Abstract
Abstract: The most People with Schizophrenia (PwS) experience a decline in social function caused by various factors. Clinical symptoms of PwS affect the social function of PwS, especially negative symptoms. The purpose of this study is to analyze the effect of negative symptoms on the social function of people with schizophrenia in the community. This is a cross-sectional study. Subjects of the study were people with schizophrenia aged 18-56 years who will follow Community-Based Rehabilitation activities in 10 areas of puskesmas in Yogyakarta Special Region. The study was conducted in February 2017. The social function and negative symptoms of PwS were measured using a validated measuring instrument. Hypothesis test using Anova test. The subjects of the study were obtained by purposive sampling technique of 100 PwS that fulfilled inclusion and exclusion criteria. Subjects with a PSP score of 0-30 (poor: someone who intensively needs care and social support) of 8 people (8%) had negative PANSS score of 28.50 ± 6.78. Subjects with a score of 31-70 (moderate: someone who occasionally needs care and social support) of 57 people (57%) had negative PANSS of 20.65 ± 8.18. Subjects with a score of 71-100 (mild: someone with mild disturbance, but able to perform individual functions) of 35 subjects (35%) had negative PANSS score of 12.49 ± 5.98. PwS which has a negative value of PANSS is greater, has a worse social function. The results showed that the negative symptoms had an effect on the social function of people with schizophrenia which was statistically significant (p <0.05). Negative symptoms affect the social function of PwS. PwS that has a high negative symptom score, has a worse social function. Keywords: social function, schizophrenia, negative symptoms
Highlights
The decreased function experienced by People with schizophrenia (PwS) is worse when compared with other psychiatric disorder patients.[1]
This study aims to analyze the effect of negative symptoms on social function on PwS participants of community-based rehabilitation activities in Yogyakarta special region
The same condition is shown in the previous research which says that the social relation domains are the most affected domains in people with schizophrenia if it’s being compared to the normal population.[22]
Summary
The decreased function experienced by People with schizophrenia (PwS) is worse when compared with other psychiatric disorder patients.[1]. Studies in six European countries concluded that more than 80% of people with schizophrenia had decreased sedentary social function.[10,11] A decreased social function is often experienced by PwS earlier before other symptoms of schizophrenia occur.[11] Social function is the quality of interpersonal relationships and one's ability to fulfil roles and expectations defined by society. Social functionality is assessed from various domains of life, including role functions, social relationships, self-care, independent living skills, leisure use, leisure activities, and community integration.[4] PwS with low social function is associated with a worse prognosis which, among others, is indicated by the inability to find employment and independent living.[12] While PwS and their families are often more concerned with functional impairment experienced by people with schizophrenia-related to work, education, independence, and socialization skills.[13] PwS expectations in medicine in addition to symptom improvement, PwS requires improvement in social functions such as daily activities, social contact and employment opportunities.[14]. Helping PwS achieve its life goals including improving its social function is one of the principles of PwS management.[2]
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