Healthcare in schizophrenia: effectiveness and progress of a redesigned care network

Tzeng, Dong‐Sheng; Lian, Li-Chiu; Chang, Chin-Un; Yang, Chun‐Yuh; Lee, Gian-Tin; Pan, Peter Jen Der; Lung, For‐Wey

doi:10.1186/1472-6963-7-129

Cited by 26 publications

(38 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This clinical outcome could be attributed to the lack of rehabilitation facilities and community-based therapeutic resources in our setting. The implication is that available family social support needs to be backed up by efforts at psychosocial rehabilitation and family psychoeducation, in order to enhance the clinical outcome [10,12,[17][18][19] .…”

Section: Discussionmentioning

confidence: 99%

“…The indications are that severity of psychosis is associated with caregiver burden, perception of unmet need for care and dissatisfaction with services. This later line of inquiry is important because interventions from the perspective of quality of care have been shown to have a beneficial impact on severity of psychopathology [17][18][19] .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Schizophrenia Psychopathology in a Kuwaiti Arab Sample

Zahid

Ohaeri²

2010

Psychopathology

View full text Add to dashboard Cite

Background: The heterogeneity of schizophrenia psychopathology has led to a search for symptom clusters that could be related to broad features of the disease. The objectives of the study were to: (1) highlight the pattern of symptoms among Kuwaiti subjects with schizophrenia, using the ICD-10 symptom checklist; (2) assess the factor structure of the Brief Psychiatric Rating Scale 18 (BPRS-18) and BPRS-24, and (3) evaluate the relationship of the resulting factors with sociodemographic characteristics, age at onset of illness, family history of mental illness, objective indicators of quality of life, self-esteem, affect balance, family caregiver burden, patient’s perceptions of service satisfaction and needs for care. Method: Consecutive outpatients in stable condition were assessed with the BPRS and ICD-10 symptom checklist, as well as measures of quality of life, needs for care, service satisfaction and family caregiver burden. Results: There were 130 patients (66.1% men, mean age = 36.8 years, age at onset of illness = 24.2 years, duration of illness = 12.9 years). Of the ICD-10 symptoms, the commonest positive symptoms were hallucinations (58.5%) and delusions (72%). Catatonic symptoms were rare (2.9%). About a quarter of the subjects experienced 4 of the negative symptoms. In exploratory factor analysis, we broadly replicated the known syndromes for BPRS-24 (disorganization, positive, activation, manic, negative and depression) and BPRS-18 (negative, positive, activation and affect). In regression analyses, the variables independently associated with psychopathology were family income, negative affect, self-esteem, duration of illness, age, lack of money for enjoyment, met needs for care and caregiver tension. The negative syndrome had more significant associations with the variables investigated than the positive syndrome. Psychopathological scores were separable from indices of psychological well-being. Conclusion: In this first study of schizophrenia psychopathology from the Arab world, the clinical manifestations were similar to the data from the developed countries. The persistence of psychotic symptoms despite freely available antipsychotic treatment and the impact on caregiver burden call for attention to the perennial issue of treatment resistance and underscore the need for continued interaction with family members after the acute inpatient phase of treatment, in order to address the impact of symptoms.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Schizophrenia Psychopathology in a Kuwaiti Arab Sample

Zahid

Ohaeri²

2010

Psychopathology

View full text Add to dashboard Cite

show abstract

“…While some questionnaires that measure QOL have been developed for specific diseases 34,35) , the WHO-QOL is generic and can be used on all people 36) . In the parsimonious model of regression analysis, we found nurses, life event and hypnotic drug use could predict GHQ, and GHQ could predict the QOL.…”

Section: Psychological Morbidity Predicts Qol Of Health Care Workersmentioning

confidence: 99%

Psychological Morbidity, Quality of Life and their Correlations among Military Health Care Workers in Taiwan

et al. 2009

Self Cite

View full text Add to dashboard Cite

“…Women have been reported by several epidemiological studies to have a higher prevalence of psychological morbidity 7,27,28,31,32) . In this study, we found higher prevalence of psychological morbidity in nurses in high strain jobs at baseline and in nurses working in job with greater psychological demand at follow up.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Job Strain on Psychological Morbidity and Quality of Life in Military Hospital Nurses in Taiwan: A Follow-up Study

Tzeng

Chung²,

Yang

2013

Ind Health

Self Cite

View full text Add to dashboard Cite

This study investigated changes in job strain in female nurses serving in a military hospital system being restructured and the effect of these changes on psychological morbidity and quality of life (QOL). Questionnaire surveys were sent twice to 618 nurses working in three military hospitals in southern Taiwan at the beginning and at follow up a half year later. A Job Content Questionnaire was used to divide subjects into high and low strain groups. The General Health Questionnaire and the WHO QOL Questionnaire were used to assess psychological morbidity and QOL. Four hundred eighteen nurses completed the study. Initially, the high strain group had a greater prevalence of psychological morbidity and lower QOL than the low strain group. At follow up, high strain group did not have a greater prevalence of psychological morbidity, though significant differences in QOL remained. Job control and social support directly affected the QOL (B=0.42, p<0.001; B=0.41, p=0.038, respectively) and the psychological demand affected directly on psychological morbidity (B=0.12, p<0.001). Job control and psychological demand are different aspects in job strain to impact the psychological morbidity and QOL in nurses working in military hospitals in Taiwan.

show abstract

Healthcare in schizophrenia: effectiveness and progress of a redesigned care network

Abstract: Background: The aim of this study was designed to investigate the care-effectiveness of different healthcare models for schizophrenic patients and the impact of it on caregivers.

Cited by 26 publications

References 37 publications

Schizophrenia Psychopathology in a Kuwaiti Arab Sample

Schizophrenia Psychopathology in a Kuwaiti Arab Sample

Psychological Morbidity, Quality of Life and their Correlations among Military Health Care Workers in Taiwan

The Effect of Job Strain on Psychological Morbidity and Quality of Life in Military Hospital Nurses in Taiwan: A Follow-up Study

Contact Info

Product

Resources

About