Life Of Schizophrenic Patients Research Articles

Estimation of subjective quality of life in schizophrenic patients using speech features.

Patients with schizophrenia experience the most prolonged hospital stay in Japan. Also, the high re-hospitalization rate affects their quality of life (QoL). Despite being an effective predictor of treatment, QoL has not been widely utilized due to time constraints and lack of interest. As such, this study aimed to estimate the schizophrenic patients' subjective quality of life using speech features. Specifically, this study uses speech from patients with schizophrenia to estimate the subscale scores, which measure the subjective QoL of the patients. The objectives were to (1) estimate the subscale scores from different patients or cross-sectional measurements, and 2) estimate the subscale scores from the same patient in different periods or longitudinal measurements. A conversational agent was built to record the responses of 18 schizophrenic patients on the Japanese Schizophrenia Quality of Life Scale (JSQLS) with three subscales: "Psychosocial," "Motivation and Energy," and "Symptoms and Side-effects." These three subscales were used as objective variables. On the other hand, the speech features during measurement (Chromagram, Mel spectrogram, Mel-Frequency Cepstrum Coefficient) were used as explanatory variables. For the first objective, a trained model estimated the subscale scores for the 18 subjects using the Nested Cross-validation (CV) method. For the second objective, six of the 18 subjects were measured twice. Then, another trained model estimated the subscale scores for the second time using the 18 subjects' data as training data. Ten different machine learning algorithms were used in this study, and the errors of the learned models were compared. The results showed that the mean RMSE of the cross-sectional measurement was 13.433, with k-Nearest Neighbors as the best model. Meanwhile, the mean RMSE of the longitudinal measurement was 13.301, using Random Forest as the best. RMSE of less than 10 suggests that the estimated subscale scores using speech features were close to the actual JSQLS subscale scores. Ten out of 18 subjects were estimated with an RMSE of less than 10 for cross-sectional measurement. Meanwhile, five out of six had the same observation for longitudinal measurement. Future studies using a larger number of subjects and the development of more personalized models based on longitudinal measurements are needed to apply the results to telemedicine for continuous monitoring of QoL.

The Effect of Logotherapy Interventions on Improving Quality of Life in Schizophrenic Patients

ABSTRAK
 Aspek kejiwaan (mental-emosional) sangat mempengaruhi kualitas hidup seseorang, baik dalam keadaan fisik sakit maupun fisik sehat. Intervensi yang dilakukan sangat beragam, baik tekniknya maupun profesioanal pemberi asuhannya. Salah satu intervensi yang dapat dilakukan adalah inovasi penerapan logoterapi. Evidence based dari terapi ini telah banyak tersedia, namun implementasinya belum banyak dipraktekkan oleh profesioanal pemberi asuhan di lahan praktek masing-masing. Review literature ini bertujuan melakukan analisis dari jurnal-jurnal logoterapi dalam membantu meningkatkan kualitas hidup bagi pasien dengan gangguan harga diri rendah. Metode yang digunakan dalam penulisan ini adalah literature review dengan menganalisa hasil-hasil penelitian dari jurnal-jurnal nasional dan internasional yang terpublikasi dalam 5 tahun terakhir (2015-2020). Hasil dari review literature ini dapat dijadikan panduan dan dorongan energi bagi pelaksana keperawatan dalam meningkatkan kualitas hidup pasien dalam berbagai keadaan dan latar belakang diagnosa.
 Latar belakang: Gangguan jiwa merupakan manifestasi dari bentuk penyimpangan perilaku akibat adanya distorsi emosi sehingga ditemukan ketidakwajaran dalam bertingkah laku. Hal ini terjadi karena menurunnya semua fungsi kejiwaan. Kualitas hidup pada dasarnya bersifat istimewa pada masing-masing individu. Kualitas hidup ini dapat mencerminkan perspektif biopsikososial pasien terhadap penyakit mereka dan berhubungan secara pararel terhadap intervensi multidisiplin yang dilakukan dalam sebuah pengobatan. Logoterapi merupakan salah satu psikoterapi untuk meningkatkan kualitas hidup melalui penemuan dan pencapaian makna hidup. Logoterapi adalah suatu jenis psikoterapi yang pertamakali dikembangkan oleh Viktor Frankl tahun 1938 dengan mengutamakan makna hidup sebagai tema sentral. Frankl mengemukakan bahwa jika seseorang berhasil menemukan dan memenuhi makna hidupnya, maka kehidupan akan menjadi lebih berarti, berharga dan bahagia
 Tujuan: Tujuan pada karya ilmiah ini adalah menganalisa intervensi logoterapi dalam peningkatan kualitas hidup pada pasien skizofrenia.
 Metode : Penelitian ini merupakan studi literatur menggunakan metode dengan pencarian jurnal pada penyedia jurnal kesehatan dan keperawatan melalui google scholar, selanjutnya penulis memilih 5 jurnal yang sesuai dengan topik yang akan diteliti.
 Hasil: Hasil penelitian menunjukkan adanya keefektifan atau pengaruh logoterapi terhadap peningkatan kualitas hidup pada pasien skizofrenia.
 Kesimpulan: Logoterapi adalah salah satu psikoterapi untuk meningkatkan kualitas hidup melalui penemuan dan pencapaian makna hidup.
 ABSTRACT
 Background:Mental disorders are manifestations of behavioral deviations due to emotional distortion so that irregularities are found in behavior. This happens because of the decline in all mental functions. Quality of life is basically special for each individual. This quality of life may reflect a patient's biopsychosocial perspective on their disease and relate in parallel to multidisciplinary interventions performed in a hospital setting treatment. Logotherapy is a psychotherapy to improve the quality of life through the discovery and achievement of the meaning of life. Logotherapy is a type of psychotherapy that was first developed by Viktor Frankl in 1938 by prioritizing the meaning of life as a central theme. Frankl argues that if a person succeeds in finding and fulfilling the meaning of his life, then life will become more meaningful, valuable and happy
 Destination:The purpose of this scientific work is to analyze logotherapy interventions in improving the quality of life in schizophrenic patients.
 Method :This research is a literature study using a method by searching for journals on providers of health and nursing journals through Google Scholar, then the author chooses 5 journals that are appropriate to the topic to be studied.
 Result:The results showed the effectiveness or effect of logotherapy on improving the quality of life in schizophrenic patients.
 Conclusion:Logotherapy is a psychotherapy to improve the quality of life through the discovery and achievement of the meaning of life.

The Effectiveness of Horticultural Occupational Therapy to Improve The Quality of Life in Schizophrenic Patients

Schizophrenia is the most common mental disorder and is a serious problem in the world. Therapies that use natural systems such as horticultural occupational therapy, have been carried out in the implementation of mental health for centuries. However, in Indonesia, there is no scientific study of its effect on the quality of life (QOL) of those suffering from this illness. The research objective was to determine the effect of horticultural occupational therapy on improving the quality of life in schizophreniac patients at Muhammad Sani Hospital, Karimun district. The research was a quasi-experiment with two group pre-post tests. A total of 28 respondents were selected using the convenience sampling technique, then divided into intervention and control groups. Quality of life values was measured with WHOQOL-BREF, while the bivariate analysis used paired and independent t-tests. The result was a significant difference in the value within the intervention group at p = 0.000 (p <0.05), but there was none in the control at p = 0.189 (p> 0.05). For the independent t- test analysis, p-value physical and social domains were 0.001 (p <0.05) and 0.000 (p <0.05) respectively. This means that there was a significant difference in QOL in the two domains. Conclusion. Horticultural occupational therapy was effective in improving the quality of life in the patients, therefore, it becomes important to apply the results. Keywords: Horticultural occupational therapy, life quality, schizophrenia .

Effect of Cognitive Behavioural Therapy on the Quality of Life of People with Schizophrenia in South-West Nigeria

The quality of life (QoL) of patients with schizophrenia is impaired compared to the general population. This study aimed to evaluate the effect of Cognitive Behavioural Therapy (CBT) on the quality of life of people with schizophrenia in selected Neuropsychiatric Hospitals in South-West Nigeria. A quasi-experimental research design was adopted in the study, 60 participants with schizophrenia were selected purposely, 30 participants to the intervention group and another 30 participants to the control group. Eight sessions of CBT were given to each participant in the intervention group. Data were collected with the use of the WHO Quality of life Bref questionnaire. Data collected were summarized using frequency, percentages, mean score, and standard deviation to answer research questions. The hypotheses were tested using the Mann-Whitney U Test and Wilcoxon Test at 0.05 level of significance. The outcome revealed that there was an overall post-intervention improvement in the Quality of life among the participants in the intervention group with a mean value of 3.63 ± 0.89, Z-value 3.72, p-value <0.001, unlike the control group with a mean value of 2.90 ± 0.85, Z-value= 1.77, p-value=0.08. CBT intervention with pharmacological management was effective in improving the quality of life in schizophrenic patients. CBT should be integrated into routine care given to schizophrenic clients in nursing interventions.

Correlation between Physical Activity and Quality of Life in Schizophrenic Patients

Correlation between Physical Activity and Quality of Life in Schizophrenic Patients

Effect of positive and negative symptoms on schizophrenia related quality of life of hospitalized schizophrenic patients at Sargodha and Lahore: Moderating role of neuropsychiatric symptoms.

The purpose of the study was to find out the moderating effect of neuropsychiatric symptoms in the relationship between positive-negative symptoms of schizophrenia with quality of life of schizophrenic patients. This cross-sectional study was conducted at Lahore and Sargodha, Pakistan. Data was collected by administering the Positive and Negative of Schizophrenia Questionnaire, Quality of Life of Schizophrenia Scale and Neuropsychiatry Inventory. SPSS-23 was used for data analysis. The study was completed in one year. The data was collected from September 4, 2017 to November 1, 2018 after 10am. The findings indicated that positive symptoms had significant positive correlation with negative symptoms (p < 0.001) and neuropsychiatric symptoms (p < 0.001) with significant negative correlation with schizophrenia quality of life (p < 0.001). Negative symptoms had significant positive correlation with neuropsychiatric symptoms (p < 0.001) and significant negative correlation with schizophrenia related quality of life (p <0.001). Neuropsychiatric symptoms had significant negative correlation with schizophrenia quality of life (p <0.001) in the study. Moreover, neuropsychiatric symptoms moderated between negative symptoms and schizophrenia related quality of life. In this study, findings suggested that negative symptoms and neuropsychiatric symptoms have positive association with quality of life of schizophrenic patients whereas positive symptoms have inverse relationship. The study also revealed that neuropsychiatric symptoms enhanced the effect of negative symptoms on quality of life of schizophrenic patients.

Effect of group game combined with self-relaxation music therapy on self-management, social skills and quality of life of schizophrenic patients

Objective To investigate the effect of group game combined with self-relaxation music therapy on self-management, social skills and quality of life of schizophrenic patients. Methods A total of 75patients with schizophrenia admitted to the hospital from March to June 2017 were selected as research objects.According to the random number method, the patients were randomly divided into conventional control group, music treatment group and combination treatment group, 25 cases of each group.The conventional control group received antipsychotics.The music treatment group received drugs combined with self-relaxation music therapy.The combined treatment group received drugs combined with group games and self-relaxation music therapy.After 3 months of intervention, self-management ability, social skills and quality of life were compared among the three groups. Results After the intervention, PANSS, SAPS and SANS scores of the three groups were significantly improved compared with those before the intervention, and the improvement range was successively from large to small as the conventional control group , music treatment group and combination treatment group, and the differences between the three groups were statistically significant(P<0.05). After intervention, BPRS and MRSS scores of the combined treatment group were significantly lower than those of the music treatment group and the conventional control group, the music treatment group was lower than the conventional control group, and the differences between the three groups were statistically significant(P<0.05). After the intervention, ITAQ scores in all dimensions of the three groups were significantly improved compared with those before the intervention, and the differences were statistically significant(P<0.05). Among them, the improvement range was successively from large to small, combination treatment group, music treatment group and routine control group, and the differences between the three groups were statistically significant(P<0.05). After intervention, the scores SDSS and SQLS in the combined treatment group were significantly lower than those in the music treatment group and the conventional control group, while those in the music treatment group were lower than those in the conventional control group, and the differences between the three groups were statistically significant(P<0.05). Conclusion Group games combined with self-relaxation music therapy can improve the patient's disease symptoms, improve self-management, social skills and quality of life. Key words: Schizophrenia; Group game; Musicotherapy; Nursing; Clinical effect

The Effect of Music on Auditory Hallucination and Quality of Life in Schizophrenic Patients: A Randomised Controlled Trial

The study was conducted to determine the effects of music on auditory hallucination and quality of life in schizophrenic patients. The sample of this randomised controlled study consisted of 28 patients (14 experimental and 14 control groups) hospitalised with a diagnosis of schizophrenia (DSM-IV) and auditory hallucination. The study data were collected with the Information Form, The Scale for the Assessment of Positive Symptoms (SAPS), Characteristics of Auditory Hallucinations Questionnaire, and The World Health Organization Quality of Life Scale (WHOQOL-BREF). The hallucination, positive formal thought, and total SAPS scores of the patients in the experimental group obtained during their hospitalisation were determined to be higher than those obtained at discharge and at follow-ups after discharge. The characteristics of auditory hallucination questionnaire scores of the patients in the experimental and control groups decreased. The physical, mental, environmental, and national environmental domain scores of the quality of life in the experimental group increased at sixth month after discharge. Listening to music had positive effects on positive symptoms and the quality of life of patients with auditory hallucination. In line with these results, listening to music may be recommended to cope with auditory hallucinations and to provide positive quality of life.

Quality of life in schizophrenic patients: the influence of sociodemographic and clinical characteristics and satisfaction with social support.

To evaluate the relationship of sociodemographic and clinical characteristics and satisfaction with social support with the quality of life of schizophrenic patients. This study included a sample of 268 participants. An interview was conducted to obtain sociodemographic and clinical data, supplemented with two assessment tools used to evaluate quality of life (World Health Organization Quality of Life instrument-Abbreviated version - WHOQOL-Bref) and satisfaction with social support (Social Support Satisfaction Scale - SSSS). Descriptive and inferential analyses were performed. Most individuals were male (63.4%), with a mean age of 45.4 years, single (85.4%), living with their family (62.3%) and unemployed (90.3%). As for clinical characteristics, most had the disease for less than 20 years (50.7%), and 55.6% had at least one hospitalization within the last 5 years. Being employed and having had no hospitalization within the last 5 years were positively correlated with one or more WHOQOL-Bref domains. The results of the variables intimacy (p<0.001) and satisfaction with friends (p<0.001) were independently related to the total WHOQOL-Bref score. Having a job, having had no hospitalization within the last 5 years and having greater satisfaction with social support are factors that positively influence quality of life among schizophrenics. It is therefore crucial that the psychosocial rehabilitation of patients with schizophrenia take these factors into account, increasing the support network, preventing relapses and promoting occupational activities.

Impact of psychoeducation program on quality of life of schizophrenic patients and their caregivers

Background Psychoeducation is an evidence-based therapeutic intervention for patients and their families that provides information and support to better understand and cope with illness. Aim The aim of this study was to assess the effectiveness of patient and caregiver schizophrenia psychoeducation program and its impact on improvement of psychopathology and quality of life (QoL). Patients and methods This study was carried out on 116 consented schizophrenic patients and their primary caregivers. Severity of the symptoms was rated using Positive and Negative Syndrome Scale. QoL was measured using World Health Organization Quality of Life Questionnaire-short version (WHOQoL-BREF) scale. Results There is a statistically significant difference between patients who received psychoeducation and those treated as usual regarding question 1, question 2, domain 1 (physical), domain 2 (psychological), domain 3 (social relation), and domain 4 (environment) measured by WHOQoL scale with higher score in received psychoeducation patients. Conclusion Psychoeducation should be considered as an important intervention for the management of schizophrenic patients as it improves their QoL and supports the caregiver.

HUBUNGAN COPING STRES TERHADAP KUALITAS HIDUP PENDERITA SKIZOFRENIA PADA MASA REMISI SIMPTOM

&lt;p&gt;&lt;em&gt;Schizophrenia is a mental disorder characterized by the appearance of symptoms such as hallucinations and delusions. The decrease in the frequency and intensity of symptoms is also called the period of symptom remision. Excessive unresolved stress conditions associated with recurrence / reappearance of schizophrenia symptoms. Relapse can affect the quality of life in people with schizophrenia during remission of symptoms.The purpose of this study was to determine the relationship between stress coping with quality of life in people with schizophrenia period remission symptom. This research is a quantitative study with correlational approach. The design of this study used is cross sectional. This study enrolled 52 people with schizophrenia disorder during the remission of symptoms. The data were collected using an adapted questionnaire, the SQLS (Self-Report Quality of Life measure for people with Schizophrenia) and the COPE Brief. Data analysis was done by using Pearson correlation statistic technique.&lt;/em&gt;&lt;em&gt; &lt;/em&gt;&lt;em&gt;The results showed that there was no correlation between stress coping and quality of life in schizophrenic patients on remission of symptom (p = 0,765, p&amp;gt; 0,05). There is no relationship between coping stress and quality of life caused by many other factors that affect the quality of life, namely negative stigma, self-mastery, family support, socioeconomic, treatment factors.&lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;em&gt; &lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;&lt;em&gt;Keywords:&lt;/em&gt;&lt;/strong&gt;&lt;em&gt; coping stress, quality of life, schizophrenia&lt;/em&gt;&lt;/p&gt;

精神分裂病患者のクオリティ・オブ・ライフ(QOL)に関する研究(続報)

精神分裂病患者のクオリティ・オブ・ライフ(QOL)に関する研究(続報)

Paliperidone palmitate and quality of life in schizophrenia

There is growing interest in the study of the quality of life of mental disorders in general, and particularly in schizophrenia. The quality of life is defined by the world health organization as the perception that an individual has of his place in existence, in the context of culture and value system in which they live and in relation to its objectives, their expectations, their rules, their concerns. Paliperidone palmitate is a depot anti-psychotic treatment monthly application is indicated for maintenance treatment of schizophrenia in adult patients. In this work the quality of life in 5 subjects with a diagnosis of paranoid schizophrenia (less than 10 years of diagnosis) is evaluated, all males, aged between 42 and 45 years and with poor adherence to oral treatment. The patients received an average of paliperidone palmitate 100 mg/month. We evaluate the quality of life at baseline and after 3 months – BREF quality of life (WHOQOL – BREF) Scale Quality of Life (QOLS) and WHO was used. The results showed significant improvements in major QOLS scale in all subjects. There were no significant differences in total score WHOQL – BREF scale, but if there was improvement in the scores of some subscales. They no side effects evaluated in the UKU scale. The quality of life in schizophrenic patients can be affected by the presence of, particularly cognitive and negative clinical symptoms. New treatments as paliperidone palmitate improve adherence and have fewer side effects can improve the perceived quality of life. However, they need more extensive studies double-blind evaluation.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Quality of life in schizophrenic patients: Comparative study from South India

Objective: To assess and compare the quality of life (QoL) in patients with schizophrenia with apparently normal controls. Materials and Methods: A secondary data analysis of a cross-sectional study that was carried out in the outpatient psychiatry clinics at a South Indian referral center. Thirty consecutive patients and 30 apparently normal individuals fulfilling the inclusion and exclusion criteria formed the study group. Demographic data for the study population were collected. Schizophrenia was diagnosed as per criteria of the ICD-10th revision and measured using the positive and negative syndrome scale (PANSS) and general psychopathology scale. Outcome measures were measured using the World Health Organization (WHO)-QoL-brief version (BREF) instrument. The collected data were analyzed using descriptive and appropriate inferential statistics using Statistical Package for the Social Sciences (SPSS) version 17.0. P ≤ 0.05 was considered to be significant. Results: There was no significant difference in terms of demographic factors between the schizophrenic patients and controls. The QoL-WHO-BREF score of schizophrenic patients was 82.33 ± 12.34 and for controls it was 90.9 ± 8.41 (P = 0.003). The individual domains of physical and psychological spheres differed significantly between the schizophrenic patients and controls. Individual domain scores varied significantly in occupation. The PANSS positive subscore was correlated with QoL score and there was a statistical significance. Discussion: The deleterious effects of schizophrenia on QoL occur significantly. Management should be planned with this consideration to yield better outcomes.

Effectiveness of gratitude disposition promotion program on depression and quality of life of chronic schizophrenic patients.

Context:Gratitude intervention is expectedly an effective intervention to reduce depression and improve the quality of life in schizophrenic patients, but there is a lack of literature on it.Aims:We attempted to develop and test the effectiveness of the gratitude disposition promotion program for chronic schizophrenic patients in Korea.Settings and Design:Nonequivalent control group pre- and post-test design was used in two mental health centers located at Gyeonggi-do in South Korea.Materials and Methods:This paper was a quasi-experimental study and the participants who took part in the gratitude disposition promotion program were 17 of experimental group and 15 of control group. Gratitude disposition (the short gratitude, resentment, and appreciation test), depression (Beck Depression Inventory), and quality of life (developed by Kook) of chronic schizophrenic patients were measured before and after an intervention, as compared to the control.Statistical Analysis:Chi-square test, Fisher's exact test, and t-test were performed for prehomogeneity testing for variables related to the general characteristics. Testing for the effectiveness of gratitude disposition promotion program and hypothesis testing for its effect on depression and quality of life were by ANCOVA and t-test, as verified to significance level of P < 0.05.Results:The participants who received the gratitude disposition promotion program showed significant improvements in gratitude disposition (F = 18.740, P < 0.0001) and in quality of life (F = 9.800, P = 0.004), but no significant difference in depression (F = 3.870, P = 0.059).Conclusions:The gratitude disposition promotion program was an effective clinical intervention program for enhancing gratitude disposition and quality of life of chronic schizophrenic patients in community.

Effects of internalized stigma on symptoms and quality of life in schizophrenic patients; mediated by dysfunctional attitude

The objective of this study was to determine the effects of internalized stigma on symptoms, quality of life of schizophrenic patients; mediated by dysfunctional attitude. A descriptive correlational research design was used to investigate the relationship between symptoms, quality of life and dysfunctional attitude in schizophrenic patients. Linear regression was used to investigate the mediational effects of dysfunctional attitude. Purposive sampling technique was used for the selection of the participants. The study was conducted on diagnosed schizophrenic patients from psychiatry ward of Nishtar Hospital Multan, Fountain House Rehabilitation Centre Lahore and Punjab Institute of Mental Health Rehabilitation Centre Lahore. The sample of the study was 50 registered patients of schizophrenia. Calculated sample size was 50 schizophrenic patients among them 34 were Males and 16 were Females. Internalized Stigma of Mental Illness Scale was used to see the effects of stigma on schizophrenic patients (ISMI, Ritsher, 2003), along with Positive and Negative Syndrome Scale was used to evaluate the positive and negative symptoms in schizophrenic patients (Kay, et al., 1987), World Health Organization Quality of life BREF Scale (WHOQOL-BREF, 2003) was used to assess the quality of life of schizophrenic patients, along with another scale of Dysfunctional Attitude Scale (DAS, Weissman, 1978) was also used to assess the cognitive functioning of the schizophrenic patients. Studies showed that internalized stigma had significant positive correlation with dysfunctional attitude and negative significant correlation with symptoms and quality of life of schizophrenic patients. Internalized stigma had strong significant effects on the symptoms, quality of life and dysfunctional attitude. Studies also showed that people with mental illness has to face negative stereotype, rejection and finally alienation from society because of stigma which is a big hurdle in their process of recovery and treatment.

Effectiveness of Psychiatric Nursing Intervention on Adherence to Medications and Quality of Life of Schizophrenic Patients

Medication adherence is a key determinant of the success of pharmacotherapy in patients with schizophrenia and can have an impact on the quality of life. The aim of the study was to evaluate the effect of a psychiatric nursing intervention on adherence to medications and quality of life of schizophrenic patients. A Quasi-experimental design (one group pretest-posttest) was used. The study was conducted at Outpatient Clinics of The Psychiatric and Addiction Treatment Hospital in MIT-Khalaf at Menoufia, Egypt. Non-probability sampling of 50 schizophrenic patients from the previously mentioned setting was recruited. Tools of the study include a structured interview questionnaire, the Medication Adherence Rating Scale and The world health organization quality of life (WHOQOL-BRIEF) scale. The study illustrated that, there was a statistically significant improvement in attitude toward medication and quality of life of patients with schizophrenia after implementation of a psychiatric nursing intervention. In conclusion: the psychiatric nursing intervention was effective in improvement of medication adherence and quality of life of schizophrenic patients. So, it was recommended that, the psychiatric hospital should utilize educational programs to all psychiatric inpatients and outpatients to improve their awareness about their disorder and their medications to improve their adherence and quality of life.

Schizoaffective Disorder and Depression. A case study of a patient from Ceará, Brazil

Introduction: Schizophrenia is a complex clinical syndrome that may present with a great variety of psychopathologic manifestations, covering changes in thought, perception and emotions, as well as motricity and behavioral abnormalities. It symptoms can be divided in positive and negative. Many others psychiatric disturbances share schizophrenia symptoms, among then, Schizoaffective Disorder, with altered mood, as in depression or mania. Although there is, in literature, plenty of evidence about the impact of depressive symptoms in the quality of life in schizophrenic patients, we were unable to identify Brazilian prospects on the subject. Surpassing the findings of other studies, depression in schizophrenic patients has considerable impacts, in addition to its prevalence and frequent underdiagnosis. Objectives: Report a case of patient with Schizoafective Schizophrenia and Depression, treated in the Psycosocial Care Center (CAPES) III in the city of Juazeiro do Norte, Ceara, Brazil. Materials and Methods: Case study, with an descriptive transversal approach, realized under the rules of Resolution 466/12, from National Health Council / National Health Ministry regarding legal and ethical aspects about studies with human beings. The study was registered in the Plataform Brasil, and subsequently forwarded for consideration in the Research Ethics Committee, then being approved. Discussion: The patient’s life story and background, as reported by herself, can probably not only justify, but also fundaments the disease etiology. Attempts of sexual abuse, familiar negligence, psychiatric disorders in the family, among many other factors, reported by the patient and her relatives, can be potential triggers for her schizophrenia and depression. With new therapeutic approaches, body and psychic improvements begun, and the patients realized that a more healthy life, followed by weigh loss, despite medication usage; in association, the doctor patient-patient relationship has grown in confidence along the way. Finally this case shows the importance of this kind of approach, holistic and focused in the individual, for schizophrenic patients and other psychiatric disorders, because only that way the health care professional can maximize the results of the prescribed therapy. C onclusions: Throughout this clinical case its possible to know and understand more about the Schizophrenic Disorders. We conclude that the therapeutic approach, executed by a multidisciplinary team, had a positive impact on patient’s prognosis. In practical terms, the best kind of assistance is the individualized and humanized, understanding the uniqueness of every patient, respecting them and providing qualified assistance for their biopsychosocial needs.

Kvalitet života shizofrenih pacijenata sa i bez depo preparata neuroleptika

Kvalitet života shizofrenih pacijenata sa i bez depo preparata neuroleptika

Quality of Life in Schizophrenic Patients: The Relationship with Personal Characteristics

Objectives: The study aims to identify the quality of life level in schizophrenic patients and to find out therelationships between the quality of life and some of personal characteristics for those patients withschizophrenia.Methodology: A descriptive correlation analytic design was used by using the assessment technique on sampleof 100 schizophrenic outpatients, who were selected purposively (non-probability sample) during the period10/ 3/2013 - 1/ 12 /2013. The study was conducted on the schizophrenic patients in an out patient psychiatricclinics at Ibn-Rushd; and Al-Rashad Psychiatric Teaching Hospital; Baghdad Teaching Hospital, and Al-KadhimyaTeaching Hospital. Self administrative questionnaire was used which includes of two parts: the first includes thecovering letter and personal characteristics; the second include the quality of life scale (World HealthOrganization QoL-BREF). The validity of the instrument was determined by using of face validity through thepanel of experts, and the reliability of the instrument was determined by internal consistency through thecomputation of Alpha Correlation Coefficient (Cronbach's Alpha). The data were collected through theutilization of the self administrated questionnaire as a mean of data collection via structured interviewing. Dataanalysis was employed by applying the Statistical Package for Social Science version 17.0 (SPSS).Results: The results indicated that the majority of sample were single males aged from 30-44 years old whowere unemployed graduated from institute or college education. The higher percentage of them had 11 yearsand above duration of illness with 1-3 admission and complaining positive symptom. The majority ofschizophrenic patients have moderate quality of life level. There is a significant positive relationship betweenquality of life and marital status and there is no relationship with other characteristics.Recommendations: The study recommended of providing vocational and rehabilitative programs for theschizophrenic patients to improve their quality of life, and also the replication of the study with a large sampleis important.