What do individuals with schizophrenia need to increase their well-being

Gunnmo, Petra; Bergman, Helena

doi:10.3402/qhw.v6i1.5412

Cited by 35 publications

(29 citation statements)

References 46 publications

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“…Previous research has showed that being heard, seen and met as an individual in a trustful relationship with professionals is essential to wellbeing in everyday life for people with SMI (Gunnmo & Fatouros‐Bergman ). In our study, the participants expressed gratitude for being taken seriously by professionals when they were worried about their health or had some discomfort and appreciated being remitted to the primary health care services or receiving housing support from the municipality's outreach services.…”

Section: Discussionmentioning

confidence: 99%

Enabling healthy living: Experiences of people with severe mental illness in psychiatric outpatient services

Blomqvist

Sandgren

Carlsson

et al. 2017

Int J Mental Health Nurs

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It is well known that people with severe mental illness have a reduced life expectancy and a greater risk of being affected by preventable physical illnesses such as metabolic syndrome, cardiovascular disease and type 2 diabetes. There are still, however, only a few published studies focusing on what enables healthy living for this group. This study thus aimed to describe what enables healthy living among people with severe mental illness in psychiatric outpatient services. The data were collected in qualitative interviews (n = 16) and content analysis was used to analyze the data. The interviews resulted in an overall theme “Being regarded as a whole human being by self and others”, which showed the multidimensional nature of health and the issues that enable healthy living among people with severe mental illness. Three categories emerged: (i) everyday structure (ii), motivating life events and (iii) support from significant others. The results indicate that a person with severe mental illness needs to be encountered as a whole person if healthy living is to be enabled. Attaining healthy living requires collaboration between the providers of care, help and support. Health care organizations need to work together to develop and provide interventions to enable healthy living and to reduce poor physical health among people with severe mental illness.

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Section: Discussionmentioning

confidence: 99%

Enabling healthy living: Experiences of people with severe mental illness in psychiatric outpatient services

Blomqvist

Sandgren

Carlsson

et al. 2017

Int J Mental Health Nurs

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“…Based on previous research it was hypothesized that the number and types of health-care needs in BD would be similar to schizophrenia and would be associated with patient-functioning, symptom-severity and QOL. Since some differences between patients’ and caregivers’ evaluation of needs has been reported earlier[9,10], health-care needs were assessed both from the perspective of patients and their relatives. The eventual findings were expected to yield a better understanding of health-care needs among patients with BD in remission.…”

Section: Introductionmentioning

confidence: 99%

Health-care needs of remitted patients with bipolar disorder: A comparison with schizophrenia

Neogi¹,

Chakrabarti²,

Grover³

2016

WJP

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AIMTo investigate health-care needs and their correlates among patients with remitted bipolar disorder (BD) compared to patients with remitted schizophrenia.METHODSOutpatients with BD (n = 150) and schizophrenia (n = 75) meeting clearly defined remission criteria were included in the study along with their relatives. Diagnostic ascertainment was carried out using the Mini International Neuropsychiatric Interview. Demographic and clinical details were recorded using structured formats. Residual symptoms were assessed using standardized scales. Health-care needs were assessed on two separate scales. The principal instrument employed to assess health-care needs was the Camberwell Assessment of Need-Research version (CAN-R). To further evaluate health-care needs we felt that an additional instrument, which was more relevant for Indian patients and treatment-settings and designed to cover those areas of needs not specifically covered by the CAN-R was required. This instrument with a structure and scoring pattern similar to the CAN-R was used for additional evaluation of needs. Patients’ level of functioning was assessed using the Global Assessment of Functioning Scale and their quality of life (QOL) using the World Health Organization Quality Of Life-BREF version in Hindi.RESULTSAn average of 6-7 needs was reported by patients with BD as well as their relatives. Commonly reported needs were in the areas of economic and welfare needs, informational needs, social needs and the need for treatment. According to the CAN-R, both patients and relatives reported that more than 60% of the total needs were being met. However, over 90% of the needs covered by the additional evaluation were unmet according to patients and relatives. Needs in the areas of economic and welfare-benefits, information, company, daytime activities and physical health-care were largely unmet according to patients and relatives. Total, met and unmet needs were significantly higher for schizophrenia, but the most common types of needs were quite similar to BD. Relatives reported more needs than patients with certain differences in the types of needs reported. Level of patients’ functioning was the principal correlate of greater total and unmet needs in both groups. Significant associations were also obtained with residual symptoms and QOL.CONCLUSIONThe presence of unmet needs in remitted patients with BD was an additional marker of the enduring psychosocial impairment characteristic of the remitted phase of BD.

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“…6 "Striving for a normal life" was identified as the core category when patients with schizophrenia were interviewed about what they needed to improve their well-being. 8 The main treatment strategy is to prevent relapses with the use of antipsychotic medication, but psychological, social, and vocational rehabilitation are equally important. 9 The effects of chronic medical illness in patients with severe mental illness have been well documented over the years.…”

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confidence: 99%

Barriers, Benefits, and Strategies for Physical Activity in Patients With Schizophrenia

2014

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In accordance with patients' perceptions, there may be biopsychosocial determinants of physical activity behavior that are unique for this group of patients. Future studies should investigate whether physical activity interventions for patients with schizophrenia benefit from individual analyses of barriers and reward for physical activity in combination with the use of tailored strategies such as personal support and activity planning.

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What do individuals with schizophrenia need to increase their well-being

Cited by 35 publications

References 46 publications

Enabling healthy living: Experiences of people with severe mental illness in psychiatric outpatient services

Enabling healthy living: Experiences of people with severe mental illness in psychiatric outpatient services

Health-care needs of remitted patients with bipolar disorder: A comparison with schizophrenia

Barriers, Benefits, and Strategies for Physical Activity in Patients With Schizophrenia

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