Trends in Psychiatry and Psychotherapy
https://trends.org.br/article/doi/10.1590/2237-6089-2017-0002
Trends in Psychiatry and Psychotherapy
Original Article

Quality of life in schizophrenic patients: the influence of sociodemographic and clinical characteristics and satisfaction with social support

Qualidade de vida nas pessoas com esquizofrenia: a influência das características sociodemográficas e clínicas e da satisfação com o suporte social

Lara Manuela Guedes de Pinho; Anabela Maria de Sousa Pereira; Cláudia Margarida Correia Balula Chaves

http://dx.doi.org/10.1590/2237-6089-2017-0002 Trends Psychiatry Psychother, vol.40, n3, p.202-209, 2018
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Abstract

Abstract Objective To evaluate the relationship of sociodemographic and clinical characteristics and satisfaction with social support with the quality of life of schizophrenic patients. Methodology This study included a sample of 268 participants. An interview was conducted to obtain sociodemographic and clinical data, supplemented with two assessment tools used to evaluate quality of life (World Health Organization Quality of Life instrument-Abbreviated version – WHOQOL-Bref) and satisfaction with social support (Social Support Satisfaction Scale – SSSS). Descriptive and inferential analyses were performed. Results Most individuals were male (63.4%), with a mean age of 45.4 years, single (85.4%), living with their family (62.3%) and unemployed (90.3%). As for clinical characteristics, most had the disease for less than 20 years (50.7%), and 55.6% had at least one hospitalization within the last 5 years. Being employed and having had no hospitalization within the last 5 years were positively correlated with one or more WHOQOL-Bref domains. The results of the variables intimacy (p<0.001) and satisfaction with friends (p<0.001) were independently related to the total WHOQOL-Bref score. Conclusion Having a job, having had no hospitalization within the last 5 years and having greater satisfaction with social support are factors that positively influence quality of life among schizophrenics. It is therefore crucial that the psychosocial rehabilitation of patients with schizophrenia take these factors into account, increasing the support network, preventing relapses and promoting occupational activities.

Keywords

Schizophrenia, quality of life, social support, demographic data

Resumo

Resumo Objetivo Avaliar a relação entre as características sociodemográficas e clínicas e a satisfação com o suporte social com a qualidade de vida dos doentes com esquizofrenia. Métodos A amostra do estudo é de 268 participantes. Foi realizada uma entrevista para obter os dados sociodemográficos e clínicos e aplicados dois questionários para avaliar a qualidade de vida (World Health Organization Quality of Life instrument-Abbreviated version – WHOQOL-Bref) e a satisfação com o suporte social (Escala de Satisfação com o Suporte Social – ESSS). Foram efetuadas análises descritivas e inferenciais. Resultados A maioria dos indivíduos era do gênero masculino (63,4%), com uma média de idade de 45,4 anos, solteiros (85,4%), vivendo com a família (62,3%) e desempregados (90,3%). Relativamente às características clínicas, 50,7% tinham a doença há menos de 20 anos, e 55,6% estiveram internados pelo menos uma vez nos últimos 5 anos. Os resultados demonstraram que estar empregado e não ter sido internado nos últimos 5 anos estão positivamente relacionados com um ou mais domínios da WHOQOL-Bref. A satisfação com a intimidade (p<0,001) e a satisfação com os amigos (p<0,001) foram independentemente associados ao escore total da WHOQOL-Bref. Conclusão Ter emprego, não ter hospitalizações nos últimos 5 anos e estar satisfeito com o suporte social são fatores que influenciam positivamente a qualidade de vida dos doentes com esquizofrenia. Por conseguinte, é crucial que esses fatores sejam levados em conta nos programas de reabilitação com o suporte social, aumentando a rede de suporte, evitando recaídas e promovendo atividades ocupacionais.

Palavras-chave

Esquizofrenia, qualidade de vida, suporte social, dados demográficos

References

Robinson D, Woerner M, Alvir J, Bilder R, Goldman R, Geisler S. Predictors of relapse following response from a first episode of schizophrenia or schizoaffective disorder. Arch Gen Psychiatry. 1999;56:241-7.

Chi MH, Hsiao CY, Chen KC, Lee LT, Tsai HC, Lee IH. The readmission rate and medical cost of patients with schizophrenia after first hospitalization - A 10-year follow-up population-based study. Schizophr Res. 2016;170:184-90.

Alvarez-Jimenez M, Priede A, Hetrick SE, Bendall S, Killackey E, Parker AG. Risk factors for relapse following treatment for first episode psychosis: a systematic review and meta-analysis of longitudinal studies. Schizophr Res. 2012;139:116-28.

Emsley R, Chiliza B, Asmal L, Harvey BH. The nature of relapse in schizophrenia. BMC Psychiatry. 2013;13.

Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). 2013.

Bellack AS, Mueser KT, Gingerich S, Agresta J. Social skills training for schizophrenia: A step-by-step guide. 2013.

Gutiérrez-Maldonado J, Caqueo-urízar A, Fernández-Dávila MFP. Influencia de la percepción de apoyo y del funcionamiento social en la calidad de vida de pacientes con esquizofrenia y sus cuidadores. Psicothema. 2012;24:255-62.

Boyer L, Baumstarck K, Boucekine M, Blanc J, Lançon C, Auquier P. Measuring quality of life in patients with schizophrenia: an overview. Expert Rev Pharmacoecon Outcomes Res. 2013;13:343-9.

Fervaha G, Agid O, Takeuchi H, Foussias G, Remington G. Clinical determinants of life satisfaction in chronic schizophrenia: data from the CATIE study. Schizophr Res. 2013;151:203-8.

Alessandrini M, Lançon C, Fond G, Faget-Agius C, Richieri R, Faugere M. A structural equation modelling approach to explore the determinants of quality of life in schizophrenia. Schizophr Res. 2016;171:27-34.

Chou C-Y, Ma M-C, Yang T-T. Determinants of subjective health-related quality of life (HRQoL) for patients with schizophrenia. Schizophr Res. 2014;154:83-8.

Meesters PD, Comijs HC, Haan L, Smit JH, Eikelenboom P, Beekman ATF. Subjective quality of life and its determinants in a catchment area based population of elderly schizophrenia patients. Schizophr Res. 2013;147:275-80.

Canavarro MC, Simões MR, Vaz Serra A, Pereira M, Rijo D, Quartilho MJ. WHOQOL-Bref: instrumento de avaliação da qualidade de vida da Organização Mundial de Saúde. Avaliação psicológica: instrumentos validados para a população portuguesa. 2007:77-100.

Pais Ribeiro JL. Escala de satisfação com o suporte social. 2011.

Üçok A, Gorwood P, Karadayı G. Employment and its relationship with functionality and quality of life in patients with schizophrenia: EGOFORS Study. Eur Psychiatry. 2012;27:422-5.

Othman Z, Ghazali M, Razak AA, Husain M. Severity of tardive dyskinesia and negative symptoms are associated with poor quality of life in schizophrenia patients. Int Med J. 2013;20:677-80.

Boyer L, Millier A, Perthame E, Aballea S, Auquier P, Toumi M. Quality of life is predictive of relapse in schizophrenia. BMC Psychiatry. 2013;13.

Silva TFCD, Mason V, Abelha L, Lovisi GM, Cavalcanti MT. Quality of life assessment of patients with schizophrenic spectrum disorders from Psychosocial Care Centers. J Bras Psiquiatr. 2011;60:91-8.

Angell B, Test MA. The relationship of clinical factors and environmental opportunities to social functioning in young adults with schizophrenia. Schizophr Bull. 2002;28:259-71.

Eack SM, Newhill CE, Anderson CM, Rotondi AJ. Quality of life for persons living with schizophrenia: more than just symptoms. Psychiatr Rehabil J. 2007;30:219-22.

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