Quality of Life and Marital Adjustment in Remitted Psychiatric Illness

Abstract

People with mental disorders experience impaired quality of life (QOL). In India, spouses form the most important caregiver for the patient and therefore impact the patients' QOL. However, relatively little is known about marital adjustment, which can definitely influence QOL of patients with mental illness. This study intended to explore marital adjustment and QOL among remitted patients with schizophrenia (SC), depression, and bipolar disorders (BPADs) and to study differences, if any, between the groups. Using a cross-sectional design, consecutive patients (N = 150) with an ICD-10-Diagnostic Criteria for Research diagnosis of SC, depression (recurrent depressive disorder [RDD]), or BPAD, who were currently in remission, were taken up for the study and administered the WHOQOL-BREF for assessing QOL and the Marital Adjustment Inventory for assessing marital adjustment, separately for the husband and the wife. The patients with SC reported poor QOL, whereas a better QOL was seen in those with BPAD and RDD, with significant differences noted between all three groups (p < 0.001). Marital adjustment was perceived to be poor by the patients but not so by the spouses. The greatest marital dissatisfaction was reported by the patients with SC (96%). A positive correlation was observed between the patients' perception of marital adjustment and QOL (p < 0.05). Provision of mental health care should take into consideration patients' possible perception of marital maladjustment and factor these into treatment strategies.

A Study of Instrumental Activities of Daily Living of Patients having Bipolar Affective Disorder and Its Relationship with their Subjective Well Being and Self Efficacy

“…In this study the marital status is also not showing any significant relation as they also found to be somewhat equal in numbers with more for the married individuals. It is opposite to the previous study which found marriage as an effective factor for early recovery and improved quality of life [18][19][20]. This might be due to the increased marital discords and disharmony between couples which itself now becoming an active factor for relapse this episode The stressful life events has an great impact on functional recovery of patients.…”

“…Among the three scales the depressive patients scored very poor in Subjective wellbeing score with mean= 6 ± 4.2 and range= (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18). In other two variables Self-efficacy and the Instrumental activities of daily living scores were fairly well, i.e., mean=23 and 5, respectively.…”

Quality of Life and its Determinants in People with Epilepsy in Basrah , Iraq = نوعية الحياة و محدداتها عند المصابين بالصرع في البصرة ، العراق

“…This is consistent with other studies which found that people with epilepsy appear at greater risk of problems in relation to marriage, employment, and socio-economic status. [26][27][28] The present study highlights the impact of epilepsy on the QOL of epileptic patients in Basrah. When compared with the epilepsy-free control group, patients with epilepsy reported a significantly lower QOL across all domains.…”

Marital adjustment and family functioning in bipolar disorder type I in comparison with rheumatoid arthritis

“…Evlilik uyumunun bozulmasýnda genelde eþlerin kiþilik özellikleri, baðlanma özellikleri, aralarýndaki cinsel yaþamýn niteliði, fiziksel ve ruhsal durumlarý ve bazý sosyodemografik özelliklerin etken olduðu araþtýrmalarda belirtilmiþtir (Erberk et al 2005b, Erberk et al 2005a, Gülsün, Ak and Bozkurt 2009. Bipolar hastalar ve eþlerinin evli liðe ve aile iþlevlerine bakýþlarýnýn karþýlaþtýrýldýðý çalýþmalarýn sonuçlarý tutarsýzdýr (Arciszewska, Siwek and Dudek 2015, Granek et al 2016, Targum et al 1981, Vibha et al 2013.…”