The abilities of improved schizophrenia patients to work and live independently in the community: a 10-year long-term outcome study from Mumbai, India

Srivastava, Amresh; Stitt, Larry; Thakar, Meghana; Shah, Nilesh; Chinnasamy, Gurusamy

doi:10.1186/1744-859x-8-24

Cited by 16 publications

(9 citation statements)

References 49 publications

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“…In a study, individual placement and support was found to have good potential to address the outcome of first episode schizophrenia. 16 Even though many studies on first episode schizophrenia indicated the prevalence of substance abuse more in multi-episode schizophrenics, in our sample no difference was observed between the two groups for alcohol use and drug abuse. The two groups were compared for alcohol use using AUDIT (alcohol use disorders identification test) by WHO, and it was observed that alcohol use in general, was uncommon in these population.…”

Section: Discussionmentioning

confidence: 40%

“…This has economical, social and health implications. 16 A ten-year study on outcome of employment in schizophrenics concluded that 40% of patients could obtain employment, which prevented deterioration of health in these patients, while unemployment was a risk factor for more relapses. 17 This study focuses on symptom complex in first episode schizophrenics which can help in identifying severity of illness and effective treatment.…”

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confidence: 99%

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Clinical correlates of first episode schizophrenia-a comparative study

Kathir¹,

Pugazhendhi²,

Ravishankar³

2018

Int J Res Med Sci

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Background: Schizophrenia is a major mental disorder which has to be assessed early and managed actively even though long term functional outcome remains relatively poor. The aim of the study is to analyze negative symptoms, suicidal risk and substance use in first episode schizophrenics in comparison with multi-episode schizophrenics.Methods: 30 patients with drug naive first episode schizophrenia and 30 patients with multi episode schizophrenia, who attended the outpatient department of Psychiatry, Government Stanley Medical College, Chennai, Tamilnadu, India were studied to compare predisposing factors and spectrum of symptoms for Schizophrenia for a period of one year (January 2010-December 2010). Psychiatric questionnaire by Michael C. Hilton, DAST by Harvey A. Skinner, AUDIT by WHO, Suicide risk scale by National Health and Medical Research Council, PANSS by SR Kay were used to assess patients.Results: Unemployment and family history of suicide attempts were observed more in drug naive first episode schizophrenics. 90% of these patients had completed their primary education while 47% of multi-episode schizophrenics were illiterates. Positive symptoms (delusions, hallucinatory behaviour and suspiciousness) and negative symptoms (blunted affect, emotional withdrawal and social withdrawal) were observed more in first episode schizophrenics while PANSS, DAST, AUDIT scores did not find any differences between both the groups.Conclusions: In our study, the first episode schizophrenia patients were more educated, more unemployed and had more family history of suicide, elevated sub score of positive symptoms as measured by PANSS. Relative assessment of violence and serious behavior problems that are related to positive symptoms must be done and managed with anti psychotics.

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Section: Discussionmentioning

confidence: 40%

mentioning

confidence: 99%

Clinical correlates of first episode schizophrenia-a comparative study

Kathir¹,

Pugazhendhi²,

Ravishankar³

2018

Int J Res Med Sci

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“…Due to the different definitions and ideas used in research and the new line of thought in mental health care, there remains confusion about the concept of personal recovery among clients, their families, clinicians, policy makers and researchers ( 12 ). Furthermore, it remains unclear how different factors influence both short- and long-term personal recovery in schizophrenia and other psychotic disorders after treatment ( 13 ). There is, however, some consensus on what elements the concept of personal recovery consists of.…”

Section: Introductionmentioning

confidence: 99%

UP'S: A Cohort Study on Recovery in Psychotic Disorder Patients: Design Protocol

et al. 2021

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Recovery is a multidimensional concept, including symptomatic, functional, social, as well as personal recovery. The present study aims at exploring psychosocial and biological determinants of personal recovery, and disentangling time-dependent relationships between personal recovery and the other domains of recovery in a sample of people with a psychotic disorder. A cohort study is conducted with a 10-year follow-up. Personal recovery is assessed using the Recovering Quality of Life Questionnaire (ReQoL) and the Individual Recovery Outcomes Counter (I.ROC). Other domains of recovery are assessed by the Positive and Negative Symptom Scale Remission (PANSS-R), the BRIEF-A and the Social Role Participation Questionnaire—Short version (SRPQ) to assess symptomatic, functional and societal recovery, respectively. In addition, multiple biological, psychological, and social determinants are assessed. This study aims to assess the course of personal recovery, and to find determinants and time-dependent relationships with symptomatic, functional and societal recovery in people with a psychotic disorder. Strengths of the study are the large number of participants, long duration of follow-up, multiple assessments over time, extending beyond the treatment trajectory, and the use of a broad range of biological, psychological, and social determinants.

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“…Nonetheless, as it was indicated in the present study, the number of working people is still relatively lower than the number of patients who might be capable of working during remission of schizophrenia. In spite of the fact that there are few research papers about the rate of people who could work in the remission phase, studies carried out both by Srivastava et al (9) and Zaprutko et al (2) confirm the tendency of the studentsí opinions and surmise that more than 50% of patients might be capable of working during remission of schizophrenia.…”

Section: Discussionmentioning

confidence: 97%

“…Moreover, supported employment (SE) performs a therapeutic function (3,5) and may lead to the competitive work attainment (5). Apart from that, work is associated with a significantly better quality of life for mentally ill people and contributes to ìcomplianceî and to lower rehospitalization rates, likewise (2,9,10). Thus, the improvement of the patientís situation on the labor market should in the long run bring significant savings both in terms of direct and indirect costs (4,11,12).…”

mentioning

confidence: 99%

Employment in schizophrenia –students’ point of view

Zaprutko¹,

Kopciuch²,

Sawicka³

et al. 2018

Acta Poloniae Pharmaceutica - Drug Research

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Schizophrenia is a serious mental disorder and has a huge economic burden related to direct and indirect costs. Direct costs include such expenditure as hospitalization. Indirect costs, however, result mostly from the loss of productivity. Although patients are frequently interested in job opportunities, unemployment is widespread among them. Thus, we evaluated opinions of medical universities studentsí concerning situation on the labor market among those in the remission stage of schizophrenia. The study was carried out between October 2015 and October 2016 in Poland and other European Union countries using a self designed questionnaire. The study tool consisting of five questions was distributed to students by direct contact and via the Internet. Of a 5200 distributed sheets, we received 1036 questionnaires and 942 were finally analyzed. In the studentsí opinion, patients are generally interested in finding a job but they are afraid coming back to work. Although unemployment is common among patients with schizophrenia, the number of patients capable of working is significantly higher than the number of those actually employed. According to results of the study, getting a job might be effectively supported by non-pharmacological interventions. Considering the noticeably higher number of patients capable of working compared to those employed, development of employment possibilities should be a priority for mental health care decision makers. It should lead to reduction of the patientsí concerns related to looking for a job. Moreover, comprehensive treatment could reduce the economic burden of schizophrenia.

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The abilities of improved schizophrenia patients to work and live independently in the community: a 10-year long-term outcome study from Mumbai, India

Cited by 16 publications

References 49 publications

Clinical correlates of first episode schizophrenia-a comparative study

Clinical correlates of first episode schizophrenia-a comparative study

UP'S: A Cohort Study on Recovery in Psychotic Disorder Patients: Design Protocol

Employment in schizophrenia –students’ point of view

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