A relational perspective of schizophrenia at work

Khalid, Afaf; Syed, Jawad

doi:10.1108/edi-06-2022-0165

Cited by 3 publications

(3 citation statements)

References 94 publications

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“…Rates of employment vary because they depend on the precise definition of employment/unemployment. In general, workplace-related issues that shed light on low rates of employment in this population remain underexplored [21]. A qualitative study from Mexico suggests that employment status is influenced by gendered role expectations and that schizophrenia women, for whom working outside the home is not a community expectation, have an easier time than men in coping with unemployment [22].…”

Section: The Role Of Employment/unemploymentmentioning

confidence: 99%

Schizophrenia: A Review of Social Risk Factors That Affect Women

González-Rodríguez,

Natividad,

Seeman

et al. 2023

Behavioral Sciences

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Social risk factors are long-term or repeated environmental exposures in childhood and youth that change the brain and may, via epigenetic effects, change gene expression. They thus have the power to initiate or aggravate mental disorders. Because these effects can be mediated via hormonal or immune/inflammatory pathways that differ between men and women, their influence is often sex-specific. The goal of this narrative review is to explore the literature on social risk factors as they affect women with schizophrenia. We searched the PubMed and Scopus databases from 2000 to May 2023 using terms referring to the various social determinants of health in conjunction with “women” and with “schizophrenia”. A total of 57 studies fulfilled the inclusion criteria. In the domains of childhood and adult abuse or trauma, victimization, stigma, housing, and socioeconomics, women with schizophrenia showed greater probability than their male peers of suffering negative consequences. Interventions targeting appropriate housing, income support, social and parenting support, protection from abuse, violence, and mothering-directed stigma have, to different degrees, yielded success in reducing stress levels and alleviating the many burdens of schizophrenia in women.

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Section: The Role Of Employment/unemploymentmentioning

confidence: 99%

Schizophrenia: A Review of Social Risk Factors That Affect Women

González-Rodríguez,

Natividad,

Seeman

et al. 2023

Behavioral Sciences

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“…As a chronic mental health condition, mental health nurses (MHNs) play a key role in providing care and assistance to patients with schizophrenia 5. Management of schizophrenia requires the biopsychosocial approach, and this approach is affected by various factors at the individual, interpersonal, organisational, and social levels 6. Under the various socioecological levels outlined above, various factors have been identified as discussed below.…”

Section: Introductionmentioning

confidence: 99%

“… 5 Management of schizophrenia requires the biopsychosocial approach, and this approach is affected by various factors at the individual, interpersonal, organisational, and social levels. 6 Under the various socioecological levels outlined above, various factors have been identified as discussed below.…”

Section: Introductionmentioning

confidence: 99%

Exploring the experiences of mental health nurses in the management of schizophrenia in the Upper East Region of Ghana: a qualitative study

Daliri,

Laari,

Abagye

et al. 2024

BMJ Open

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ObjectiveSchizophrenia is a chronic condition, of which the diagnosis and management require comprehensive care. The role mental health nurses play in this management cannot be overemphasised. In an effort to give their best, several challenges confront them which need to be sought and addressed. This study aimed to explore the factors that influence the management of schizophrenia by mental health nurses in the Upper East Region.Design and participantsA descriptive phenomenology design was used in this study. Individual in-depth interviews were conducted among 18 purposively sampled mental health nurses using a semistructured interview guide. Audio-recorded interviews were transcribed verbatim and analysed thematically using Colaizzi’s approach.SettingThe study was conducted in five primary and secondary-level health facilities in the Upper East Region of Ghana.FindingsFive themes were deduced from the theoretical framework, which were as follows: individual factors, interpersonal factors, organisational factors, community-level factors, and policy-level factors. At the individual level, factors such as the condition of the patient at presentation, medication side effects, inadequate knowledge, and poor adherence were identified. Interpersonal factors identified were poor communication, lack of mutual respect, and poor communication, while organisational factors such as inadequate staff, inadequate infrastructure and logistics, and unavailability of antipsychotics were reported. Moreover, the study identified community-level factors such as stigma and cultural beliefs, while policy-level factors such as laws regarding suicide, patient rights, and non-inclusion of mental health services into the National Health Insurance Scheme were reported as factors influencing the management of schizophrenia by mental health nurses.ConclusionsAddressing these factors is essential to ensure sustainable improvements and the effective management of schizophrenia. It is imperative to consider these factors when designing interventions and policies to optimise the management of schizophrenia by mental health nurses in Ghana.

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A qualitative of stable symptomatology for patients with schizophrenia: do they have adequate post-discharge rehabilitative resources?

et al. 2023

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Many patients diagnosed with schizophrenia face obstacles to rehabilitation and discharge into the community, particularly with regard to the way resources are structured. Clarifying the difficulties will help health care providers address rehabilitation shortcomings. Semistructured in-depth interviews and participatory observations were conducted in various locations (family home, hospital ward, outpatient clinic, and on the street) with families, social workers, doctors, nursing staff, and patients with schizophrenia. These patients met the medical facility’s hospital discharge standards and either had not been discharged or had been discharged within two weeks of meeting the discharge criteria. This study explores the complex and interdependent role of social differences in the rehabilitation of patients with schizophrenia after acute treatment. The study identified five topics related to structural difficulties in resources for the rehabilitation of patients diagnosed with schizophrenia: (1) the role of policy; (2) inadequate facilities and responsibilities; (3) rejecting communities; (4) difficult families; and (5) the threat of stigma. The rehabilitation of patients diagnosed with schizophrenia is a systemic problem. Systemic rehabilitation policies and integrated social support would be more conducive to the rehabilitation of patients. Perhaps cognitive remediation therapy or the Assertive Community Treatment (ACT) Model could benefit individuals with complex disorders.

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A relational perspective of schizophrenia at work

Cited by 3 publications

References 94 publications

Schizophrenia: A Review of Social Risk Factors That Affect Women

Schizophrenia: A Review of Social Risk Factors That Affect Women

Exploring the experiences of mental health nurses in the management of schizophrenia in the Upper East Region of Ghana: a qualitative study

A qualitative of stable symptomatology for patients with schizophrenia: do they have adequate post-discharge rehabilitative resources?

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