Factors affecting marriage in schizophrenia: A cross-sectional study

Deshmukh, Vikas; Bhagat, Aparna; Shah, Nilesh; Sonavane, Sushma; Desousa, Avinash

doi:10.4103/0971-8990.193432

Cited by 11 publications

(9 citation statements)

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“…Loneliness was significantly more common in the group of patients with depression than in the control group. This result was expected and consistent with the results of previous studies suggesting that loneliness is common in these people as a result of social isolation and lack of support from the family and environment ( 32 , 33 , 35 , 37 ). Loneliness is in itself a risk factor for the development of depression and suicidal ideation and attempts ( 10 , 14 , 37 ), reducing self-esteem and increasing social anxiety.…”

Section: Discussionsupporting

confidence: 93%

“…Inadequate family and social support revealed in this study also coincides with other studies on numerous challenges faced by the families, such as difficulty of accepting a situation in which a family member is providing medical and social needs of this person, care and uncertain unpredictable future, often accompanied by feelings of concern and guilt ( 35 , 38 ). In addition, the phenomena of stigmatization ( 39 , 40 ) and ‘burnout’ of family members make these patients feel deprived of family and social support and report a number of problems in the interpersonal domain.…”

Section: Discussionsupporting

confidence: 88%

“…The number of divorces was also higher in the group of respondents with depression, and the divorce itself could be one of the factors for the emergence of depression due to the lack of support from the spouse. A disturbed partner relationship, or loneliness arising from divorce or not getting into marriage are important factors that lead to depression 35,36 . The results in first-time hospitalized patients in our study were opposite to those reported by Bottlender et al 30 .…”

Section: Discussionmentioning

confidence: 99%

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Factors Associated with Depression in Patients with Schizophrenia

Golubovic

Gajic

Ivetić

et al. 2020

ACC

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The aim of this study was to analyze risk factors present in schizophrenic patients with depressive symptomatology. The sample comprised of 76 respondents diagnosed with schizophrenia. In the study, we used the Positive and Negative Syndrome Scale (PANSS) and Calgary Depression Scale for Schizophrenia. The prevalence of depression was estimated to be 30%. The mean scores on the negative subscale of the PANSS were significantly higher in patients with schizophrenia and depression compared to control group (U=3.64, p=0.00), and so were those on the General Psychopathology Scale (U=4.91, p=0.00). Socio-demographic factors were identified as important factors (p<0.05). Personal and environmental factors such as loneliness, immediate social environment, social support and isolation were statistically significantly different between the groups (p<0.05). There was a correlation of poor compliance with psycho-pharmacotherapy, increased number of hospitalizations and shorter remission period with the severity of clinical presentation (p<0.05). Since the presence of these factors is associated with depression in schizophrenia, their early detection in clinical practice is vital to ensure timely prevention of the development of depressive symptomatology.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

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Factors Associated with Depression in Patients with Schizophrenia

Golubovic

Gajic

Ivetić

et al. 2020

ACC

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“…Other benefits reported by patients who are employed include the higher likelihood or being able to get married, whereby marriage fulfills the basic human need for sex and build families [30]. However, another study shows that marriage can either protect or harm the recovery journey for patients with schizophrenia [31]. The impact of marital and employment status on quality of life are still inconclusive, as marital status is found to increase quality of life in one study [15], [32], [33] but found to be unassociated with quality of life in another study [32]- [35].…”

Section: Discussionmentioning

confidence: 99%

Family support and quality of life of schizophrenia patients

Setiawati

Sawitri

Lesmana

2021

IJPHS

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Schizophrenia remains a global issue. More than half of those living with schizophrenia have yet to receive appropriate treatment that led to the impeded of their recovery and the low quality of life. This study aimed to understand the relationship between familial supports with the quality of life (QOL) of persons with schizophrenia. The cross-sectional study was conducted on randomly selected 161 outpatients at 13 community health centers (puskesmas). Family support and quality of life data were collected by interviewing the respondents with the Friedman’s family support questionnaire and WHO quality of life (WHOQOL-BREF) questionnaire. Subsequently, data was analyzed using logistic regression. The respondents have a mean age of 45 years, mostly males, have completed high school, mostly unemployed and unmarried. Instrumental (AOR=3.177; 95%CI 1.01-9.91) and appraisal support (AOR=7.620; 95%CI 2.83-20.4) were significantly associated with QOL. Conversely, no significant relationship was found between emotional (AOR=1.345; 95%CI 0.46-3.88) and informational (AOR=2.515; 95%CI 0.85-7.42) support toward QOL. Employment, being married and not experiencing relapse were significantly related to QOL. Instrumental support and appraisal support are important factors in determining the quality of life of persons with schizophrenia. Hence, the government needs to expand the roles of family and community to support these roles.

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“…[ 38 ] A 10-year follow-up study of 76 persons with the first onset of schizophrenia in South India reported that 70% of the individuals were married. [ 39 ] A cross-sectional study with a sample of 101 patients with schizophrenia reported 69.3% as the rate of marriage. [ 40 ] Similarly, a study from China has also revealed a high rate of marriage with 59.12% of the persons with mental illness being married, while 33% are never married.…”

Section: Methodsmentioning

confidence: 99%

Marriage in persons with severe mental illness: A narrative review-based framework for a supported relationship

Lyngdoh,

Antony,

Basavarajappa

et al. 2023

Journal of Family Medicine and Primary Care

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Background: Studies in the past have shown the effect of mental illness on marriage in persons with severe mental illnesses (SMIs). Primary care and family physicians have a major role in addressing marriage-associated dilemmas in their life. Methods: The literature search was conducted from databases such as PubMed, ProQuest, EBSCO, Scopus, and Google Scholar for understanding the context and the problem in-depth for bringing out the narrative-review based framework for addressing the dilemmas. Results: Marriage rates in persons with SMI are high in Eastern countries. Marriage in persons with SMI enhances social support and prevents the stigma of being unmarried. Disability, unemployment, stigma, and disclosure-related issues are barriers to getting desirable alliances. Evidence based interventions are available to reduce the associated distress to an extent. Conclusion: Published peer-reviewed literature has pointed out that marriage plays a significant role in the life of persons with SMI and their families, especially in Asian countries where marriage is an important social institution. It can have a positive impact or can lead to relapse, marital conflicts, and divorce based on contextual and clinical factors. Hence, there is a need to come up with tailor-made interventions to address marriage-related expectations in persons with SMI.

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Factors affecting marriage in schizophrenia: A cross-sectional study

Cited by 11 publications

References 0 publications

Factors Associated with Depression in Patients with Schizophrenia

Factors Associated with Depression in Patients with Schizophrenia

Family support and quality of life of schizophrenia patients

Marriage in persons with severe mental illness: A narrative review-based framework for a supported relationship

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