Disability and quality of life in patients with treatment-resistant schizophrenia on long- term clozapine therapy

Objectives: To assess disability and quality of life (QOL) in treatment resistant schizophrenia (TRS) on long term clozapine therapy and assess their correlation with positive, negative and cognitive symptoms. Methodology: Disability and QOL in forty patients with TRS (as per modified Kane's cr...

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Published in:Indian journal of psychiatry 2023-06, Vol.65 (6), p.694-697
Main Authors: Nandakumar, Dhandapani, Ganesh, Ragul, Deb, Koushik, Jain, Raka, Sood, Mamta
Format: Article
Language:English
Subjects:
Analysis
Antipsychotics
Brief Research Communication
Clozapine
Cognitive ability
Disability
Drug therapy
Emotional behavior
Medication adherence
Mental disorders
Patient compliance
Quality of life
Schizophrenia
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Summary:Objectives: To assess disability and quality of life (QOL) in treatment resistant schizophrenia (TRS) on long term clozapine therapy and assess their correlation with positive, negative and cognitive symptoms. Methodology: Disability and QOL in forty patients with TRS (as per modified Kane's criteria) were assessed using World Health Organization Disability Assessment Schedule 2.0 and World Health Organization Quality of Life-BREF. Scale for assessment of positive symptoms, scale for assessment of negative symptoms and Addenbrooke's cognitive examination-III were used to assess positive, negative and cognitive symptoms. Medication adherence rating scale assessed medication adherence. Results: Disability and QOL correlated significantly with medication adherence, negative and cognitive symptoms but not with positive symptoms. Subgroup analysis revealed significant difference between medication adherence (good vs poor) and cognitive (impairment vs non-impairment) groups. Conclusion: Negative and cognitive symptoms, and medication adherence correlated with disability and QOL.
ISSN:0019-5545
1998-3794
DOI:10.4103/indianjpsychiatry.indianjpsychiatry_320_22