Social and functional capacity of schizophrenia patients: A cross-sectional study

Background: The chronic course of schizophrenia typically results in severe social, vocational and functional impairment, interferes with patients’ autonomy, reduces quality of life and increases disability. Aims: The aim of our study was: (1) to assess social and functional impairment in schizophre...

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Published in:International journal of social psychiatry 2014-06, Vol.60 (4), p.352-358
Main Authors: Mohr, Pavel, Rodriguez, Mabel, Bravermanová, Anna, Melicher, Tomáš, Čeplová, Zuzana, Čermák, Jan, Pečeňák, Ján
Format: Article
Language:English
Subjects:
Adult
Antipsychotic Agents - therapeutic use
Correlation analysis
Cross-Sectional Studies
Demographics
Disability Evaluation
Female
Humans
Male
Mental health care
Middle Aged
Personal Satisfaction
Quality of life
Schizophrenia
Schizophrenia - drug therapy
Schizophrenia - physiopathology
Schizophrenic Psychology
Severity of Illness Index
Slovakia
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Summary:Background: The chronic course of schizophrenia typically results in severe social, vocational and functional impairment, interferes with patients’ autonomy, reduces quality of life and increases disability. Aims: The aim of our study was: (1) to assess social and functional impairment in schizophrenia outpatients from the Czech Republic and Slovakia; and (2) to examine a relationship between functioning and antipsychotic treatment and demographic variables. Methods: Schizophrenia outpatients in a stable phase of illness, treated with current antipsychotic medication for a minimum of one month, were enrolled for the study. Demographic and medication data were recorded. The Personal and Social Performance (PSP), Subjective Well-Being under Neuroleptics (SWN) and Clinical Global Impressions (CGI) scales were administered. Results: The total number of study subjects was 926. Most PSP values were within the interval of moderate impairment. Functional performance correlated positively with subjective satisfaction with medication and negatively with symptom severity. Higher education predicted better functioning on PSP. The best performance was associated with a stable relationship and a useful work role. Patients who showed the best level of functioning were more likely to be treated with antipsychotic monotherapy. No difference among drugs in monotherapy was found in subjective satisfaction. Conclusions: The PSP values of stable schizophrenia outpatients indicated a moderate degree of impairment. Improvement of functional capacity remains one of the unmet needs of schizophrenia patients.
ISSN:0020-7640
1741-2854
DOI:10.1177/0020764013489673