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Tamene FB, Sema FD, Mihiretie EA, Siyum TS, Sendekie AK. Health-related quality of life and associated factors among patients with schizophrenia at comprehensive specialised hospitals in the Northwest Ethiopia: a multicentre cross-sectional study. BMJ Open 2023; 13:e074112. [PMID: 37967996 PMCID: PMC10660835 DOI: 10.1136/bmjopen-2023-074112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/03/2023] [Accepted: 10/25/2023] [Indexed: 11/17/2023] Open
Abstract
OBJECTIVES The aim of this study was to assess the health-related quality of life (HRQoL) and associated factors among patients with schizophrenia at comprehensive specialised hospitals in Northwest Ethiopia. DESIGN AND SETTING A cross-sectional study was conducted among 422 patients with schizophrenia who were followed at comprehensive specialised hospitals in Northwest Ethiopia from 1 June to 30 August 2022. PARTICIPANTS All adult patients with schizophrenia who had regular follow-up in the outpatient departments of the selected hospitals were study participants. MAIN OUTCOME MEASURES The main outcome of this study was HRQoL which was measured using the WHO Quality of Life Scale-Bref Version. Data entry and analysis were done using Epi-data version 4.6.1 and SPSS version 24, respectively. Linear regression was used to assess the association between quality of life and independent variables. Variables with a p value <0.05 at a 95% CI were considered statistically significant. RESULTS The mean score of the overall Quality of Life Scale-Brief Version was 22.42±3.60. No formal education (ß=-1.53; 95% CI: -2.80 to -0.27), duration of treatment (ß = -3.08; 95% CI: -4.71 to -1.45), comorbidity (ß=-1.14; 95% CI: -1.99 to -0.29), substance use (ß=-0.89; 95% CI: -1.56 to -0.23), extrapyramidal side effects (ß=-2.02; 95% CI: -2.90 to -1.14), non-adherence (ß=-0.83; 95% CI: -1.44 to -0.23), and antipsychotic polypharmacy (ß=-1.77; CI: -2.57 to -0.96) were negatively associated with quality of life. CONCLUSION AND RECOMMENDATION In this study, the social domain was recorded as having the lowest mean score, which may indicate that patients with schizophrenia could need better psychosocial support. Patients with a longer duration of treatment, who had comorbid illnesses, were substance users, developed EPS, were non-adherent to medications and were on antipsychotic polypharmacy, needs critical follow-up to improve HRQoL.
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Affiliation(s)
- Fasil Bayafers Tamene
- Department of Pharmacy, Debre Markos University College of Health Science, Debre Markos, Ethiopia
| | - Feser Dula Sema
- Department of Clinical Pharmacy, University of Gondar, Gondar, Ethiopia
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Brito MA, Amad A, Rolland B, Geoffroy PA, Peyre H, Roelandt JL, Benradia I, Thomas P, Vaiva G, Schürhoff F, Pignon B. Religiosity and prevalence of suicide, psychiatric disorders and psychotic symptoms in the French general population. Eur Arch Psychiatry Clin Neurosci 2021; 271:1547-1557. [PMID: 33566159 DOI: 10.1007/s00406-021-01233-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/22/2020] [Accepted: 01/23/2021] [Indexed: 02/07/2023]
Abstract
We aimed to examine the association between religious beliefs and observance and the prevalence of psychiatric disorders, psychotic symptoms and history of suicide attempts in the French general population. The cross-sectional survey interviewed 38,694 subjects between 1999 and 2003, using the MINI. Current religious beliefs and observance were identified by means of two questions: "are you a believer?" and "are you religiously observant?". We studied the association between religiosity and psychiatric outcomes using a multivariable logistic regression model adjusted for sociodemographic characteristics, including migrant status. Religious beliefs were positively associated with psychotic symptoms and disorders [OR = 1.37, 95% CI (1.30-1.45) and OR = 1.38, 95% CI (1.20-1.58)], unipolar depressive disorder [OR = 1.15, 95% CI (1.06-1.23)] and generalized anxiety disorder [OR = 1.13, 95% CI (1.06-1.21)], but negatively associated with bipolar disorder [OR = 0.83, 95% CI (0.69-0.98)], alcohol use disorders [OR = 0.69, 95% CI (0.62-0.77)], substance use disorders [OR = 0.60, 95% CI (0.52-0.69)] and suicide attempts [OR = 0.90, 95% CI (0.82-0.99)]. Religious observance was positively associated with psychotic symptoms and disorders [OR = 1.38, 95% CI (1.20-1.58) and OR = 1.25, 95% CI (1.07-1.45)], but negatively associated with social anxiety disorder [OR = 0.87, 95% CI (0.76-0.99)], alcohol use disorders [OR = 0.60, 95% CI (0.51-0.70)], substance use disorders [OR = 0.48, 95% CI (0.38-0.60)] and suicide attempts [OR = 0.80, 95% CI (0.70-0.90)]. Among believers, religious observance was not associated with psychotic outcomes. Religiosity appears to be a complex and bidirectional determinant of psychiatric symptoms and disorders. In this respect, religiosity should be more thoroughly assessed in epidemiological psychiatric studies, as well as in clinical practice.
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Affiliation(s)
- Maria Alice Brito
- Département Médico-Universitaires de Psychiatrie Et D'addictologie Des Hôpitaux Universitaires Henri-Mondor, Hôpital Albert Chenevier, Groupe Hospitaliers Henri-Mondor, CHU de Créteil Assistance Publique-Hôpitaux de Paris (AP-HP), DMU IMPACT, 40 rue de Mesly, 94 000, Créteil, France.,Paris University, Paris, France
| | - Ali Amad
- Lille Neurosciences and Cognition, Lille University Hospital, University of Lille, and National Institute of Health and Medical Research, U1172, Lille, France.,Fédération Régionale de Recherche en Santé Mentale (F2RSM) Hauts-de-France, rue André Verhaeghe, 59000, Lille, France.,Institute of Psychiatry, Psychology and Neuroscience, King's College London, 16 De Crespigny Park, Camberwell, London, UK
| | - Benjamin Rolland
- Service Universitaire D'Addictologie de Lyon (SUAL), CH Le Vinatier, Bron France , CRNL, Inserm U1028-CNRS UMR5292, UCBL, Université de Lyon, Lyon, France
| | - Pierre A Geoffroy
- Paris University, Paris, France.,Department of Psychiatry and Addictive Medicine, Assistance Publique-Hôpitaux de Paris (AP-HP), University Hospital Bichat, 46 rue Henri Huchard, 75018, Paris, France.,Université de Paris, NeuroDiderot, Inserm, 75019, Paris, France.,Psychiatry and Addiction Medicine Department, CHU Lille, Lille, France
| | - Hugo Peyre
- Paris University, Paris, France.,Child and Adolescent Psychiatry Department, Assistance Publique-Hôpitaux de Paris, Robert Debré Hospital, Paris, France
| | - Jean-Luc Roelandt
- EPSM Lille Métropole, Centre Collaborateur de L'Organisation Mondiale de La Santé Pour La Recherche Et La Formation en Santé Mentale, Équipe Eceve Inserm UMR 1123, 211 rue Roger Salengro, 59 260, Hellemmes, France
| | - Imane Benradia
- EPSM Lille Métropole, Centre Collaborateur de L'Organisation Mondiale de La Santé Pour La Recherche Et La Formation en Santé Mentale, Équipe Eceve Inserm UMR 1123, 211 rue Roger Salengro, 59 260, Hellemmes, France
| | - Pierre Thomas
- Lille Neurosciences and Cognition, Lille University Hospital, University of Lille, and National Institute of Health and Medical Research, U1172, Lille, France.,Fédération Régionale de Recherche en Santé Mentale (F2RSM) Hauts-de-France, rue André Verhaeghe, 59000, Lille, France
| | - Guillaume Vaiva
- Lille Neurosciences and Cognition, Lille University Hospital, University of Lille, and National Institute of Health and Medical Research, U1172, Lille, France.,Centre National de Ressources Et Résilience Pour Les Psychotraumatismes (Cn2r), Lille Paris, France
| | - Franck Schürhoff
- Département Médico-Universitaires de Psychiatrie Et D'addictologie Des Hôpitaux Universitaires Henri-Mondor, Hôpital Albert Chenevier, Groupe Hospitaliers Henri-Mondor, CHU de Créteil Assistance Publique-Hôpitaux de Paris (AP-HP), DMU IMPACT, 40 rue de Mesly, 94 000, Créteil, France.,Laboratoire Neuro-Psychiatrie Translationnelle, Inserm, U955, Institut Mondor de Recherche Biomédicale, 94000, Créteil, France.,Fondation FondaMental, 94000, Créteil, France.,Faculté de Médecine, UPEC, Université Paris Est Créteil, 94000, Créteil, France
| | - Baptiste Pignon
- Département Médico-Universitaires de Psychiatrie Et D'addictologie Des Hôpitaux Universitaires Henri-Mondor, Hôpital Albert Chenevier, Groupe Hospitaliers Henri-Mondor, CHU de Créteil Assistance Publique-Hôpitaux de Paris (AP-HP), DMU IMPACT, 40 rue de Mesly, 94 000, Créteil, France. .,Laboratoire Neuro-Psychiatrie Translationnelle, Inserm, U955, Institut Mondor de Recherche Biomédicale, 94000, Créteil, France. .,Fondation FondaMental, 94000, Créteil, France. .,Faculté de Médecine, UPEC, Université Paris Est Créteil, 94000, Créteil, France.
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Zuppo IDF, Ruas CM, de Oliveira HN, Godman B, Castel S, Wainberg ML, Reis EA. Health equity and the usage of atypical antipsychotics within the Brazilian national health system: findings and implications. Expert Rev Pharmacoecon Outcomes Res 2020; 21:743-751. [DOI: 10.1080/14737167.2020.1804873] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Affiliation(s)
- Isabella de Figueiredo Zuppo
- Postgraduate Program in Medicines and Pharmaceutical Services, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Cristina Mariano Ruas
- Department of Social Pharmacy, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Helian Nunes de Oliveira
- Psychiatrist and Professor in the Department of Preventive and Social Medicine, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Brian Godman
- Strathclyde Institute of Pharmacy and Biomedical Sciences, University of Strathclyde, Glasgow, UK
- Division of Clinical Pharmacology, Karolinska, Karolinska Institutet, Stockholm, Sweden
- Department of Public Health Pharmacy and Management, School of Pharmacy, Sefako Makgatho Health Sciences University, Garankuwa, South Africa
- Health Economics Centre, University of Liverpool Management School, Liverpool, UK
| | - Saulo Castel
- Department of Psychiatry, University of Toronto, Toronto, Canada
| | - Milton L. Wainberg
- New York State Psychiatric Institute, Columbia University, New York, United States
| | - Edna Afonso Reis
- Department of Statistics, Federal University of Minas Gerais, Belo Horizonte, Brazil
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Han B. Associations between perceived environmental pollution and health-related quality of life in a Chinese adult population. Health Qual Life Outcomes 2020; 18:198. [PMID: 32576182 PMCID: PMC7310336 DOI: 10.1186/s12955-020-01442-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2020] [Accepted: 06/05/2020] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND Health-related quality of life (HRQoL) measures are being used in increasingly diverse populations. However, there have no known studies to date to examine the associations between perceived environmental pollution and HRQoL in a Chinese population. This study aimed to report the associations between air, water, noise pollution and HRQoL among Chinese adult population. METHODS A cross-sectional survey data was used from East Asian Social Survey 2010 with a sample of 3866 Chinese populations regarding environmental pollution. HRQoL was computed by SF-12 and reflected by physical and mental component summary score (PCS & MCS). Ordinary least regression analyses were used to examine associations between perceived environmental pollution and PCS and MCS scores. Models in SPSS PROCESS were selected to demonstrate the moderating and mediating effects. RESULTS Only considering one pollutant, perceived air pollution and perceived water pollution had significant associations with PCS and MCS scores. Perceived noise pollution had significant associations with PCS scores. Perceived air×noise, air×water, noise×water, and air×noise×water pollution had significant associations with PCS and MCS scores. Conditional (moderated) mediation showed that there were no moderating effects and mediating effects of perceived one pollutant on another pollutant. CONCLUSIONS Co-occurring perceived environmental pollution were mainly associated with progressive increase in PCS and MCS scores among the Chinese adult population. These results suggested that some effective policies should be carried out to improve environmental quality in Chinese adult population.
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Affiliation(s)
- Bingxue Han
- International Issues Center, Xuchang University, Xuchang, Henan, China. .,Family Issues Center, Xuchang University, Xuchang, Henan, China. .,Xuchang Urban Water Pollution Control and Ecological Restoration Engineering Technology Research Center, Xuchang University, Xuchang, China. .,College of Urban and Environmental Sciences, Xuchang University, Xuchang, China.
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Yu C, Lai CY, Chang Y, Wu C, Chung F. The symptoms, resourcefulness and quality of life in community‐based patients with schizophrenia. J Clin Nurs 2019; 28:3582-3589. [DOI: 10.1111/jocn.14953] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2018] [Revised: 04/01/2019] [Accepted: 05/26/2019] [Indexed: 01/14/2023]
Affiliation(s)
- Ching‐Yun Yu
- School of Nursing Kaohsiung Medical University Kaohsiung Taiwan
| | - Chien Yu Lai
- School of Nursing National Taipei University of Nursing and Health Sciences Taipei Taiwan
| | - Yu‐Shan Chang
- Rehabilitation Department Shin Kao Feng Hospital Kaohsiung Taiwan
| | - Ching‐Kuan Wu
- Tsyr‐Huey Mental Hospital, Kaohsiung JEN‐AI'S Home Kaohsiung Taiwan
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Abstract
UNLABELLED AimsPeople with psychotic disorders face impairments in their global functioning and their quality of life (QoL). The relationship between the two outcomes has not been systematically investigated. Through a systematic review, we aim to explore the presence and extent of associations between global functioning and QoL and establish whether associations depend on the instruments employed. METHODS In May 2016, ten electronic databases were searched using a two-phase process to identify articles in which associations between global functioning and QoL were assessed. Basic descriptive data and correlation coefficients between global functioning and QoL instruments were extracted, with the strength of the correlation assessed according to the specifications of Cohen 1988. Results were reported with reference to the Meta-analysis of Observational Studies in Epidemiology guidelines and PRISMA standards. A narrative synthesis was performed due to heterogeneity in methodological approaches. RESULTS Of an initial 15 183 non-duplicate articles identified, 756 were deemed potentially relevant, with 40 studies encompassing 42 articles included. Fourteen instruments for measuring global functioning and 22 instruments for measuring QoL were used. Twenty-nine articles reported linear associations while 19 assessed QoL predictors. Correlations between overall scores varied in strength, primarily dependent on the QoL instrument employed, and whether QoL was objectively or subjectively assessed. Correlations observed for objective QoL measures were consistently larger than those observed for subjective measures, as were correlations for an interviewer than self-assessed QoL. When correlations were assessed by domains of QoL, the highest correlations were found for social domains of QoL, for which most correlations were moderate or higher. Global functioning consistently predicted overall QoL as did depressive and negative symptoms. CONCLUSIONS This review is the first to explore the extent of associations between global functioning and QoL in people with psychotic disorders. We consistently found a positive association between global functioning and QoL. The strength of the association was dependent on the QoL instrument employed. QoL domains strongly associated with global functioning were highlighted. The review illustrates the extensive array of instruments used for the assessment of QoL and to a lesser extent global functioning in people with psychotic disorders and provides a framework to understand the different findings reported in the literature. The findings can also inform the future choice of instruments by researchers and/or clinicians. The observed associations reassure that interventions for improving global functioning will have a positive impact on the QoL of people living with a psychotic disorder.
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Chidarikire S, Cross M, Skinner I, Cleary M. An ethnographic study of schizophrenia in Zimbabwe: The role of culture, faith, and religion. JOURNAL OF SPIRITUALITY IN MENTAL HEALTH 2018. [DOI: 10.1080/19349637.2018.1531366] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Affiliation(s)
| | - Merylin Cross
- Centre for Rural Health (CRH), University of Tasmania, Launceston, Tasmania, Australia
| | - Isabelle Skinner
- Mount Isa Centre for Rural and Remote Health, James Cook University, Mount Isa, Queensland, Australia
| | - Michelle Cleary
- School of Health Sciences, University of Tasmania, Alexandria, New South Wales, Australia
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Vizehfar F, Jaberi A. The Relationship Between Religious Beliefs and Quality of Life Among Patients With Multiple Sclerosis. JOURNAL OF RELIGION AND HEALTH 2017; 56:1826-1836. [PMID: 28502024 DOI: 10.1007/s10943-017-0411-3] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Patients with chronic diseases, such as multiple sclerosis (MS), are prone to emotional distresses and reduction in life quality more than others. This study aimed to assess the relationship between religious beliefs and quality of life among patients with MS. In this study, 145 MS patients completed 36-Item Short-Form Health Survey (SF-36) and the Duke University Religion Index (DUREL) questionnaires. The results indicated that unorganized religious activities were significantly associated with marital status and education level. Besides, internal religion was positively correlated to mental health. However, religious variables were not effective prognostic factors in physical and mental quality of life. Overall, further studies have to be conducted to determine the role of religion in quality of life of MS patients with different religious backgrounds.
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Affiliation(s)
- Fatemeh Vizehfar
- Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Azita Jaberi
- Department of Nursing, Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
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Hamidou Z, Baumstarck K, Chinot O, Barlesi F, Salas S, Leroy T, Auquier P. Domains of quality of life freely expressed by cancer patients and their caregivers: contribution of the SEIQoL. Health Qual Life Outcomes 2017; 15:99. [PMID: 28494773 PMCID: PMC5427569 DOI: 10.1186/s12955-017-0672-2] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2017] [Accepted: 04/28/2017] [Indexed: 12/13/2022] Open
Abstract
Background The purposes of this study, performed on a large sample of cancer patient-caregiver dyads, were: i) to simultaneously investigate, using an individualized quality of life (QoL) measure (Schedule for the Evaluation of Individual QoL, SEIQoL), the QoL domains freely expressed by cancer patients and their caregivers, and ii) to explore overlapping between the SEIQoL assessment and QoL assessment using traditional instruments. Methods The study employed a cross-sectional design including cancer patients who were going to receive chemotherapy treatment and their caregivers. Quality of life was assessed using condition-specific questionnaires (EORTC QLQ-C30 and CarGOQoL), generic health-related questionnaire (SF-36), and open individualized measure (SEIQoL). Results The final sample included 205 patient-caregiver dyads. From the SEIQoL, Family, Health, and Leisures were the most freely expressed QoL domains by patients and caregivers, but reported with different weights. Love life and financial issues were less spontaneously mentioned. The SEIQoL index was moderately correlated to the condition-specific QoL questionnaires (R lower than |0.40|) and to SF-36 (correlation coefficients: R ranging from 0.17 to 0.31). Conclusion Individualized QoL measures allow individuals to spontaneously express important, non-predefined domains. This study highlights the need to explore QoL using a combination of individualized questionnaires and standardized questionnaires, capturing complementary facets that patients consider important in their life.
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Affiliation(s)
- Zeinab Hamidou
- EA3279, Self-perceived Health Assessment Research Unit, Aix Marseille Université, 27 bd Jean Moulin, Marseille, cedex 05, F-13385, France.,National Clinical research Quality of Life in Oncology Platform, Nancy, France
| | - Karine Baumstarck
- EA3279, Self-perceived Health Assessment Research Unit, Aix Marseille Université, 27 bd Jean Moulin, Marseille, cedex 05, F-13385, France.
| | - Olivier Chinot
- Department of Neuro-Oncology, Assistance Publique Hôpitaux de Marseille, Timone Hospital, 13005, Marseille, France
| | - Fabrice Barlesi
- Assistance Publique Hôpitaux de Marseille, Multidisciplinary Oncology and Therapeutic Innovations Department, Aix Marseille University, Centre d'Investigation Clinique, 13385, Marseille, France
| | - Sébastien Salas
- Department of adult oncology, Assistance Publique Hôpitaux de Marseille, Timone Hospital, 13005 Marseille, and CRO2, Aix Marseille Université, 13284, Marseille, France
| | - Tanguy Leroy
- Université Lumière Lyon 2, Social Psychology Research Group (GRePS EA 4163), Bron, France
| | - Pascal Auquier
- EA3279, Self-perceived Health Assessment Research Unit, Aix Marseille Université, 27 bd Jean Moulin, Marseille, cedex 05, F-13385, France
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Caqueo-Urízar A, Alessandrini M, Urzúa A, Zendjidjian X, Boyer L, Williams DR. Caregiver's quality of life and its positive impact on symptomatology and quality of life of patients with schizophrenia. Health Qual Life Outcomes 2017; 15:76. [PMID: 28424076 PMCID: PMC5395968 DOI: 10.1186/s12955-017-0652-6] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2016] [Accepted: 04/06/2017] [Indexed: 11/10/2022] Open
Abstract
Background Although the quality of life (QoL) experienced by patients with schizophrenia has been recognized, few studies have assessed the relationship between the caregivers’ QoL and patients’ QoL. Methods The study included 253 stabilized outpatients with schizophrenia and their caregivers from 3 Mental Health Services in Bolivia (N = 83), Chile (N = 85) and Peru (N = 85). Caregivers’ and patients’ QoL were respectively assessed using two specific QoL questionnaires (S-CGQoL and S-QoL 18). We collected socio-demographic information and clinical data. Multiple linear regressions were performed to determine which variables were associated with patient’s QoL. We tested the following hypothesis using structural equation modeling (SEM): caregivers’ QoL may have an indirect effect on patients’ QoL mediated by their influence of the severity of psychotic symptoms. Results In the multivariate analysis, the caregivers’ QoL was not significantly associated with the patients’ QoL, except for one QoL dimension about relationship with family (Beta = 0.23). Among patients’ characteristics, being a woman and Aymara, having lower educational level, unemployment and severity of symptoms was significantly associated to a lower QoL. The SEM revealed a moderate significant association between caregivers’ QoL and psychotic symptoms severity (path coefficient = −0.32) and a significant association between psychotic symptoms severity and patients QoL (path coefficient = −0.40). The indirect effect of caregivers’ QoL on patients’ QoL was significant (mediated effect coefficient = 0.13). Conclusion Improvement of caregiver’s QoL may have a direct impact on the psychotic symptoms of patients and indirectly on patient’s QoL, confirming the need for ongoing family interventions in these regions.
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Affiliation(s)
- Alejandra Caqueo-Urízar
- Escuela de Psicología y Filosofía, Universidad de Tarapacá, Avenida 18 de Septiembre 2222, Arica, Chile. .,Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, 677 Huntington Avenue, Boston, MA, 02115-6018, USA.
| | - Marine Alessandrini
- Assistance publique des hôpitaux de Marseille, Hôpital de la Conception, pôle psychiatrie centre, 13005, Marseille, France.,Chronic Diseases and Quality of Life - Research Unit, Aix-Marseille University, EA 3279 - Public Health, 13005, Marseille, France
| | - Alfonso Urzúa
- Universidad Católica del Norte, Avda. Angamos 0610, Antofagasta, Chile
| | - Xavier Zendjidjian
- Assistance publique des hôpitaux de Marseille, Hôpital de la Conception, pôle psychiatrie centre, 13005, Marseille, France.,Chronic Diseases and Quality of Life - Research Unit, Aix-Marseille University, EA 3279 - Public Health, 13005, Marseille, France
| | - Laurent Boyer
- Chronic Diseases and Quality of Life - Research Unit, Aix-Marseille University, EA 3279 - Public Health, 13005, Marseille, France
| | - David R Williams
- Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, 677 Huntington Avenue, Boston, MA, 02115-6018, USA.,Department of African and African American Studies, Harvard University, Cambridge, MA, USA
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Caqueo-Urízar A, Alessandrini M, Zendjidjian X, Urzúa A, Boyer L, Williams DR. Religion involvement and quality of life in caregivers of patients with schizophrenia in Latin-America. Psychiatry Res 2016; 246:769-775. [PMID: 27839827 DOI: 10.1016/j.psychres.2016.07.063] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/02/2016] [Revised: 06/01/2016] [Accepted: 07/10/2016] [Indexed: 11/26/2022]
Abstract
The aim of the study was to explore the relationship between religious involvement (RI) and quality of life (QoL) in caregivers of patients with schizophrenia, while adjusting for key confounding factors such as socio-demographic and clinical characteristics. This study was conducted in the public mental health services in Bolivia, Peru and Chile. The data collected included RI, socio-demographic information, clinical characteristic of the patients and caregiver's QoL using the S-CGQoL questionnaire. A multivariate analysis using multiple linear regressions was performed to determine variables potentially associated with QoL levels. Two hundred and fifty-three patients with their caregivers participated in the study. Caregivers' RI was not significantly associated with overall QoL nor its individual components. The only exception was an unexpected modest inverse association between RI and one QoL dimension (psychological and physical well-being). In contrast, the following caregivers' socio-cultural and economic factors were significantly associated with low QoL level of caregivers: being a mother, identifying with Aymara ethnicity and having lower family income. Among patients, the clinical characteristics of being woman, younger, and having lower age of onset and more severe symptoms was associated with lower QoL. Our study found that socio-cultural, economic and clinical factors were associated with caregivers' QoL.
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Affiliation(s)
- Alejandra Caqueo-Urízar
- Universidad de Tarapacá, Avenida 18 de Septiembre, 2222 Arica, Chile; Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, 677 Huntington Avenue, Boston, MA 02115, USA.
| | - Marine Alessandrini
- Assistance publique des hôpitaux de Marseille, Hôpital de la Conception, Pôle psychiatrie centre, 13005 Marseille, France; Aix-Marseille Univ, EA 3279 - Public Health, Chronic Diseases and Quality of Life - Research Unit, 13005 Marseille, France.
| | - Xavier Zendjidjian
- Assistance publique des hôpitaux de Marseille, Hôpital de la Conception, Pôle psychiatrie centre, 13005 Marseille, France; Aix-Marseille Univ, EA 3279 - Public Health, Chronic Diseases and Quality of Life - Research Unit, 13005 Marseille, France.
| | - Alfonso Urzúa
- Universidad Católica del Norte. Avda. Angamos, 0610 Antofagasta, Chile.
| | - Laurent Boyer
- Aix-Marseille Univ, EA 3279 - Public Health, Chronic Diseases and Quality of Life - Research Unit, 13005 Marseille, France.
| | - David R Williams
- Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, 677 Huntington Avenue, Boston, MA 02115, USA; Department of African and African American Studies, Harvard University, Cambridge, MA, USA.
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