Quality of life among patients with schizophrenia attending psychiatric clinic of Hospital Universiti Sains Malaysia

Quality of life among patients with schizophrenia attending psychiatric clinic of Hospital Universiti Sains Malaysia

Quality of life assessments assist greatly in understanding the impact of illness and healthcare on patients' general well being, especially in the care of chronic mental patients. This intum helps to identify the specific interventions needed to improve their quality of life. Quality of life...

Full description

Saved in:
Bibliographic Details
Main Author: Wahid, Murniyati Abd
Format: Thesis
Language:English
Published: 2010
Subjects:
R Medicine (General)
Online Access:http://eprints.usm.my/56250/1/DR%20MURNIYATI%20BINTI%20ABD%20WAHID-%20e.pdf
Tags: Add Tag
No Tags, Be the first to tag this record!
id my-usm-ep.56250
record_format uketd_dc
spelling my-usm-ep.562502023-02-14T08:09:18Z Quality of life among patients with schizophrenia attending psychiatric clinic of Hospital Universiti Sains Malaysia 2010 Wahid, Murniyati Abd R Medicine (General) Quality of life assessments assist greatly in understanding the impact of illness and healthcare on patients' general well being, especially in the care of chronic mental patients. This intum helps to identify the specific interventions needed to improve their quality of life. Quality of life is assessed in broad range of different domains and is known to be associated with various factors. The aim of this study is to detennine the subjective quality of life and its association with socio demographic and clinical factors, and level of function among patients living with schizophrenia in community. A cross sectional study was conducted on 206 stable patients with schizophrenia living in community under psychiatric outpatient clinic, HUSM from 1st May to 31st October 2008. Systematic random sampling was applied and consented respondents were interviewed using Socio demographic and Clinical Characteristics Questionnaire. Brief version of Lehman's Quality of Life Interview - validated Malay Version was used to assess subjective quality of life, Calgary Depression Scale for Schizophrenia for depressive symptoms, Personal and Social Performance Scale for level of function and Positive and Negative Symptom Severity of Schizophrenia scale for psychiatric symptoms. Descriptive analysis, simple and multiple logistic regression were appropriately used for statistical analysis. Majority of the study participants were Malay (96.1% ), single ( 67.5% ), unemployed ( 62.6% ), educated until secondarary level (72.8%) with a family income of less than RM 500 per month ( 48.5% ). The mean age at first treatment is 24.6 (SD 8.9) years old. The median of both overall duration of illness and receiving treatment were 10 years (IQR 10). Majority were on monotherapy with atypical antipsychotics (57.3%), had mild psychiatric symptoms while a small number had depression (26.7%). Many had mild (45.6%) to moderate (53.9%) difficulties in functioning. Regarding the subjective quality of life, most participants were satisfied in every domain of quality of life even though concern was raised in social relations domain where nearly half perceived it as low. The significant associated factors for subjective quality of life were general psychopathology (OR=l.20, 95% CI=l.05,1.37) and depressive symptoms (OR=2.36, 95% CI=l.09, 5.07). Other socio demographic and clinical factors, and level of function were not significantly associated with subjective quality of life. The subjective quality of life among patients with schizophrenia living in community under follow-up at Hospital Universiti Sains Malaysia was perceived as satisfactory. The quality of life is strongly associated with the general psychopathology and severity of depressive symptoms. 2010 Thesis http://eprints.usm.my/56250/ http://eprints.usm.my/56250/1/DR%20MURNIYATI%20BINTI%20ABD%20WAHID-%20e.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian sains perubatan
institution Universiti Sains Malaysia
collection USM Institutional Repository
language English
topic R Medicine (General)
spellingShingle R Medicine (General)
Wahid, Murniyati Abd
Quality of life among patients with schizophrenia attending psychiatric clinic of Hospital Universiti Sains Malaysia
description Quality of life assessments assist greatly in understanding the impact of illness and healthcare on patients' general well being, especially in the care of chronic mental patients. This intum helps to identify the specific interventions needed to improve their quality of life. Quality of life is assessed in broad range of different domains and is known to be associated with various factors. The aim of this study is to detennine the subjective quality of life and its association with socio demographic and clinical factors, and level of function among patients living with schizophrenia in community. A cross sectional study was conducted on 206 stable patients with schizophrenia living in community under psychiatric outpatient clinic, HUSM from 1st May to 31st October 2008. Systematic random sampling was applied and consented respondents were interviewed using Socio demographic and Clinical Characteristics Questionnaire. Brief version of Lehman's Quality of Life Interview - validated Malay Version was used to assess subjective quality of life, Calgary Depression Scale for Schizophrenia for depressive symptoms, Personal and Social Performance Scale for level of function and Positive and Negative Symptom Severity of Schizophrenia scale for psychiatric symptoms. Descriptive analysis, simple and multiple logistic regression were appropriately used for statistical analysis. Majority of the study participants were Malay (96.1% ), single ( 67.5% ), unemployed ( 62.6% ), educated until secondarary level (72.8%) with a family income of less than RM 500 per month ( 48.5% ). The mean age at first treatment is 24.6 (SD 8.9) years old. The median of both overall duration of illness and receiving treatment were 10 years (IQR 10). Majority were on monotherapy with atypical antipsychotics (57.3%), had mild psychiatric symptoms while a small number had depression (26.7%). Many had mild (45.6%) to moderate (53.9%) difficulties in functioning. Regarding the subjective quality of life, most participants were satisfied in every domain of quality of life even though concern was raised in social relations domain where nearly half perceived it as low. The significant associated factors for subjective quality of life were general psychopathology (OR=l.20, 95% CI=l.05,1.37) and depressive symptoms (OR=2.36, 95% CI=l.09, 5.07). Other socio demographic and clinical factors, and level of function were not significantly associated with subjective quality of life. The subjective quality of life among patients with schizophrenia living in community under follow-up at Hospital Universiti Sains Malaysia was perceived as satisfactory. The quality of life is strongly associated with the general psychopathology and severity of depressive symptoms.
format Thesis
qualification_level Master's degree
author Wahid, Murniyati Abd
author_facet Wahid, Murniyati Abd
author_sort Wahid, Murniyati Abd
title Quality of life among patients with schizophrenia attending psychiatric clinic of Hospital Universiti Sains Malaysia
title_short Quality of life among patients with schizophrenia attending psychiatric clinic of Hospital Universiti Sains Malaysia
title_full Quality of life among patients with schizophrenia attending psychiatric clinic of Hospital Universiti Sains Malaysia
title_fullStr Quality of life among patients with schizophrenia attending psychiatric clinic of Hospital Universiti Sains Malaysia
title_full_unstemmed Quality of life among patients with schizophrenia attending psychiatric clinic of Hospital Universiti Sains Malaysia
title_sort quality of life among patients with schizophrenia attending psychiatric clinic of hospital universiti sains malaysia
granting_institution Universiti Sains Malaysia
granting_department Pusat Pengajian sains perubatan
publishDate 2010
url http://eprints.usm.my/56250/1/DR%20MURNIYATI%20BINTI%20ABD%20WAHID-%20e.pdf
_version_ 1776101157305843712

Similar Items