Association between social contact frequency and negative symptoms, psychosocial functioning and quality of life in patients with schizophrenia

Siegrist, Karin; Millier, A.; Amri, I.; Aballéa, Samuel; Toumi, Mondher

doi:10.1016/j.psychres.2015.11.039

Cited by 33 publications

(21 citation statements)

References 29 publications

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“…Negative symptoms of schizophrenia may pose a particular burden to patients, due to their links to lower quality of life and reduced social contact – a recent study, which also used the EuroSC cohort, showed that social isolation in patients with schizophrenia is associated with poor psychosocial functioning and low quality of life (QoL) [21]. Importantly, low level of social activity also aggravates negative symptoms, which further reduce social interactions, forming a vicious circle reinforcing the disease [21]. …”

Section: Discussionmentioning

confidence: 99%

“…We used the European Schizophrenia Cohort (EuroSC) – a naturalistic 2-year follow-up of a cohort of 1,208 European schizophrenia patients [14]. Indeed, the EuroSC cohort has been extensively used in past research, which focused on investigating treatment efficacy [15], patients’ quality of life [16–18], employment [19], social contact [20,21] and subjective feelings of security and safety [22], as well as assessing caregiver burden [23] and quantifying direct health care costs associated with managing the disease [24,25]. …”

Section: Introductionmentioning

confidence: 99%

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Healthcare resource use in schizophrenia, EuroSC findings

Millier

Horváth

Kóczián

et al. 2017

Journal of Market Access & Health Policy

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Background: It is unclear if the burden associated with schizophrenia is affected by the type and severity of patient’s symptoms. Objective: This study aims to quantify healthcare resource use associated with different profiles of schizophrenia symptoms. Study design: Post-hoc analysis of data from a naturalistic follow-up study. Setting: Secondary psychiatric services in France, Germany and the UK. Patients: EuroSC cohort:, representative sample of 1,208 schizophrenia patients Main outcome measure: We classified patients into eight health states, according to the Lenert classification (HS1–HS8), and estimated 6-month healthcare resource use (outpatient and day clinic visits, and hospitalisations) across the health states. Results: Approximately half of the patients were classed as having mild symptoms (HS1), with around 20% experiencing moderate, predominantly negative symptoms (HS2). The remaining health states were represented by <10% of patients each. Very few patients experienced extremely severe symptoms (HS8). No health state was associated with excess utilisation across all resource types. In terms of outpatient visits, patients were estimated to see a psychiatrist most often (3.01–4.15 visits over 6 months). Hospital admission was needed in 11%(HS1) – 35%(HS8) of patients and inpatient stays were generally prolonged for all health states (39–57 days). The average number of inpatient days was highest for patients in HS8 (18.17 days), followed by patients with severe negative symptoms (HS4; 13.37 days). In other health states characterised by severe symptoms (HS5–HS7), the average number of inpatient days was approximately half of those seen for HS4 (6.09–7.66). Conclusion: While none of the symptom profiles was associated with excess resource usage, hospitalization days were highest for HS with severe, predominantly negative or extremely severe symptoms. Patients with predominantly negative, moderate or severe symptoms appeared to have a high number of psychologist visits – an interesting finding that may reflect a specific therapeutic approach to the treatment of these patients.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Healthcare resource use in schizophrenia, EuroSC findings

Millier

Horváth

Kóczián

et al. 2017

Journal of Market Access & Health Policy

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“…A negative symptom is a reduction or loss of the normal function, consisting of a defective function, such as poor thought, bleak emotion, depression and passive social withdrawal. Negative symptoms can become stable over time and are associated with poor cognitive development, poor premorbid state, drug resistance and poor prognosis in the chronic phases (16). A type of schizophrenia with predominantly negative symptoms is classified as a special group of the disease.…”

Section: Discussionmentioning

confidence: 99%

“…A type of schizophrenia with predominantly negative symptoms is classified as a special group of the disease. The analysis of the type of brain connections in cases presenting negative symptoms can reduce the heterogeneity effect of the sample on the study results, and can be useful in elucidating clearly the function of the abnormal brain connections in the pathogenesis of schizophrenia (16). Assuming that FA can reflect the nerve fiber connectivity of the white matter in the brain, the reduction of FA represents damage of regional cerebral white matter integrity and the reduction of nerve fiber connectivity.…”

Section: Discussionmentioning

confidence: 99%

Magnetic resonance imaging DTI-FT study on schizophrenic patients with typical negative first symptoms

Zhang

Wei

et al. 2016

Experimental and Therapeutic Medicine

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Magnetic resonance imaging (MRI) with diffusion-tensor imaging (DTI) together with a white matter fiber tracking (FT) technique was used to assess different brain white matter structures and functionalities in schizophrenic patients with typical first negative symptoms. In total, 30 schizophrenic patients with typical first negative symptoms, comprising an observation group were paired 1:1 according to gender, age, right-handedness, and education, with 30 healthy individuals in a control group. Individuals in each group underwent routine MRI and DTI examination of the brain, and diffusion-tensor tractography (DTT) data were obtained through whole brain analysis based on voxel and tractography. The results were expressed by fractional anisotropy (FA) values. The schizophrenic patients were evaluated using a positive and negative symptom scale (PANSS) as well as a Global Assessment Scale (GAS). The results of the study showed that routine MRIs identified no differences between the two groups. However, compared with the control group, the FA values obtained by DTT from the deep left prefrontal cortex, the right deep temporal lobe, the white matter of the inferior frontal gyrus and part of the corpus callosum were significantly lower in the observation group (P<0.05). The PANSS positive scale value in the observation group averaged 7.7±1.5, and the negative scale averaged 46.6±5.9, while the general psychopathology scale averaged 65.4±10.3, and GAS averaged 53.8±19.2. The Pearson statistical analysis, the left deep prefrontal cortex, the right deep temporal lobe, the white matter of the inferior frontal gyrus and the FA value of part of the corpus callosum in the observation group was negatively correlated with the negative scale (P<0.05), and positively correlated with GAS (P<0.05). In conclusion, a decrease in the FA values of the left deep prefrontal cortex, the right deep temporal lobe, the white matter of the inferior frontal gyrus and part of the corpus callosum may be associated with schizophrenia with typical first negative symptoms and the application of MRI DTI-FT can improve diagnostic accuracy.

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“…Penulis melakukan strategi dengan melakukan kontak sosial yang singkat namun sering dalam proses membina hubungan saling percaya. Penelitian menunjukkan adanya hubungan yang signifikan antara frekuensi kontak sosial terhadap gejala negatif, fungsi psikososial dan kalitas hidup klien dengan skizofrenia dimana semakin tinggi kontak sosial klien akan menurunkan gejala negatif skizofrenia dan meningkatkan fungsi sosial secara bersamaan (Siegrist,et al, 2015).…”

Section: Pembahasanunclassified

Studi Kasus: Asuhan Keperawatan Pada Klien Isolasi Sosial Pasca Pasung

Fadly¹,

Hargiana²

2018

FHJ

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AbstrakIsolasi sosial merupakan keadaan dimana seorang individu mengalami penurunan bahkan sama sekali tidak mampu berinteraksi dengan orang lain di sekitarnya. Tujuanstudi kasus ini adalah untuk menganalisis tentang asuhan keperawatan isolasi sosial pasca pasung pada Tn. P dengan skizofrenia paranoid. Proses asuhan keperawatan dilakukan berdasarkan standar asuhan keperawatan generalis selama enam hari rawat pada tanggal 7-12 Mei 2018 pada Tn. P dengan usia 32 tahun dan berjenis kelamin laki-laki. Hasil didapatkan masalah keperawatan utama adalah isolasi sosial. Implementasi keperawatan berfokus pada kemampuan klien membina hubungan saling percaya dan meningkatkan kemampuan klien berinteraksi secara bertahap. Intervensi keperawatan memberikan dampak yang positif kepada klien dilihat dengan penurunan tanda dan gejala isolasi sosial pada aspek kognitif, afektif, fisiologis dan sosial, namun belum tampak penurunan pada aspek perilaku. Faktor yang menyebabkan klien sulit membina hubungan dengan perawat yaitu faktor internal dimana klien memiliki penilaian negatif terhadap diri sendiri, orang lain dan lingkungan dan faktor eksternal dimana klien menganggap perawat sebagai stressor yang membahayakan. Rencana tindak lanjut pelayanan keperawatan diharapkan dapat dimaksimalkan baik secara individu, keluarga, kelompok dan komunitas. Kata Kunci: isolasi sosial, skizofrenia paranoid, standar asuhan keperawatan Abstract Social isolation is characterized by decline or loss inability to interact with others. This paper aimed to analyze the nursing care of social isolation on Mr. P with schizophrenia paranoid. The nursing care process is based on the standard of generalist nursing care which provided for six days from May 7 th throughout 12 th 2018 on Mr. P aged 32 years male. Main nursing problem was social isolation. Nursing intervention was emphasized on client's ability to establish mutual relationship and improve client's communication skills gradually. Nursing interventions affected client positively as manifested gy decreased signs and symptoms of social isolation on the cognitive, affective, physiological and social aspects, but there had not been a decline in behavioral aspects. Client's barriers in establishing relationship with nurses were internal factors in which clients had negative judgments about themselves, others and the environment and external factors where clients considered the nurse as a threatening stressor. Nursing care follow-up plans are expected to be maximized for individually, family, group and community.

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Association between social contact frequency and negative symptoms, psychosocial functioning and quality of life in patients with schizophrenia

Cited by 33 publications

References 29 publications

Healthcare resource use in schizophrenia, EuroSC findings

Healthcare resource use in schizophrenia, EuroSC findings

Magnetic resonance imaging DTI-FT study on schizophrenic patients with typical negative first symptoms

Studi Kasus: Asuhan Keperawatan Pada Klien Isolasi Sosial Pasca Pasung

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