Experience of quality of life and attitude to care and treatment in patients with schizophrenia: Role of cross-sectional remission

Helldin, LarsUppsala universitet,Institutionen för neurovetenskap,NU Health Care, Department of Psychiatry (author)

Experience of quality of life and attitude to care and treatment in patients with schizophrenia : Role of cross-sectional remission

Objective The concept of cross-sectional remission was investigated in a sample of patients with schizophrenia. A total of 243 patients were tested for quality of life, burden and handicap, insight and satisfaction with the care provided in an epidemiological study. The question addressed was if remission is of importance for outcome. Methods Cross-sectional remission was defined by applying the symptom criteria of remission, where none of eight selected PANSS items should exceed 3 points. Out of 243 patients, 38% were in met cross-sectional remission. Quality of life was assessed with the MOS SF-36 and the Rosser Index. The Patients' understanding of their illness was assessed based on symptoms and disorder insight. Finally, attitudes to care and, health service were assessed by the UKU/Consumer Satisfaction Questionnaire and the Drug Attitude Inventory. Results Patients who were in cross-sectional remission reported higher quality of life and reduced burden related to the disorder, a greater level of insight into their symptoms and the illness, and a more positive attitude to treatment, including drugs. Conclusion This study implies that remission, here expressed in terms of cross-sectional remission, is of importance for patients' well-being. Patients who had no interference from symptoms in their daily functioning found their life better, had a superior insight and were more positive to treatment.

Kane, JohnThe Zucker Hillside Hospital and the Albert Einstein College of Medicine (author)
Karilampi, UllaGothenburg University,Göteborgs universitet,Psykologiska institutionen,Department of Psychology,Department of Psychology, Göteborg University(Swepub:gu)xkariu (author)
Norlander, Torsten,1950-Karlstads universitet,Avdelningen för psykologi(Swepub:kau)torsnorl (author)
Archer, Trevor,1949Gothenburg University,Göteborgs universitet,Psykologiska institutionen,Department of Psychology,Department of Health and Behavioural Science, Kalmar University(Swepub:gu)xarctr (author)
Uppsala universitetInstitutionen för neurovetenskap (creator_code:org_t)

In:International journal of psychiatry in clinical practice (Print): Informa UK Limited12:2, s. 97-1041365-15011471-1788

By the author/editor: Helldin, Lars; Kane, John; Karilampi, Ulla; Norlander, Torst ...; Archer, Trevor, ...

About the subject

By the university: Uppsala University; University of Gothenburg; Karlstad University

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