the patients in various domains of WHOQOL-BREF version scale were physical:20.33, psychological:20.25, social:5.17, environmental:24.60 and total 70.35.Significant positive association was found between patients that were employed and social and total QOL, and also them with total monthly income and social relationships domain. The patients with prominent positive symptoms had poor QOL in psychological and social domains and total QOL. The patients with prominent negative symptoms had poor QOL in psychological and social domains and total QOL. The patients with high scores in general psychopathology had poor QOL in all domains of QOL and Total QOL. The patients with high total PANSS scores had poor QOL in all domains of QOL and Total QOL. Conclusion: Patients were having lowest QOL in social relationships domain of WHO QOL - BREF scale. Employed patients and those patients earning relatively better monthly incomes enjoyed a comparatively better QOL. Schizophrenic patients, especially those with prominent symptoms in the general psychopathology subset had a poorer overall Qol.
Authors and Affiliations
Ranjit Kumar Pindikura
Keywords
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