Improving the quality of life of people with schizophrenia through community based rehabilitation in Yogyakarta Province, Indonesia: A quasi experimental study

Puspitosari, Warih Andan; Wardaningsih, Shanti; Nanwani, Sandeep

doi:10.1016/j.ajp.2019.03.022

Cited by 25 publications

(25 citation statements)

References 22 publications

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“…A basic health research survey has shown a high prevalence of restraint use in managing mental disorders, especially Schizophrenia (Kemenkes, 2018). Recent studies have explored validation of functioning, disability, and health instruments, the use of a brief psychiatric rating scale to detect disorganized speech, psychotropic drug prescribing, variations in clinical manifestations based on gender, and community‐based rehabilitation (Alya Rahma & Nalini, 2020; Chon Park et al, 2018; Nuño, Barrios, Rojo, Gómez‐Benito, & Guilera, 2018; Y. C. Park, Lee, et al, 2019; Puspitosari, Wardaningsih, & Nanwani, 2019).…”

Section: Methodsmentioning

confidence: 99%

The state of psychiatric research in the Asia Pacific region

Roche

Fung

Ransing

et al. 2020

Asia-Pacific Psychiatry

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Introduction This study aims to review recent scientific publications and research output in the field of psychiatry, from a series of countries in the Asia‐Pacific region (Australia, India, Indonesia, Iran, Lebanon, Malaysia, and Nepal), with a view to identify themes and similarities across regions, as well as to examine the barriers and challenges in mental health research faced by countries in the region. Methods Seven psychiatrists from seven countries reviewed recent published and ongoing research in psychiatry in their respective nations, with respect to themes, as well as any barriers or challenges faced by mental health researchers. Results While the seven nations included in this review vary in terms of research capabilities and economic development level, they share many similarities both in terms of research direction, and with regards to challenges faced. Limitations in the form of sociocultural differences from the West, and a lack of funding were some of the barriers identified. Discussion Mental health research in the region has been progressing well. However, more varied research in the form of qualitative or economic studies are lacking, as are multi‐center studies. The similar issues that nations face with regards to research could perhaps benefit from collaborative efforts and initiatives for the furtherance of research in the region.

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Section: Methodsmentioning

confidence: 99%

The state of psychiatric research in the Asia Pacific region

Roche

Fung

Ransing

et al. 2020

Asia-Pacific Psychiatry

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“…Policies remain focused on enhancing of PwSs' life quality, such as community-based rehabilitation. However, these do not specifically address caregivers' life quality (Puspitosari et al 2019). Disease characteristics and the long duration of care contribute to caregivers' chronic stressors and depression.…”

Section: Present Researchmentioning

confidence: 99%

The Role of Religious Coping in Caregiving Stress

Triana

Sudjatmiko

2021

Religions

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Studies explaining how stressors and religious coping affect caregivers’ depression have been rarely conducted in the Indonesian context. Therefore, this study discusses stress process theory by examining the role of religious coping as a moderating variable between relational deprivation and loss of self on depression. In a quantitative study of 50 caregivers of persons with schizophrenia in Indonesia, this study analyzed the moderating variables using multiple regression. The results showed that higher relational deprivation will lead to increased depression, but religious coping mechanisms can reduce the effect of relational deprivation on depression (buffering effect). Religious coping can also minimize the effect of loss of self to depression. Subjective stressors and religious coping offer new theoretical insights and must be considered when studying caregiving stress. In this regard, mental health services aiming to enhance caregivers’ welfare need to be provided by the state and community.

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“…It has been widely acknowledged that despite good wishes to make full use of limited resources in order to fulfil the large and still increasing need for mental health services in low‐ and middle‐income countries (LMICs), the community‐based rehabilitation (CBR) model tends to confront various complex situations on the ground. Despite great effort made to integrate mental health care into primary health care (Hanlon, Wondimagegn, & Alem, 2010) and ensure users covered by the welfare system (Puspitosari, Wardaningsih, & Nanwani, 2019), a large proportion of LMICs are still struggling with the low utilization of CBR services (Thornicroft, Deb, & Henderson, 2016). For instance, the Chinese government has established a nationwide CBR network since 2009, in which specialized hospitals refer the persons diagnosed with a severe mental illness (SMI) who are not in their acute period to the community healthcare centres (CHCs) in their habitats, community healthcare workers (including General Practitioners and primary healthcare nurses) approach their family proactively to provide the following family‐oriented services free of charge: psycho‐education to empower caregivers to better care for patients and themselves, follow‐ups and physical examinations to help family caregivers monitor patient’s symptoms, and in‐time upward referral for patients in need (Chen, Zhao, et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Perceived quality of primary healthcare services and its association with institutional trust among caregivers of persons diagnosed with a severe mental illness in China

Ling

Zhou

Wang

et al. 2020

Psychiatric Ment Health Nurs

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Accessible summary What is known on the subject Low utilization of the family‐oriented community rehabilitation services is a threatening challenge facing low‐ and middle‐ income countries. Family caregiver’s trust in community healthcare providers is the precondition of service utilization and is shaped by their perceived quality of primary healthcare services from previous experience. Most of the studies concerning the relationship between perceived quality and institutional trust were conducted in western countries, resulting in limited attention paid to conditions in non‐western countries. Which aspect of quality predicts institutional trust in China has not been studied yet. What the paper adds to existing knowledge In China’s context, institutional trust was generally associated with communication, worry relief and risk of privacy leak, but not with technical competence. Significant rural–urban disparity was observed: among rural respondents, institutional trust was associated with technical competence, communication and risk of privacy leak, but not with worry relief; institutional trust was only associated with worry relief in urban respondents. What are the implications for practice Mental health nurses training or working with community healthcare workers may improve their technical and communicative competence. Priorities may differ between rural and urban areas. Mental health nurses or community healthcare workers may provide more family‐oriented psycho‐education to rural families, and more emotional support to urban families. Wider public anti‐stigma initiatives are needed to reduce the affiliated stigma of families of persons diagnosed with a severe mental illness. Abstract IntroductionPrior studies suggested that caregiver’s trust in community healthcare providers is the precondition of the utilization of community‐based rehabilitation services and is shaped by their perceived quality of primary healthcare services. Nevertheless, the research conducted in non‐western countries is scarce, and which aspect of quality is associated with institutional trust in China has not been studied. AimTo explore the association between perceived quality of primary healthcare services and institutional trust in China’s context. MethodsThis cross‐sectional study was conducted with 796 family caregivers from Eastern, Central and Western China between August 2018 and October 2019. Perceived quality of primary healthcare services was measured by technical competence, communication, worry relief and risk of privacy leak. ResultsInstitutional trust was generally associated with communication, worry relief and risk of privacy leak, but not with technical competence. Among rural respondents, institutional trust was associated with technical competence, communication and risk of privacy leak, but not with worry relief. Contrary finding was observed in urban respondents. Discussion and implications for practiceWith rural–urban disparity considered, strategies such as improving the technical and communicative com...

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Improving the quality of life of people with schizophrenia through community based rehabilitation in Yogyakarta Province, Indonesia: A quasi experimental study

Cited by 25 publications

References 22 publications

The state of psychiatric research in the Asia Pacific region

The state of psychiatric research in the Asia Pacific region

The Role of Religious Coping in Caregiving Stress

Perceived quality of primary healthcare services and its association with institutional trust among caregivers of persons diagnosed with a severe mental illness in China

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